Lab results - looking for opinions [PLEASE READ 1ST POST]

Sophia Brooks50 said:I don't actually have any symptoms, but my Alpha-fetoprotein levels came back high, so now *that* is my problem... everything else looks fine, honestly... except I've become a total nervous wreck from all this constant testing.

I’m a little freaked out by the results myself, but I’m praying they come back negative. My blood work and liver enzymes have been perfectly normal for quite a while now.

Harold Garcia60 said:Hepatitis B surface antigen positive at 26 IU/L
Anti EBV VCA/ Immunoglobulin G positive
Anti EBV EBNA Immunoglobulin G positive

I just got my hepatitis panel back from the lab. Everything came back negative except for these three markers. What am I looking at here? 😢

Anyone know?

Google? Since nobody seems to be responding here...

http://www.lab-breyer.com/pretrage/s...trage/anti-hbs

A positive result for Hepatitis B surface antigen just means you either recovered from an exposure or you were vaccinated at some point. I had a positive result once myself, and that was the end of it...

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Harold Garcia60 said:Is that you, Itko?

I honestly can't wrap my head around the reasoning here—why on earth did you go through with the extraction? I’m sitting here staring at one of my own markers that’s running high, and while I know deep down I ought to get it checked out too, the sheer apprehension keeps me paralyzed.

Angela Green2 said:I’m feeling a bit anxious waiting on these results, though I’m desperately hoping they come back negative; my blood work and liver enzymes have been perfectly normal for quite some time now.

From what I’ve gathered, a hemangioma is typically nothing to worry about, but you should probably do a little digging on Google to be sure.

Megan Jones27 said:Google? Since nobody seems to be replying anymore...

http://www.lab-breyer.com/pretrage/s...trage/anti-hbs

A positive Hepatitis B surface antigen just means you either dealt with the virus before and recovered, or you were vaccinated at some point. I had a positive result once myself—nothing more to it than that.

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I figured out what the Hepatitis B surface antigen is, but I can't find anything on those last two markers anywhere.

Sophia Brooks50 said:I'm not sure, but I'm curious why you got them checked? I have one elevated marker myself, so I probably should get tested too, but honestly, I'm a bit nervous about it.

My liver enzymes are up. ALT, AST, and GGT.

Hello, experts,
How would you interpret the peripheral blood smear from this report:

CBC: baso 1, eo 3, seg 56, ly 35, mono 5; tr +++
Only a few neutrophils show toxic granulation.
Erythrocytes - partially macrocytic.

I was referred for further testing due to prolonged macrocytosis. This result is a week old, and there wasn't a formal clinical opinion included.

Thanks.

Hey everyone!
I'm 42. Around Christmas, I dealt with some kind of stomach flu—you know the drill, fever, weakness, nausea, vomiting. I had some abdominal pain and a stinging sensation on my right side just above the navel, so I went ahead and got blood work done:
My CBC was fine, ESR was 12 (4-24), CRP was 4.8 (0-5), lipase was 26 (
I just repeated the labs today because I’ve been feeling nauseous and pretty run down for the last couple of days. My blood work looks great otherwise (including lipid panel and thyroid hormones), but my AST and ALT are still high. AST is 41 (8-30) and ALT is 55 (10-36), which has me getting a bit worried. I don't have any abdominal pain right now. Currently, I'm on day 6 of Clavulin because I had a mole removed, and I'm also taking half a dose of Faverin along with Trintellix to help me sleep. Is there any chance one of these medications could be messing with my liver enzymes? Thanks!
I had an abdominal ultrasound about 3 or 4 months ago, and everything looked normal.
Thanks!

Harold Garcia60 said:My liver enzymes are up. ALT, AST, GGT.

The lab results you shared rule out Hepatitis B and EBV—the usual suspect behind infectious mononucleosis—as the cause for those elevated liver enzymes and the lesion itself. However, this doesn't solve the puzzle. We still don't have a definitive answer as to what actually triggered the liver damage.

I noticed someone already brought up the connection between lipid profiles and liver damage on the previous page. I agree with what was said there—fatty liver could definitely be one of the reasons your liver enzymes are elevated. You should probably get an abdominal ultrasound to see what's actually going on.

Chloe Garcia10 said:I’m currently six days into a course of Clavocin following a procedure to remove some warts. I’m also taking half a tablet of Febrivin and using Trazodone to help me sleep. Is there any chance one of these could be messing with my liver enzymes?

All three medications you're currently taking carry the risk of causing liver injury—specifically, elevated liver enzymes. However, based strictly on what you've shared here, it’s impossible to say for certain if that is the definitive cause of your lab results.

