Doctor insights on:
Elevated Psa Levels
Treat the number?: Advice: doctors treat patients and not numbers. A slightly elevated crp" without the clinical context, is like a fish out of water. You need more information...Was an infection or a heart problem suspected? How were you feeling? The CRP mentioned can be bad if it's in the context of a heart attack, or not really bad if an infection was suspected. ...Read moreSee 1 more doctor answer
Its value from 0 - 4 ng/ml has been adopted as its normal range but notoriously inaccurate to predict prostate cancer (P-Ca). To explore its best possible clinical use, PSA has been looked from different angles resulting in its following "derivatives" such as PSA density, velocity, age-specific PSA, complex PSA, and total/free ...Read more
Iron overload or...: High ferritin levels in your thirties could be an indication of an primary ( hemachromatosis) or secondary (hemosiderosis) overload state, or chronic inflammation. Ferritin levels in the iron overload states are typically quite high and are typically > 800; whereas chronic inflammation will produce levels typically <800. ...Read more
ALT: Alt elevated means the enzyme of liver leaking into your blood after liver cell damaged. You can see, if a lot of alt in your blood means your liver has been damage a lot. That is why very high level alt is dangerous. ...Read more
Yes?: Dihydrotestosterone (dht) is the bio-active form of testosterone(t). Blocking t to Dht by 5-alpha reductase inhibitors such as Finasteride or Dutasteride will decrease psa by some 50%. So, we can say more Dht may cause psa elevation. But, still remember, to a great extent, a healthy body has all bio-feed-back automation to regulate the balance of substances of metabolism. Then, if any, high dht... ...Read moreSee 2 more doctor answers
Depends: Are you on thyroid replacement currently? Tsh can fluctuate if you are on the wrong kind of thyroid replacement, or you are not taking it regularly, or lab misinterpretation...Work closely with your doc or see a thyroid specialist if this continues to be a problem. ...Read moreSee 1 more doctor answer
What is the calcium?: Upper normal calcium with high PTH could indicate primary hyperparathyroidism as well. Other possible causes include: low vitamin d, kidney problem or a lab error. You need to sit down with your doctor to look at all values, not just calcium and pth. Good luck. ...Read moreSee 1 more doctor answer
Maybe Infection.: The elevation of neutrophils coukl mean bacterial infection, as these cells are important in fighting this kind of infection. The high hemohlobin seems nonspecific, in abscence of other symptoms and signs. It could possibly mean a polycythemia, one of the porphorias, or a myeloproliferative disorder, which could explain the high neutrophils. It can also be from high altitude. See dr. For more. ...Read more
Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?
Lisinopirl and creat: A strong association exists between acute increases in serum creatinine (c) of up to 30% that stabilize within the first 2 months of acei (a) therapy and long-term preservation of renal function. This relationship holds for persons with creatinine values of greater than >1.4 mg/dl. A's should be stopped if the increase in c is > 30%. A's used in patients with a renal artery stenosis give higher c. ...Read moreSee 1 more doctor answer
Speak with your doc: It sounds as if your doctor is doing a diagnostic work up to include your parathyroic gland. If this is the case she may also order tests to visualize the gland as well as your bones. You may have had a recent fracture or problem that she is addressing. Hope you get to the bottom of it soon. ...Read more
What causes high glucose serum, calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?
Means nothing alone: As a pathologist who's devoted a lifetime to lab medicine, my teammates and i are always reminding people that lab results mean nothing whatever in the absence of a history & physical exam. Please don't take this the wrong way, and i appreciate your proactive approach to health. But no one can do anything with this. Ask instead, "could high Albumin out-of-range be from dehydration?" etc. ...Read more
Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?
Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong? ...Read more
Wrong approach: Alkaline phosphatase is a lab value to tell a physician what is happening, not a medical problem to treat. It can be high just because you're growing (teens tend to be maybe 5x the upper limit of the reference range). About 5% of older folks have a high alk phos for "no reason", presumably paget's of the bone that never becomes evident; nonfasting samples may have it from the intestine. ...Read more
Psa is a protein made in the prostate gland that functions to liquefy sperm. It is a serine protease made by both normal and malignant prostate glands. Commonly used as a screening test for prostate cancer, the psa test is widely used to detect which men would benefit from a prostate biopsy as well as detect cancer recurrence in men who have been ...Read more
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