Top
40
Doctor insights on: Low Anion Gap

Share
1

1
What does high mpv and high anion gap mean?

What does high mpv and high anion gap mean?

Nothing: Labs mean nothing in isolation. High MPV usually means nothing in any case unless the person is otherwise clearly sick. I raise my anion gap every time I exercise. Reference ranges are set so that several percent of healthy folks fall outside on either end. If your phyiscian isn't worried, stop worrying yourself. Best wishes. ...Read more

2

2
What is high anion gap metabolic acidosis?

What is high anion gap metabolic acidosis?

Metabolic acidosis: A high anion gap acidosis, (h), is an acidosis with a low carbon dioxide (c) and a normal chloride. This low c indicates the presence of an organic acid, such as lactic acid. H is seen in sepsis and diabetic ketoacidosis, among other conditions. It is a serious condition that requires immediate medical therapy to resolve it, as it is often life-threatening. ...Read more

4

4
What causes a high anion gap and low bicarbonate (sodium bicarbonate)?

What causes a high anion gap and low bicarbonate (sodium bicarbonate)?

Metabolic Acidosis: In medicine, metabolic acidosis is a condition that occurs when the body produces too much acid or when the kidneys are not removing enough acid from the body. If unchecked, metabolic acidosis leads to acidemia, i.e., blood ph is low (less than 7.35) due to increased production of hydrogen by the body or the inability of the body to form bicarbonate (sodium bicarbonate) (hco3-) in the kidney. ...Read more

5

5
What are implications high anion gap, ige, anc, rdw-cv, abs mono, CRP , compliment 3&4, and low mcv, mch?

What are implications high anion gap, ige, anc, rdw-cv, abs mono, CRP , compliment 3&4, and low mcv, mch?

Some inflammation: The tests do not make a diagnosis. High anion gap can be due to several processes; . Increased neutrophils, crp, complement c3 ; c4 are all suggestive of some inflammatory process (not necessarily infection). Mono antibodies are present in many people: increased ige - allergy and smoking; low MCV and MCH - low iron and/or a chronic inflammation. Check with your physician asap. ...Read more

7

7
What does it mean to have low RBC, low hematocrit, low MPV, low Lymphocytes, low urea, low albumin, high MCV, and high MCH?

What does it mean to have low RBC, low hematocrit, low MPV, low Lymphocytes, low urea, low albumin, high MCV, and high MCH?

Macrocytic anemia: Please forgive my frankness and the appearance perhaps of flippancy. In our dysfunctional health care system, physicians often have less time to explain and educate. This is serious and you must insist on an explanation. ...Read more

8

8
Low Hct low hgb low magnesium low bun high CRP low mchc low calcium high WBC low RBC what could be wrong admitted to hospital back pain high fever ?

Low Hct low hgb low magnesium low bun high CRP low mchc low calcium high WBC low RBC what could be wrong admitted to hospital back pain high fever ?

Infection: until proven otherwise. Blood disorders may also cause similar symptoms. A differential of your WBC count may help to some extent. Cultures, specifically blood cultures, as well as imaging your spine will most likely be part of the work up. ...Read more

9

9
What would would cause these results? High total bilirubin 1.2, low alkaline phosphates 38, low RBC 3.99, high neutrophils% 81.5, low monocytes% 3.2

What would would cause these results? High total bilirubin 1.2, low alkaline phosphates 38, low RBC 3.99, high neutrophils% 81.5, low monocytes% 3.2

Not enough info.: It's impossible to analyze isolated lab tests without having the results of all of the tests and an understanding of the patient's medical history, current symptoms, and physical exam results. Although the results don't seem alarming to me, you should discuss them with your doctor. As an alternative, you could upload them to HealthTap Prime and discuss the results with a doctor here. Good luck. ...Read more

10

10
Causes? High total bilirubin 1.2, low alkaline phosphates 38, low RBC 3.99, high neutrophils% 81.5, low monocytes% 3.2. 25 girl otherwise healthy.

Not concerning: If all other labs are normal, including normal Hgb, normal WBC, normal liver function test, there is no concern for these mildly abnormal labs. You have to put together the whole picture so if you have no symptoms, I would not worry at all. ...Read more

11

11
High wbc, high rbc, low mch, low mchc which means?

High wbc, high rbc, low mch, low mchc which means?

How high on WBC?: A high rbc and low MCH can be thallesemia trait. Do yo know the actual numbers? ...Read more

12

12
Chronically low neutrophils41.3%(50-60)high lymphocytes46.9%(25-40)high anion gap14(4-12)abnormal values@least3-5years.h/oPOTS,cardiomyopathy,IrritBS?

