Doctor insights on:
Serum Gastrin Level
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
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
Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?
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
Plasma Vitamin D <4.2 ng/mL
Serum Vitamin B12 -197
Serun Alkaline Phosphatase-356
Need Vits D3 and B12: You are severely deficient in Vitamins D3 and B12. I recommend 10,000 IU of Vit D3 per day, and 1,000 mcg methylcobalamin each day. Your D3 levels should be 60-70 ng/dl. ...Read more
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
KIDNEY PROBLEM BUT: High creatinine level means there is a problem with kidneys, it can be dehydration which can be corrected by hydration.It can be due to acute kidney problems and may be reversible ot it can be irreversible due to chronic kiodney disease and ut has various stages, the end stage requiring dialysis or kidney transplant. ...Read more
Diabetic measure.: The HgbA1C is a measure reflective of your degree of diabetic control in the long term. It essentially represents a three month average of your fingersticks, as if you took a fingerstick every minute, night and day, eating and fasting, for three months straight and then averaged them all. Technically, it's the percentage of red blood cells that have glucose attached to them. ...Read moreSee 2 more doctor answers
Multiple causes: BUN is a breakdown of ingested protein, but becomes elevated compared to creatine, in cases of increased catabolism (breakdown). Such things as a high protein diet, use of some steroids, some infections, or volume depletion may commonly raise BUN levels. In a hospital setting, tube feeding, tpn, GI bleeding, infections, decreased flow to the kidneys, and use of steroids are frequent contributors. ...Read more
Replace vitamin d: Vitamin d deficiency is very common. You need vitamin d to absorb calcium from the intestines. When you don't have enough vitamin d, in order to keep your blood calcium levels normal, your make more PTH to pull calcium from the bones and that raises the alkaline phosphatase. Replacing vitamin d should normalize all the tests. ...Read more
Depends on values: Elevated IgA level might just represent an adequate response to an infection. If this is the case, when the infection is gone, the levels would come back to normal. Less common, they could be extremely high and might indicative of a proliferative disorder of the cells that produce the iga. ...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
Low vitamin D level (19), High phosphorus level (4.5), High PTH level (70). What could be the cause of this? Serum Calcium level is normal.
Not exactly: The anesthetic itself does not raise BUN and creatinine. However, if the patient is inadequately hydrated, or has decreased blood flow to the kidneys during the operation these values can increase. Talk to your anesthesiologist if you have concerns about this. ...Read moreSee 1 more doctor answer