Doctor insights on:
Ast 58 Alt91
My blood test results:
total bilirubin: 1.41 h
ast: 40 h
alt: 100 h
total alk phosphatase: 43 l
serum total protein: 7.1
e.R. Said hepatitis?
Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more
No proof of safety: Check out 2 recent news articles: http://www.Usatoday.Com/story/news/nation/2013/07/25/bodybuilding-supplement-designer-matt-cahill-usa-today-investigation/2568815/ & http://www.Nbcnews.Com/health/fda-warns-steroids-vitamin-b-supplement-6c10765769. Granted, not every barrel of apples holds a rotten one but buyer beware. Manufacturers aren't required to prove safety or effectiveness before sales. ...Read more
+ Antimitochondrial M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?
Mcv 69.6(L) rdw cv 22.2(H) platelets 415(H) neutrophils 28(L) lymphocytes 60.6(H) abs neutrophils 2.6(L) anisocytosis (marked) ovalocytes (slight) 11m?
Is this new?: If your previous CBC's have been okay, I'd address whether you are iron deficient (which seems likely) and if so why (your physician can address this with you), follow the very mild neutropenia (not a danger yet) and since the anisocytosis is marked, ask whether the lab's pathologist might be good enough to look at the smear. ...Read more
Serum Iron, 178
Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?
Need good care: You need to be under the care of a competent physician who can keep your diabetes under control and find the cause of your anemia, which i suspect is due to iron deficiency from blood being lose somewhere. We can't solve it here. If you have a specific question, let us know. ...Read moreSee 2 more doctor answers
For 57+ F with Hb 10.6, RBC 3.6, Pt 1.2L & ESR 51 while normal MCV & MCHC, does Ferritin 35 [4 - 204] indicate iron deficiency or haemolytic anemia ?
35 F. rare bite cells & hypocellular marrow 15-20%. mild polychromasia & high retic. Trigeminal neuralgia & atypical hemangioma in c4 vert. Related?
Are these labs cause for concern? Calcium 8.7 L
Creatinine 0.61 L
Anion Gap 13.9 H
Epithelial Cells- Many
May be WBC: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, I trust the WBC 10-20 was in urine. If so, it should be repeated with proper urine collection of mid-stream specimen, after cleaning the external genitalia. Your doctor can advise on proper collection technique. Others are okay. ...Read more
Haemoglobin 11.9. Mcv 65.40, MCH 19.20. Mchc 29.30, lymphocytes 44, cholesterol 197.37, ldl/hdl 1.94, liver f test s bilirubin direct 0.31
What's the question?: It looks like you may have thalassemia or iron deficiency or both. Low MCV with just slightly low hemoglobin suggests thalassemia. Rbc (red blood cell) count would be helpful to distinguish the 2. Other testing could include a ferritin level to measure your body's iron content, and possibly a hemoglobin electropheresis. Is there a family history of thalassemia? ...Read more
My liver tests are as follows:
Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL
Should I be concerned
? Gilbert's disease: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. It does not shorten life or raise insurance rates, but may predispose to tylenol (acetaminophen) toxicity. ...Read more
37 yr old male lab results AST 57, ALT 85, vit. d 19.7, triglycerides 200, total chol 195, HDL 66. Liver ultrasound ordered. What might diagnosis be?
Blood test abnormal: There are a great many possibilities. Be sure to follow up with your doctor for accurate diagnosis and treatment ...Read more
Male, 40yrs, 72kg, 5'7", ser cholstrl 214, triglycerds 387, HDL 36, LDL 98, vldl 77. Good diet, salt n sugar contrlod. What is causing prob?
Chol/hdlc 530 h bun 7 l creatinne 0.67 l sedrate 39 h neutrophils 41 l could you please tell me what does it means and what causes these high and low?
530 would be: Quite high for a cholesterol. "low" BUN and cr of no consequence, as is neutrophil of 41%. Sed rate is a nonspecific measure of inflammation, immune, or infectious process. Without the clinical context it is hard to make any profound conclusions regarding these results except you need a cholesterol management plan. ...Read more
Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?
Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more
CML 10/12. Gleevec .5 log at 6 mths. Sprycel (dasatinib) .5 log at 6 mths. Stem cell transplant 4/14. 7/14 Blast crisis - 65% blast BM + Aspergillus F lung Help?
Difficult case: it is a complicated case obviously. first and foremost the infection has to be treated. i would suggest you to follow up with ID and oncologist very closely. importantly is to check if there is certain mutation like T315i mutation as this mutation is resistant to gleevec, sprycel, tasigna (nilotinib) - and should be treated with ponatinib or aurora kinase inhibitor etc. discuss with oncologist. God bless ...Read more
Wbc 13.2 RBC 4.73 hemoglobin 10.2 hematocrit 33.8 mvc 72 MCH 21.6 mchc 30.2 RDW 16.2 platelets 816, 000.Thoughts?Should i be worried with the platelets
Probably reactive: You are anemic and the numbers are suspicious for iron deficiency. If you are a healthy 34 year-old who menstruates regularly, you could easily be low in iron. The plaelet count is very high, but is likely reacting to the low iron and should come down if it is replaced. The elevated white cells (WBC) is not as easy to understand. Inflamation, infection, other? Could use more info. Good luck. ...Read more
Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?
Continue workup: Now would be a great time to get really into aerobic fitness -- this is likely to reverse nash / nafld. You'll get checked for hepatitis c, wilson's, hemochromatosis, autoimmune hepatitis and a few others. Trust you're not taking meds or that they have been ruled out as causing the problems. ...Read moreSee 1 more doctor answer
Cbc results: low lymphocytes (15.7), high granulocytes 79.2, gr# 8.3, mchc low (32.4), MCV normal, RDW high (14.3), low mpv (7.7). Is this concerning?
19 months old anisocytosis 1+, microcytes 1+, ovalocytes 1+, poikilocitosis 1+, RBC count high 5.6(4-5.2), MCV low 68(70-86), rdw.Rbc high 19.8(12-16)?
Iron deficiency: Without having more a picture of what is going on, those numbers would be consistent with iron deficiency, especially given the age of the child. Iron studies should be performed to confirmed. Does the child drink a significant amount of milk (>18 oz per day)? A trial of oral iron (not just what is found in multivitamins) would be a reasonable thing to try. ...Read moreSee 1 more doctor answer