Chronically low neutrophils41.3%(50-60)high lymphocytes46.9%(25-40)high anion gap14(4-12)abnormal values@least3-5years.h/oPOTS,cardiomyopathy,IrritBS?

Hard to know: Much more info needed. Would first need to know about medications to address. One commonality: POTS often associates with mast cell or connective tissue problems, especially in light of concomitant cardiomyopathy, and so a work up could begin with a physician familiar with these syndromes ...Read more

13

13
What does this mean "high anion gap metabolic acidosis"?

Anion gap: The anion gap is a calculation in which you subtract the sum of the negative ions in the blood (chloride, bicarbonate) from the sum of the positive ions (sodium, potassium). Often potassium is left out because it has only a very small effect. A normal gap is < 11. If the result of the subtraction is > 11 you have a high anion gap acidosis, which means some other acid is causing acidosis (ketoacids. ...Read more

15

15
High RDW and low MCH means?

High RDW and low MCH means?

Blood count terms: Rdw means red cell distribution width, which is the range of values for the width of your red blood cells. A higher number could mean that you are making lots more red cells for some reason. Mch mean mean (or average) red cell hemoglobin, which is the amount of hemoglobin in each red blood cell. If it's low, this means that your cells aren't carrying as much hemoglobin as they should. ...Read more

16

16
Indication of high human ferritin, low mcv, low mch, low mchc, normal hemoglobin?

Indication of high human ferritin, low mcv, low mch, low mchc, normal hemoglobin?

Suspect thal minor: No lab value means anything apart from a human being, and labs are numbers that may be far removed from the reference range, or just at the edges. I strongly suggest you do not self-diagnose but instead use the internet to become literate about health and the diagnostic process so you can be a partner with your physician. ...Read more

17

17
High wbc, low hematocrit, low mcv, low mch, high platelet count, low lymphocytes and monocytes - what does this all mean?

High wbc, low hematocrit, low mcv, low mch, high platelet count, low lymphocytes and monocytes - what does this all mean?

Hard to say...: It sounds like it may be an infection but it's impossible to say without more information including if you have any other signs or symptoms. It is also important to know the numbers: how high is that wbc, for example. The best way to go for you is to discuss it with you doctor directly. ...Read more

18

18
What causes high RDW 20.7, low MCH 24.8, low MCHC 29.2, and low Hemoglobin 10.8?

What causes high RDW 20.7, low MCH 24.8, low MCHC 29.2,  and low  Hemoglobin 10.8?

Anemia ???: You haven't supplied all of the info. If he comes from around the Mediterranean ask him about thalassemia. Otherwise go see a doc or hematologist. ...Read more

19

19
Low WBC, low abs neurophils, and low anion gap w/o K. All other results of CMP and CBC w/diff. normal. Cause for concern?

Low WBC, low abs neurophils, and low anion gap w/o K.  All other results of CMP and CBC w/diff. normal.  Cause for concern?

Why tested?: 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 would have helped to have the actual values rather than your interpretation of low and high. It would be better to discuss it with the doctor who ordered the tests 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

22

22
Is a low anion gap and high chloride level something to be concerned about?

Is a low anion gap and high chloride level something to be concerned about?

Anion Gap: The anion gap is calculated from the following formula: Sodium minus choride plus bicarbonate. Normal is 8 to 16 mEq/L There is more importance to an elevated anion gap which can be associated with extra acids in your body like alcohol aspirin, or diabetic ketoacidosis. ...Read more

See 1 more doctor answer
23

23
I have a low anion gap, low estGFR, a high Microalbumin/Creatinine ratio, HA1C and a high ALT. Any concerns/thoughts?

I have a low anion gap, low estGFR, a high Microalbumin/Creatinine ratio, HA1C and a high ALT.   Any concerns/thoughts?

Diabetic kidney: These are signs of emerging diabetic kidney disease and likely fatty liver from diabetes. Is concerning. High Microalbumin/creatinine ratio indicates albumin leak into urine from overt diabetic kidney change. The low eGFR indicates kidney impairment. The low anion gap reflects low albumin in blood and would indicate high spillage of albumin into urine. High A1c indicates poor glucose control. ...Read more

24

24
Bloodwork done for fatigue shows low anion gap and low a/g ratio. Ideas?

Bloodwork done for fatigue shows  low anion gap and low a/g ratio. Ideas?

Fatigue : These findings do not on there own tell you about your fatigue The 2together might indicate your diet is not the best. They need to be evaluated in the context of your other test results, history, and examination. ...Read more

See 3 more doctor answers
25

25
Low WBC, low abs neurophils, and low anion gap w/o K. All other results of CMP and CBC w/diff. normal. Cause for concern?

