Sharing blood work tests

[Kellyerin222]

Hello Everyone,
I requested a copy of the complete blood work that I had done on December 14th and wanted to share it with you--- see if you had any input.

Urinalysis:
Color: Dk. Yellow
Glucose: Negative
Bilirubin: *Small
Ketone* 15 mg/dL
SG (? no clue what this is) >=1.030
Blood: Negative
pH: 6.0
Protein: *30 mg/dL
Uroglobin: 0.2 E.U./dL
Nitrites: Negative
Leukocytes: Negative

I looked up Urinalysis specifics and what I found was:
Usually, glucose, ketones, protein, bilirubin, are not detectable in urine. Hemoglobin, red blood cells, white blood cells, and nitrites, are not normally found in the urine.

Then things that have a star on it I looked up (since there was a star in the report and wanted to see what it means)

Bilirubin Abnormal results:
Increased levels of bilirubin in the urine may be due to:
Biliary strictures
Cirrhosis
Gallstones in the biliary tract
Hepatitis with associated biliary obstruction
Surgical trauma affecting the biliary tract
Tumors of the liver or gall bladder
(I don't have a gallbladder-- was removed first of 2004 due to gallbladder stones)


Ketone abnormal results:
A negative test result is normal. When ketones are present in the urine, the results are usually listed as small, moderate, or large with these corresponding values:

Small - <20> 80 mg/dL

A positive test may indicate:
Abnormal nutritional conditions
Anorexia
Fasting
High protein or low carbohydrate diets
Starvation
Disorders of increased metabolism
Acute or severe illness
Burns
Fever
Hyperthyroidism
Nursing a baby (lactation)
Post-surgical condition
Pregnancy
Metabolic abnormalities, including uncontrolled diabetes or glycogen storage disease
Vomiting frequently over a long period of time

Protein abnormal results:
For a random urine sample, the normal values are approximately 0 to 8 mg/dL.

Abnormal results may be due to:
Amyloidosis
Bacterial pyelonephritis
Bladder tumor
Congestive heart failure
Diabetic nephropathy
Glomerulonephritis
Goodpasture syndrome
Heavy metal poisoning
Lupus erythematosus
Malignant hypertension
Multiple myeloma
Nephrotic syndrome
Nephrotoxic drug therapy
Polycystic kidney disease
Preeclampsia
------------------------------

Blood test results:
RF IgG 9 (range <21)
RF IgM 12 (range <26)
RF IgA 31 (range <36>90)

TSH 1.60 (range 0.30-3.00)
Testosterone 140 (range 6-82) *High because of PCOS
Sedimentation Rate (Westergren) 5 (range 0-20)

WBC 9.12 (range 4.00-11.00)
RBC 5.04 (range 3.70- 5.40)
HGB 15.1 (range 11.4-15.4)
HCT 45.4 (range 35.0-47.0)
MCV 90.1 (range 81.0-100.0)
MCH 30.0 (range 27.0-34.0)
MCHC 33.3 (range 30.0-36.0)
RDW 13.2 (range 11.5-14.5)
PLT 321 (range 130-470)
Neutrophilis 54.2 (range 37.0-77.0)
Lymphocyte 37.6 (range 23.0-44.0)
Monocyte 6.8 (range 4.0-13.0)
Eosinophil 1.1 (range 1.0-5.5)
Basophil 0.3 (range 0.0-1.0)
Neutrophil ABS 4.94 (range 1.67-8.47)
Lymphocyte ABS 3.43 (range 1.03-4.84)
Monocyte Abs 0.62 (range 0.27-0.98)

Eosinophil ABS 0.10 (range 0.11-0.55) * Low An eosinophil is a type of white blood cell present in the blood. Eosinophils help protect the body against disease and infections by moving around and eating some types of bacteria, foreign substances, and other cells. A lower-than-normal eosinophil count may be due to: Alcohol intoxication and
Over production of certain steroids in the body (such as cortisol) **was not on steriods at this time and do not drink alcohol*

Basophil ABS 0.03 (range 0.02-0.10)

C reactive Protein 1.02 (range <1> is high) **when I had another C reactive done Jan 30th it was 2.4 level

-----------------------

Wow, ok-- am I normal LOL. I guess one of my questions is if you have a number that is really close to the the reference range-- guess you would call it almost borderline, is that really reference to anything, or because it is in the range is it ok?