Jessica Davis6 said:Hi experts,
how would you interpret this peripheral blood smear:

CBC: baso 1, eo 3, seg 56, ly 35, mono 5; tr +++
Only a few neutrophils show toxic granulation.
Erythrocytes - partially macrocytic.

I was referred for further testing due to prolonged macrocytosis. This result is a week old, and there’s no expert opinion included.

Thanks.

Looking at the peripheral blood smear, we see what was already known—macrocytosis, which means increased erythrocyte volume. The rest of the smear looks clean, which is a positive sign. There aren't any specific indicators present—like target cells, hypersegmented neutrophils, immature cell forms, or erythrocyte fragments—that would point toward a specific cause for the macrocytosis.

There are various causes for macrocytosis. It is critical to determine whether it is just an increase in volume/size or if anemia is also present.

What is the actual MCV? What about the rest of the CBC? Any other tests? Symptoms? Alcohol consumption? Medications?

Just got my bloodwork back for the anesthesiologist.
Here’s the breakdown:
Na-C 145 136-145
K-C 4.7 3.5-5.1
CaC 2.39 2.10-2.55
Cl-C 108 98-107
GluC 5.3 3.3-6.1
Urea 6.5 2.0-7.8
Krea 101 63-109
AST 100 0-38
ALT 86 0-48
CK 129 0-205
CKMB 15 0-25
LD 195 123-243

I'm pretty concerned about these ALT and AST levels—they're way higher than they should be. To give some context, I was fasting and only drinking liquids two days before this test to prep for a colonoscopy, then I spent the entire day before the labs eating nothing but fast food. Could that junk have caused this spike? Also, just to add, I had an abdominal ultrasound three months ago and my liver looked fine then.

Joseph Morales2 said:Hey there, I just had some bloodwork done because my anesthesiologist requested it.
Here's what it looks like:
Na-C 145 136-145
K-C 4.7 3.5-5.1
CaC 2.39 2.10-2.55
Cl-C 108 98-107
GluC 5.3 3.3-6.1
Urea 6.5 2.0-7.8
Krea 101 63-109
AST 100 0-38
ALT 86 0-48
CK 129 0-205
CKMB 15 0-25
LD 195 123-243

I'm a little worried about these ALT and AST numbers since they jumped up quite a bit. Just as a heads-up, two days before the test, I hadn't eaten anything at all—just stuck to liquids to prep for a colonoscopy—but then the day before the actual draw, I ended up eating nothing but fast food all day. Could that be why they're high? Also, I had an abdominal ultrasound about three months ago and my liver looked totally fine back then.

You should probably get a GGT test too.
I don't see any CBC results here (like MCV??)

Maybe alcohol?
Did you have jaundice recently?
Medications?
Some other illness (like mono or something)?

In this specific situation, honestly, hitting the drive-thru won't spike your AST and ALT like that.

When was the last time you had your AST and ALT checked, and what were those numbers?

velvetmoose9 said:You need to include GGT too.
I don't see a CBC/Differential here (what about MCV??)

Alcohol?
Had jaundice recently?
Medications?
Other issues (like mono or something similar?)

Eating fast food—in this specific case based on what you've said—doesn't spike AST and ALT levels.

When was your last AST and ALT test, and what were the numbers?

RBC 5.36 4.30-5.70
HGB 160 138-175
HCT 48.2 %
MCV 90.0 86.0-100
MCH 29.9 27.0-31.0
MCHC 332 310-350
RDW 15.5 11.5-15.5
PLT 231 150-400
MPV 6.80 7.40-10.4
PCT 1.57 00.0-1.00
PDW 17.6 00.0-99.9
Iron and protein tests were done shortly before these results; albumin was slightly elevated, but iron was fine.
As far as meds go, I'm not taking anything besides Gas-X tablets, which I've been using for quite a while now.
No drinking. No jaundice, and I have diagnosed Celiac disease.

My last ALT and AST readings were about a year ago, and they were normal.

Actually, two or three years back, I had a similar situation where my GGT spiked over 100. My doctor told me after an ultrasound it was just fatty liver.
And shortly after that, the GGT went back to normal.

My bad, I totally missed 🙈 asking what's actually going on with you and why you need to see an anesthesiologist in the first place.

I'm guessing there's some kind of surgery involved.

Which one specifically?

Is it just taking something like Gas-X for bloating?

Or maybe fatty liver issues from being overweight?

velvetmoose9 said:My mistake was 🙈—I forgot to ask why you're seeing an anesthesiologist.

I'm guessing some kind of surgery.

Which one exactly?

Taking Gas-X for bloating?

Fatty liver from being overweight?