Why tested?: 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 would have helped to have the actual values rather than your interpretation of low and high. It would be better to discuss it with the doctor who ordered the tests 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

30

30
Low co2, elevated anion gap, elevated pH of 7.5, low creatinine of . 2 in toddler with slow growth born prematurely at 31 weeks ga & 2 vessel cord?

Consider...: ...The possibility of a genetic or metabolic disease which will create excess anions (the anion "gap"). Examples would include Lactic Acid built up in cells that undergo anaerobic metabolism, or acids that build up such as ketoacids in the face of diabetes. A 2 vessel cord suggests a kidney or genetic anomaly and should have a genetics and nephrology evaluation. ...Read more

31

31
I recently got a blood panel for a routine physical. Everything seemed to be in normal range except for a low (3) on my anion gap. What does that mean?

I recently got a blood panel for a routine physical. Everything seemed to be in normal range except for a low (3) on my anion gap. What does that mean?

Routine Physical: The fact that it was a routine physical and everything else was normal, I wouldn't give it a second thought. The lab ranges are a reference and are not designed for patients to be able to cookbook their own medical care. Your doctor would have talked to you about any concerns. If you have anxiety and worry about this, then do go back to your doctor to discuss it. I wish you the very best! ...Read more

See 1 more doctor answer
32

32
Blood work results ,chloride was low at 98 mmol,anion gap was high at 17.4 ,glucose was high at 108 mg/dl, A1c was 6.2 ,albumin/globulin ratio 2.0?

Blood work results ,chloride was low at 98 mmol,anion gap was high at 17.4 ,glucose was high at 108 mg/dl,  A1c was 6.2 ,albumin/globulin ratio  2.0?

Prediabetes: Hi. That A1c is above normal, & if that glucose is FASTING, it is too (it's not abnormal if it's not fasting). They demonstrate "prediabetes", the abnormal state between normal & diabetes. What was your bicarb/total CO2? Unless it was low, anion gap (a calculated value) doesn't mean anything; it's useful in states of ketoacidosis, lactic acidosis, etc). A:G ratio is fine too. Eat healthy, exercise ...Read more

33

33
Gallstone, 31% EF, low total bilirubin, high anion gap, hx of elevated liver enzymes. Liver enzymes leveled out after taking hormones.causes? advice?

Gallstone, 31% EF, low total bilirubin, high anion gap, hx of elevated liver enzymes. Liver enzymes leveled out after taking hormones.causes? advice?

HF: you have complex issues. Why do you have HF and also the cause of liver disease ? The AGMA is concerning and has to be worked up. Some of these conditions can be related. What hormones did you take ? I have more questions than answers, more so because you have 2 organ dysfunction and a acid base disorder and they can be related. ...Read more

34

34
Should a person worry if anion gap is low at 3.9?

No: This means nothing. Reference ranges are arbitrarily set so that 5% or so of healthy folks fall outside. ...Read more

35

35
What does it mean if your anion gap is low and your sodium is normal in the middle of the range? Should i be concerned?

What does it mean if your anion gap is low and your sodium is normal in the middle of the range?  Should i be concerned?

No need for worry: The anion gap is calculated by subtracting serum concentrations of chloride and bicarbonate (sodium bicarbonate) ions from sodium. If it falls below 3 meq/l, it is defined as low. The most common cause is laboratory error. Another less common explanation includes a low serum Albumin concentration. ...Read more

37

37
is normochloremic normokalemic RTA possible? anion gap usually normal. sodium usually on low end of normal.

is normochloremic normokalemic RTA possible? anion gap usually normal. sodium usually on low end of normal.

Unlikely to be RTA: Further evaluation with comprehensive history, physical exam and repeated labs are needed to determine the true significance of abnormal blood work results.Recommend discussing your concerns with a PCP and/or kidney specialist. ...Read more

39

39
My anion gap is low on my comprehensive metabolic lab panel today. What does that mean?

My anion gap is low on my comprehensive metabolic lab panel today.  What does that mean?

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, It may due to low sodium or high serum proteins. You should discuss it with the doctor who ordered the test. You may consult this site for info. http://www.medfriendly.com/anion-gap.html ...Read more

40

40
What causes a high anion gap and low bicarbonate (sodium bicarbonate)?

Metabolic Acidosis: In medicine, metabolic acidosis is a condition that occurs when the body produces too much acid or when the kidneys are not removing enough acid from the body. If unchecked, metabolic acidosis leads to acidemia, i.e., blood ph is low (less than 7.35) due to increased production of hydrogen by the body or the inability of the body to form bicarbonate (sodium bicarbonate) (hco3-) in the kidney. ...Read more