Kelly

[mle_ii]

Do you have your blood liver enzyme tests? ALT, AST, Billiruben, etc. And how about cholesterol?

And what did your Dr say about the protein in your urine? That seems pretty high.

I also find it pretty interesting (in a strange sort of way LOL) that your gallbladder was removed. A lot of folks here have gallbladder/liver issues. Why was it removed? What did they find with the biopsy once it was removed?

Thanks,
Mike

[Kellyerin222]

Hi Mike,

Metabolic Panel, Comprehensive:
Glucose 89 (range 64-105)
BUN 6 (range 8-23) *Low
Creatinine 0.8 (range 0.6-1.1)
Sodium 139 (range 134-145)
Potassium 4.2 (range 3.6-5.2)
Choloride 103 (range 96-112)
CO2 27 (range 21-29)
Anion Gap 13 (range 6-22)
Calcium 9.7 (range 8.2-10.4)
Tot Bilirubin 0.4 (range 0.1-1.2)
Alk Phosphatase 65 (range 39-137)
SGOT (AST) 16 (range 0-36)
SGOT (ALT) 16 (range 8-45)
Total Protein 7.3 (range 6.2-8.1)
Albumin 4.6 (range 3.2-4.7)
Globulin 2.7 (range 2.4-3.9)
Alb/Glob Ratio 1.7 (range 1.3-2.5)
Glom Filt Rate 109 (range >90)

They did not do my cholesterol level

I was also wondering about the protein in my urine as that is pretty high. I am actually in the process of switching family physcians and going to ask this new one to please redo a urine analysis to see if there is a difference. Long story, but this one I am seeing now really has just not been working out. I requested and picked up the lab notes that physcians make after appointments and you would not believe the amount of inaccuracy in his reports. One example is on a visit to him he wrote down that we talked about my polycystic ovarian syndrome and endometriosis--- when this was NEVER brought up-- this is just one of the many inaccuracies. Then I made a call because I thought I was getting oral thrush and the nurse called me back 4 days later and said "You called because you stated you might have oral thrush from the inhaler you are on"-- I said "Umm inhaler?? I am not on an inhaler-- I said PREDINISONE. Then I set up an appointment with a specialist in his clinic and on that day had to cancel because had a problem with the hose on my anti-freeze on my car and the lady said "Oh someone should have called you but that Doctor no longer works here"-- I was like "Ohhh, well thank you for the call". So just too many headaches and just recieve papers today in the mail to fill out for a new physcian I have choosen.

About the gallbladder-- I was never told why it happened. About 3-4 months after I gave birth to my daughter I was breastfeeding her about 2:00 and was struck with immediate, acute, severe pain in between my breastbone that radiated up my shoulders and to my back, lost all color, started vomiting, fever, etc. I was not even able to move. I was getting ready to go to the ER and the pain just--- stopped! I was like-- ok that was really weird. It happened again, only this time more severe and then made a Doctors appointment and he pushed where my gallbladder was and about made me jump out of my skin in pain and then sent me off to an ultrasound. During the ultrasound it was neat that we could actually see the stones (made me do all weird positions to see if they moved, lol). So went to a specialist and I told him to please tell me about the stones-- how many, big, etc. I get out of surgery and asked the specialist "How many stones were there and his reply was "I didn't check, but it was obviously enough to cause problems" I was digusted and glad I did not have to see him again. He never did a biopsy-- never even looked at the stones after he removed the gallbladder. Some Doctors I tell ya!