A colonoscopy under sedation.
And yeah, Gas-X for the bloating.
It’s not obesity, per se, but my doctor told me I eat too much fast food—and honestly, I have to admit I've been hitting the greasy stuff and sweets pretty hard lately too.

Just to add, I saw my urologist today and he confirmed it's prostatitis.
Could this be what's driving my enzyme levels up?

Hey there. I'm 23. Just got back from my routine blood work today. Here are the numbers.
Hematology Results

Test Result Unit Ref. Range

(K) WBC 11.9 L x10e9/L ( 3.4 - 9.7 )

(K) RBC 4.73 x10e12/L ( 3.86 - 5.08 )

(K) Hemoglobin 141 g/L ( 119 - 157 )

(K) Hematocrit 0.429 L/L ( 0.356 - 0.470 )

(K) MCV 90.6 fL ( 83.0 - 97.2 )

(K) MCH 29.9 pg ( 27.4 - 33.9 )

(K) MCHC 330 g/L ( 320 - 345 )

(K) RDW 12.0 % ( 9.0 - 15.0 )

(K) Platelets 327 x10e9/L ( 158 - 424 )

(K) MPV 8.6 fL ( 6.8 - 10.4 )

Neutrophils 63.7 % ( 44 - 72 )

Eosinophils 0.8 % ( 0 - 7 )

Basophils 0.7 % ( 0 - 1 )
Lymphocytes 27.1 % ( 20 - 46 )
Monocytes 7.7 % ( 2 - 12 )

Neutrophils 7.70 x10e9/L ( 2.06 - 6.49 )

Eosinophils 0.10 x10e9/L ( 0.00 - 0.43 )

Basophils 0.00 x10e9/L ( 0.00 - 0.06 )
Lymphocytes 3.20 x10e9/L ( 1.19 - 3.35 )
Monocytes 0.90 x10e9/L ( 0.12 - 0.84 )

Looking for some clarity before I go over this with my doctor. Specifically the bolded parts.
Thanks! 🙂

Hey there, esteemed doctors 👍

@Nicholas Myers (or anyone else, honestly, I don't mind)

So, I'm that patient with the laundry list of symptoms you guys suggested I take to an internist. Well, I did that. After I laid out everything I've been feeling, the doc told me I should probably see an ENT because of some enlarged nodes. In the meantime, my absolute lymphocyte count has been creeping up—it went from 3.70 to 3.94 halfway through December (was 3.70 at the start of November). It’s really messing with my head because I’ve been reading medical guides on US forums where everyone says the smartest move when a lymph node stays swollen and hard for this long is to just biopsy it and check the contents. Yet, not one specialist or even my internist has brought up a puncture test. And honestly, I have to say, I'm pretty sure the node I keep poking feels bigger than it did before.

To make matters worse, I've broken out in this nasty rash all over my body, and I'm getting these occasional bouts of dizziness. I can't tell if it's the rash, just general dry skin (which I've dealt with forever), or something else entirely.

Then, get this—I went back for more blood work the other day, and to my total shock, my lymphocyte count actually dropped down to 3.00, which is right within the normal range. The doctor was obviously thrilled, acting all smug like, "See? You're wasting your time coming in, you're fine..." But look, I'm still dealing with the fatigue, pale skin, and those random aches in my muscles and bones. I still feel weak, so I'm not about to just drop it and say everything is perfect.

Long story short, I'm ready to go full throttle with more testing. Is it smarter for someone in my situation to see an immunologist or a hematologist? I think I'm going to just book a private appointment since I have zero patience for waiting months for a referral or an opening in the public system.

Joseph Morales2 said:Just to add—I saw my urologist today. He confirmed it's prostatitis.
Could this have triggered an enzyme spike?

Prostatitis likely isn't linked to elevated liver enzymes. You mentioned having celiac disease, though. It’s worth noting that high liver tests are common in people with celiac who aren't strictly following a gluten-free diet. If you're staying disciplined with the diet, then those enzyme levels probably have nothing to do with the celiac and are being caused by something else entirely.

Andrew Fisher3 said:I’d appreciate some clarification on this. Before I share the results from Betty Rogers2, I wanted to ask about this specific part—the bolded section here.
Thanks! 🙂

Reason for the search? What are the symptoms?

Joseph Taylor3 said:To put it bluntly, I’m ready to dig deeper. Given the current situation, would it be more logical to see an immunologist or a hematologist? I’m planning to bypass the standard insurance route and go private; I have zero interest in waiting months for an appointment through a referral.

If that lymph node keeps swelling, we’re looking at a needle biopsy. Beyond just a CBC, there are other tests to run—things I’ve already mentioned. Getting those results back might finally clarify which specialist actually needs to take the lead here.