Doctor insights on:
High Chloride Blood Test
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
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
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
HIgh protein level: High blood protein (hbp) level can be caused by dehydration causing bengin elevation of proteins. Other more serious causes of hbp are chronic inflammation, ameyloidosis, hiv/aids, multiple myeloma and monoclonical gammopathies. I would suggest your seeing an hematologist if the cause of your hbp is not due to dehydration as soon as you can to arrive at the correct cause of your hbp level. ...Read more
What can happen when the blood test show low bicarbonate (sodium bicarbonate) level and high anion gap?
Seek the cause: This can be due to any thing from exercising hard and not being fully recovered, to being in shock, to having some unmeasured anion (aspirin, drank antifreeze, diabetic ketoacidosis), to a variety of other things. Your physician is hopefully competent and can find the cause -- it's one of the most basic workups in medicine. Best wishes. ...Read more
No, but...: If a man's hemoglobin is more than 17.5 or thereabouts, it's worth trying to find the cause. Extremely viscous blood (igm, extremely polythemia) may require extra pressure to pump, but in such situations the problem is obvious. ...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
Low rbc, high urea nitrogenBUN, high urine osmolality,high urine creatinine random,high UA sodium random,ab. urine epithelial cell,k etones,ur.mucus ?
Dehydrated: 39 F from Indy of unknown ethnicity medical or drugs notes low rbc high bun and high urine Na creat. ANS: sounds like anemia and dehydration or renal disease. The latter is often due to eating too much salt and HTN and choosing the wrong grandparents. Your Dr knows you best so ask them. ...Read more
Need more info: 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, from what you described, you are anemic. The commonest cause of anemia in women is menstrual blood loss. You may take oral iron supplements while to seek an appointment with your doctor. ...Read more
Is it possible to have high creatinine, high blood urea nitrogen and high potassium levels simultaneously?
Absolutely yes: This is exactly what is seen with kidney (renal) failure. I am not making a diagnosis on this information alone. I can only advise strongly that anyone with elevation in bun, cr and potassium, as listed above, should see his/her physician immediately. ...Read moreSee 1 more doctor answer
Blood test: estimated creatinine clearance test (low), what could it indicate? EGFR & creatinine normal. Potassium & sodium low. 28yr/f
How do you FEEL?: Many (maybe most) pathologists and nephrologists aren't impressed with the current practice of labs estimate GFR, creatinine clearance and so forth from a spot creatinine. Some formulas include race "because black people are more muscular than white people" -- these were never intended to be applied to individuals. Frankly, if your others labs are healthy, I'd ignore it. ...Read more
24-hr salivary cortisol tests showed dangerously low levels. One-off blood test showed abnormally high levels. Treatment with hc denied. Advice?
I'm puzzled: Please forgive my confusion. Have you had an acth stimulation test? With your history, you are right to be concerned about autoimmune addisonism. If you feel as if you have this, and/or are confused by your labs or have poor rapport with the physician who worked you up, it's time for another opinion. Stay proactive and good luck. ...Read more
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
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
Last two days fever but not know check blood test test result is white blood cell count high neutrophils high and lymphocytes low and urine albu pos?
Seems OK.: As long as you feel fine or are getting better these lab tests don't indicate much. Depending upon where you grew up and live in India these symptoms could represent serious disease, but the labs don't show anything specific. The way you feel should guide whether you need further testing. ...Read more
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