Thanks,
Kel

[tex]

A couple of observations/thoughts:

The bilirubin is probably connected with the fact that your serum tests indicate that your Red Blood Cell Count, Hemoglobin, and Hemocrit levels are near the tops of their restpective ranges, indicating that you have a lot of red blood cells in circulation. Higher levels of red cells in the blood will tend to make it more likely that bilirubin levels may rise in the urine.

Higher HGB and HCT levels might possibly be an indication of dehydration, (especially if you were having a lot of D prior to the test).

The longer the interval between the test and your last meal prior to the test, the higher the ketone level will be. IOW, it is an indication of dieting, starvation, malabsorption, etc. Ketones in the urine can also be an indication of a high protein diet, (IOW, it could be connected with what ever caused your elevated protein reading).

The protein level can be an indication of a kidney problem, but the test level is dependent on when the sample is taken, also. Levels are lowest when the sample is taken just after rising from a prone position, (IOW, when you get up in the morning). Protein supplements can cause this reading to be elevated.

The bottom line: Most of the irregularities are probably connected with the fact that you have MC. Much of it may be due to a malabsorption problem, (which is common with MC), usually due to small intestinal damage caused by gluten. Also bear in mind that if you are dehydrated, (also very common with MC), your serum will be thickened, (short of liquids), due to the dehydration, (that's what causes the HGB and HCT levels to rise). What was your blood pressure when you had the test done - lower or higher than normal?

Tex

[Kellyerin222]

Thank you Tex,

At the time I had this urine/blood work done I was actually feeling so sick. I was not able to eat much for the past three days and was vomiting, severe constant diarrhea (over 15x per day)--- aka: living in the bathroom, lol. During this visit they tried to get an ultrasound done and they wanted me to drink water, but I became very nauseaus and almost vomited the water up, then when they did the ultrasound they found my bladder was completely empty and it all went to my bowels (and I almost had an accident on the table).
The Protein test was done in later afternoon, I believe it was around 3pm or so and I woke up at 6am that morning and the sheet they gave me does not state a time. I honestly can't remember what my blood pressure was that day or even if it was high or low.

Thank you for your response, I am patiently awaiting the GI to call me back within the next week so I can hear what he has to say and hopefully wipe this huge, red, bold question mark from above my head

[tex]

Based on what you just said, I would say that all the aberrations in your test results were caused by the fact that you were starving and dehydrated when you took the test. Even the elevated protein level was almost certainly due to the fact that your kidneys were not functioning normally, due to the dehydration, (obviously, if your bladder was empty).

IOW, it looks to me as though you're healthy, (except that you've got MC).

Tex

[Polly]

I agree with Tex about the starvation/dehydration. The urine S.G. stands for specific gravity, which is a measure of how concentrated your urine is. Your value is at the upper limit, indicating dehydration.

Polly

[mle_ii]

IOW, it looks to me as though you're healthy, (except that you've got MC).

Tex

Extreemly strange eh? All my lab results were in the normal range when I had MC. Now that I "don't" have MC a few things are just out of range here and there.

It sure would be interesting to see more folks blood tests to see if there is any sort of pattern.


Kel, Oh, one other thing. Having one's gallbladder removed can cause diarrhea in some.

Polly, doesn't the Alk Phos normally show low when one is dehydrated? Mine has always been towards the low end of the range and even out of it at 35 once.

Mike

[Becky]

Hi Kelly,
I had the same experience of gallbladder after the birth of my first daughter. Weird! How are you feeling today compared to yesterday? Better I hope.

Tex, has there been a poll about gall bladders out before?

[tex]

Mike,

Having MC doesn't cause those test results, per se - being dehydrated and starving, causes them. If you weren't dehydrated and starving when your tests were done, then there's no reason why your test results would have followed a pattern similar to hers.

What makes you think you don't have MC? I thought there was no cure? LOL. OKAY, just joking - I realize that you meant that you weren't reacting, but maybe it's possible that you are reacting in some way, as indicated by the recurring issues that you associate with SIBO. Hell, I claim to be in remission, but every once in a while, I come up with suspicious symptoms for a day or so, which makes me wonder what's really going on.

