Doctor insights on:
Blood Test For Esr Level
Repeat / start worup: High sgot/liver enyzme levels are quite common but do need a workup. Causes range from having gotten drunk a few days previous to taking iboprofen to lack of physical fitness to life-threatening, treatable illnesses like viral or autoimmune hepatitis / hemochromatosis / wilson's / drug allergy. Your physician knows the right way to proceed for you. ...Read more
No: Tsh or thyroid stimulating hormone is only good for assessing thyroid function (either good, overactive or underactive). With that said, during that same blood draw, your blood could potentially be checked for testosterone to determine how much you have. This is best done in the morning. Remember that we really should treat the person (and symptoms), not just a number. Make sure benefit > risk. ...Read more
No. For most blood: fasting is not needed & commonly misleading, though promoted. Optimal PSA value <1.0 ng/dL, though called normal up to 4.0 ng/mL. At 1.3 ng/ml (Avodart Trial; most thorough done to date) prostate size, by ultrasound, has doubled young healthy values. If PSA < 1.0, prostate cancer extremely rare. If elevated, consider https://www.accureference.com "Prostate Health Index" test for better guidance. ...Read more
I was wondering does the comprehensive metabolic panel blood test also test for blood sugar levels?
Blood test report: homocysteine level high/ blood platelets low/ bilirubin high. What could be wrong?
Big picture please: As a lab doctor, this means nothing in isolation. I appreciate your caring & this is no familiar pattern. Is the person clinically healthy? How off are the values? Vegetarians and junk-fooders are equally at risk for high homocysteine as are folks with genetic disease. Bilirubin -- gilbert's? Platelets -- gin and tonic? This isn't something to discuss in a 400-character text thx 4 understanding. ...Read more
Can tuberculin skin test and effect the test results of a hemogram test. i have high lmphocyte and ESR count after tuberculin test. please advice?
Not expected: Unless you have a violently positive skin test (whole arm swells up for example), no systemic effect is expected. ...Read more
IgG subclasses: There are several classes of immunoglobulins like IgA, IgM, and IgE. IgG also has subclasses that we test for. A subclass deficiency can be an explanation for susceptibility to certain types of infections. An Allergist/Immunologist can put the results in perspective for you in the context of your history. ...Read more
What r different ways doctors to establish presence of infection through blood test apart from checking ESR level?
Lab not the answer: Presence of infection is usually a clinical judgment based on pain, swelling, redness and warmth. Systemic infection is heralded by fever, malaise, tachycardia, tachypnea. At that point many blood and chemistry abnormalities including elevated esr, crp, wbc. The infecting organism can often be cultured from the blood. However, a lesser infection often gives no sign in the labwork. ...Read more