Doctor insights on:
Bilirubin Blood Count
Elevated indirect bilirubin, normal direct bilirubin, low red blood cell count, normal white blood cell count, iron overload (83), enlarged spleen?
Need more informatio: We can not comment on these blood tests without knowing your hemoglobin and hematocrit andtotal rbc level.Total iron, iron binding capacity and most important ferritin level also need to know the values of liver enzymes;level of indirect bilirubin i suggest you consult your doctor who may have all this information and can tell you if anything needs to be done or just follow up. ...Read moreSee 1 more doctor answer
Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more
Liver testing: With the situation of elevation of liver enzymes and white blood cells, this requires a follow up with a physician to rule out an infection. Further imaging including abdominal ultrasound or ct scan of the abdomen may be warranted as well depending on the physical examination by the physician. ...Read more
Urine pH 5.0,alk phos 62,whit blood count 6.0 red blood 4.62 hemoglobin 14.4 hematocrit 42.8 mean corpuscular hemoglobin 31.2 creatinine 0.62 meaning?
OK ...: The isolated numbers are ok, but one should interpret these through comparing prior serial values if available and correlating with current clinical pictures so to deduce their clinical significance. Why? It's because every thing always displays itself at a certain spot of its own full spectrum; likewise, any lab test does. ...Read more
Recent blood test shows low indirect bilirubin (.08)+increased blood volume (99.7)+increased hematocrit (47.2)+high WBC (14,200). Huh?
Uncertain.: The WBC is definitely high, but the HCT and MCV are borderline, and thus of uncertain significance. If truly elevated, the HCT could point to a primary or secondary polycythemia, an increase in the number of red blood cells. But this could also reflect mild dehydration, and given the borderline degree could be nothing. The high WBC is real. If you have no symptoms I would just repeat in 1mo. ...Read more
500000, right?: This is higher than most folks, but "normal" here is a curious idea -- lab reference ranges are set so that several percent of healthy folks fall a little bit outside on either end. If you're iron-deficient, that would be the obvious explanation, even if you're not significantly anemic. If not it's something to follow, or your physician may want to do a gene test for essential thrombocythemia. ...Read more
Leukopenia: Recent infection such as flu, chemotherapy, radiation therapy, aplastic anemia, hiv, lupus, hodgkin's lymphoma, cancer, typhoid, malaria, tb, sepsis, folate deficiency, copper & zinc deficiency, medications such as wellbutrin, (bupropion) depakote, lamictal, clozapine, minocycline, flagyl, interferone, arsenic toxicity. ...Read more
Ferritin, hematocrit, hglobin normal. Hematocrit 44. Will iron increase it? Serum iron low. Rbc count normal and above.
Why do you ask?: This is almost certainly the right hematocrit for your body. No "pop" remedy is going to increase it; if you are seeking to raise it artificially for an athletic competition, you'll have to ask elsewhere. Loading up on iron is likely to make you sick, both acutely (upset stomach) and long-term (iron-overload still kills plenty of men). ...Read more
Blood test RBC 4.07, Hemoglobin 129 Hematocrit 0.385 Monocytes 1.1 GFR 57 Alkaline Phosphatase 39 Also Urine Albumin/Creatinine 6.7?
Need more info: Trying to give you a "heads up" on the implications of these values is like knowing the full story of a book by just reading the table of contents. The best person to give you insight about what these lab values mean is the physician who ordered them and knows a lot about your general health and background. ...Read more
Be careful: "Small intestinal bacterial overgrowth" is usually a "pop", non-evidence-based diagnosis made by "independent medical thinkers." It's blamed for everything from rosacea to fibromyalgia, and you'll be offered a host of remedies but will never be "cured". If you haven't had a jejunal aspirate with a large number of bacteria to establish it, consider it unproven and seek evidence-based diagnosis/Rx. ...Read more
More info needed: High blood and platelet counts may mean nothing, but need to evaluate based on examination, white blood cell count and how high red cell count and platelet counts are. Iron deficiency can increase platelets as can inflammation; high altitude and smoking can raise the red count---a good history and physical are needed. Good luck. ...Read more
Red blood cells-5.9, hematocrit- 55%, hemaglobin-18.0, esr-2, ldh-199, white blood cells- 9.0 (high neutrophils) & platlets-285, 000 polycythemia vera?
Can't tell. need w/u: Normal range will vary -depending on the range used on each lab. On my lab, hb of 18 is still normal for male. Your white blood cell and platelet are also within normal range. I don't see any problem there-except you said you have high neutrophils- which can be caused by many things. However, if you are worried about p.Vera- go to see a hematologist and she/he will be able to help you. ...Read more
Below: Your body may increase red blood cell production to compensate for any condition that results in low oxygen levels, including: •Congenital heart disease in adults •Heart failure •A condition present at birth that reduces the oxygen-carrying capacity of red blood cells (hemoglobinopathy) •High altitudes •COPD (chronic obstructive pulmonary disease) and other lung diseases •Pulmonary fibrosis •Sleep apnea •Nicotine dependence (smoking) Performance-enhancing drugs Certain drugs stimulate the production of red blood cells, including: •Anabolic steroids •Blood doping (transfusion) •Injections of a protein (erythropoietin) that enhances red blood cell production Increased red blood cell concentration •Dehydration (If the liquid component of the blood (plasma) is decreased, as in dehydration, the red blood cell count increases. This is due to the red blood cells becoming more concentrated. The actual number of red blood cells stays the same.) Kidney disease Rarely, in some kidney cancers and sometimes after kidney transplants, the kidneys might produce too much erythropoietin. This enhances red blood cell production. Bone marrow overproduction •Polycythemia vera •Other myeloproliferative disorders ...Read more
High platelet count (679,000 per microliter) high hemaglobin level (17,7 g) and increased leucocytes. B12, creatinine, iron normal. Polycythemia vera?
Further workup: I need more info and also would like to do additional lab test. Make an appointment for detailed discussion ...Read more
Blood tests show high mean platelet volume, low platelet count, high urobilinogen, high WBC, high clumpy platelet morphology. Related? conerns?
Why the tests?: 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, it might have helped to have the actual values rather than high and low. Why were the tests done? It would be prudent to discuss these with the doctor who ordered the test as s/he knows more about your health. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more
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