When I google it, I don't see any indications that dehydration causes low alkaline phosphatase readings, but, of course, that doesn't mean that it can't happen.

Tex

[tex]

Hi Becky,

Apparently not - maybe we need to do a poll on that topic. It seems to be a pretty common problem among MCers.

Tex

[Kellyerin222]

Tex it would be interesting to what the results of a poll showed. I do agree that the urine/blood results are basically effects of what the body is going through-- so it would not directly state "you have this", but more shows signs of what your body is going through during a particular state. The good thing is nothing came back really funky-- so I do feel thankful to be considered healthy (besides the GI problems lol).

Mike: That is strange that now that you don't that the range values changed. Though from what I am gathering it does seem that unless there is something outrageous going on, your blood/urine levels will shift up and down slightly from day to day. It would be so interesting for someone to have blood drawn in different intervals through out the day, then using the same lab and lab personal (but disgusing the name as to not misinterpret the result) to see just how much they change through the day or over the course of several days. Hmm-- might have to do some research, lol.
About the gallbladder removed-- that was one of the first thing I thought of when this all happened because they warned me prior to surgery a small percentage can have this happen. I actually was fine for 1-1.5 years after the gallbladder removal, no problems what so ever and was very healthy. The prior GI I saw that my family phy. refered me to (end of Jan), that was the first thing he thought of. So he prescribed me Questran, thinking it was over productive of bile from the gallbladder removal that was causing all of the diarrhea. I was willing to give anything a try and therefore went and filled the Questran medication. I took 1 packet of it and 15 minutes after I drank the chalky solution started to dry heave and felt as if I was going to immediately vomit, my left upper quadrant (right under my rib cage) became very distended, swollan and hard to the touch, very bad pains in my upper left quadrant. 1 packet of that stuff gave me constipation for 4 days, I immediately called him because the reaction I had to it and he said to not take any more of it. So I was thinking maybe there was not excess bile for that to happen and when I did take 1 packet it really zapped what bile I was producing?? Confusing, lol.

Becky: I did read somewhere that the hormones from pregnancy can cause gallbladder stones, but don't quote me because it has been a long time since I have researched it. It was really weird and really have not recieved any input as to why it happened, but once they said I could live without it without any problems, I was like-- ok anything to stop this pain.
Thank you, I am doing MUCH better today-- smiling, laughing and just taking it hour by hour and keeping positive thoughts in my conscious thought.

[mle_ii]

Mike,

Having MC doesn't cause those test results, per se - being dehydrated and starving, causes them. If you weren't dehydrated and starving when your tests were done, then there's no reason why your test results would have followed a pattern similar to hers.

Not sure what this was in response to, but I didn't think my results would be like hers. Only that it's strange that one can have a disease like MC and have all of the normal blood work that gets tested show up normal. And yet when I don't have MC my blood work shows abnormalty in some places.

What makes you think you don't have MC? I thought there was no cure? LOL. OKAY, just joking - I realize that you meant that you weren't reacting, but maybe it's possible that you are reacting in some way, as indicated by the recurring issues that you associate with SIBO. Hell, I claim to be in remission, but every once in a while, I come up with suspicious symptoms for a day or so, which makes me wonder what's really going on.

I agree. I guess what I should say is that I no longer have the symptom that is used to diagnose MC or more specifically for me LC. That being elevated lymphocytes as shown in biopsies of the colon. So if I were to get a diagnosis today it would say that I don't have MC. But as you've already heard me ramble on a lot on, I don't think that MC is even a disease per se, but a symptom of something else. :)

When I google it, I don't see any indications that dehydration causes low alkaline phosphatase readings, but, of course, that doesn't mean that it can't happen.

Tex

Strange, I must be thinking of something else. Though from what I've found it can mean Malnutrition in some.

Thanks,
Mike

[tex]

According to this site:

http://www.labcorp.com/datasets/labcorp ... 014700.htm

Malnutrition has been reported to relate to low values, but in practice, diseases causing malnutrition relate often to high alkaline phosphatase results (eg, disseminated neoplasia).

Tex