Doctor insights on:
Hemoglobin Alc Blood Test
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
Need more info: All lab results need to be interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. You did not state your question and what you described could well be normal for you. ...Read more
Recent use ?: In most states they require your sign off on a pre-authorization when/if they ever look for drugs. This is part of the self incrimination issue. In most testing they would not look during a routine health care visit as you describe. Since it requires additional personnel time and testing material it is not automatic. ...Read more
Variant hemoglobins: These tests are done to detect variants of hemoglobin as some of the variants, such as hemoglobin s, cause medical problems. Some states require all pregnant women be tested for hemoglobin variations as part of the antenatal care. ...Read more
Random blood sugar test result 375mg/dL repeat test done Fasting Plasma Glucose result 228mg/dL. Am I diabetic?
Yes!: You are def a diabetic. Get a glucose meter and check some fingersticks. Completely NL in the AM fasting is 70-100. 101-125 is borderline, >125 is diabetes. Go see a diabetes doc and get an A1C test. Normal is up to 5.7. Pre-diabetic is 5.7 - 6.4. Diabetes is >6.4. Check out this link from the NIH: http://diabetes.niddk.nih.gov/dm/pubs/A1CTest/A1C_Test_DM_508.pdf. You need diabetic tx! ...Read more
Hemoglobin drops 1 pr after every blood test. ferritin high tibc iron normal tsat 12%. hem says no iron def? pt ptt slightly prolonged. further tests?
Follow MD advice: 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, do you have any symptoms? It is the patient who needs to be treated, not lab results. ...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
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
They do not: All blood tests are usually normal in patients with Essential Hypertension. They can be abnormal in patients with hypertension secondary to renal disease or other causes of hypertension 2/2 identifiable source. However any patient with newly diagnosed hypertension should get all the recommended blood tests to rule out diabetes, renal disease, hyperlipidemia, electrolyte abnormalities. ...Read more
My metanephrine free urine was 51, blood test was 63, normetanephrine free urine 181, blood test 150- total urine 232, blood test 213. Normal?
Sounds normal if....: the upper limits for blood metanephrine and normetanephrine are 0.50nm/l and 0.90nm/l. Urinary levels are, respectively: Total 24 hr. metanephrine =1.3mg for urine; and total plasma ME+NME is less than 205pg/ml. It sound as though you're within the normal ranges, but depending on the units of measure, which vary from lab to lab and med ctr to med ctr., you may not. Meet w/ your endocrinologist. ...Read more
Unexplained high platelets (572), WBC (17.2), leukocytes, neutrophils, low hemaglobin. Bone marrow, jak2 and lupus test negative, ANA positive. Help?!
Reactive/ autoimmune: Discuss further with your hematologist. Certain conditions like iron deficiency , infection /inflammation vs autoimmune vs. Other solid tumor need to be ruled out. Need to check iron level, bcr/abl, imaging study like ct scan chest /abd/ pelvis will be needed. If you smoke - will suggest you to quit smoking., need to do work - up to find the anemia as well. If iron is low - GI w/u is needed. ...Read moreSee 2 more doctor answers
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