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As Per My Blood Test Report What Is The Reason For Fatigue And Leg Ache?
Question: Hi. I have included my blood tests that were taken last week. I was feeling tired, and had achy lower legs and ankles. I previously had low vitamin D, and the doctor was re-checking to see if the levels had come up. She also checked the iron levels just to be sure they were ok. They weren't. I have both low serum iron and low TIBC, which googling has freaked me out. It seems that the only possible reasons are severe malnutrition, which I am pretty sure I don't have or Anemia of Chronic Disease. Is this the case? What are the chances that I have a serious illness? I am a 40 year old female. white. 5'7', 136 pounds.
I am supposed to return to the doctor in 2-3 weeks to re-do the tests. But if i have a serious illness, I want to start finding out what it is and treating it sooner than that. What is your opinion based on my labs?
Tests: (1) Complete Blood Count w/ Diff (cbc)
WHITE BLOOD CELL 5.9 x10 3/uL 4.5-11.0
RED BLOOD CELL 4.07 x10 6/uL 3.70-5.50
HEMOGLOBIN 12.0 G/DL 11.7-15.0
HEMATOCRIT 35.7 % 34.0-47.0
MEAN CORP. VOLUME 87.7 FL 79.0-98.0
MEAN CORP. HGB 29.4 PG 27.0-32.0
MEAN CORP. HGB CONC. 33.5 G/DL 32.0-35.0
RED DISTRIB. WIDTH 14.1 % 11.5-15.0
PLATELET 306 x10 3/uL 150-450
MEAN PLT VOLUME 8.4 FL 7.4-12.0
NEUTROPHIL % 49.6 % 40.0-78.0
LYMPHOCYTE % 35.0 % 15.0-50.0
MONOCYTE % [H] 13.2 % 2.0-11.0
EOSINOPHIL % 1.6 % 0.0-5.0
BASOPHIL % 0.6 % 0.0-1.0
NEUTROPHIL # 2.9 x10 3/uL 1.9-8.0
LYMPHOCYTE # 2.1 x10 3/uL 1.0-4.5
MONOCYTE # 0.8 x10 3/uL 0.2-1.0
EOSINOPHIL # 0.1 x10 3/uL 0.0-0.6
BASOPHIL # 0.0 x10 3/uL 0.0-0.2
Tests: (2) Comprehensive Metabolic Panel (cmp)
ALBUMIN 4.6 G/DL 3.5-4.9
BILIRUBIN TOTAL 0.3 MG/DL 0.1-1.2
CALCIUM 9.0 MG/DL 8.5-10.5
CHLORIDE 103 MEQ/L 96-108
CREATININE 0.80 MG/DL 0.50-1.30
GLUCOSE 108 MG/DL 65-139
NON-FASTING 65-139 mg/dL
FASTING 65 - 99 mg/dL
ALK.PHOSPHATASE 32 U/L 30-110
POTASSIUM [H] 5.4 MEQ/L 3.5-5.0
PROTEIN TOTAL 7.0 G/DL 6.0-8.3
SODIUM 138 MEQ/L 135-145
AST (SGOT) 23 U/L 1-50
UREA NITROGEN 16 MG/DL 8-24
CO2 TOTAL 27.6 MEQ/L 22.0-32.0
ALT(SGPT) 12 U/L 1-53
GFR ESTIMATE >60.00 ml/min/1.73m
The National Kidney Disease Education Program encourages laboratories to
automatically report estimated GFR when serum creatinine is ordered. This
Glomerular Filtration Rate (GFR) estimate has been calculated for XXXXXXX
Americans using IDMS traceable MDRD equation. This equation is not
applicable in pediatric patients less than 18 years of age. MDRD is not
recommended for determining drug dosing. Use Cockcroft-Gault equation to
determine drug doses.
GFR ESTIMATE >60.00 ml/min/1.73m
This Glomerular Filtration Rate (GFR) estimate has been calculated for
Non-African Americans using IDMS traceable MDRD equation. This equation is
not applicable in pediatric patients less than 18 years of age.
Staging of Chronic Kidney Disease (CKD)
GFR 30-59 CKD Stage 3 (Moderate)
GFR 15-29 CKD Stage 4 (Severe)
GFR <15 CKD Stage 5 (Kidney Failure)
MDRD is not recommended for determining drug dosing. Use Cockcroft-Gault
equation to determine drug doses.
Tests: (3) C-REACTIVE PROTEIN (crp)
C REACTIVE PROTEIN 0.8 MG/L 0.0-5.0
Significantly decreased CRP values may be obtained from
samples taken from patients who have been treated with
carboxypenicillins.
Tests: (4) IRON&TIBC (irti)
! IRON, SERUM [L] 31 MCG/DL 50-200
TIBC [L] 224 MCG/DL 250-400
! TRANSFERRIN SAT [L] 14 % 15-50
Tests: (5) Erythrocyte Sedimentation Rate (esr)
ERYTHROCYTE SED. RATE
7 MM/HR 0-15
Tests: (6) TSH w/reflx to Free T4 (tshrfx)
TSH W/ FREE T4 REFLEX
1.10 uIU/Ml 0.34-5.60
Reference Ranges:
Age: Female: Male:
1-25 days 1.5-6.5 0.7-9.8
1-24 months 1.6-5.7 0.7-5.9
9-10 years 0.9-4.0 1.0-3.7
11-14 years 0.7-3.4 0.8-3.9
15-17 years 0.6-3.7 0.7-2.8
18-99 years 0.34-5.60 0.34-5.60
Tests: (7) VITAMIN D,25-HYDROXY (VitD)
VITAMIN D,25-HYDROXY 35.8 NG/ML 30.0-100.0
A review of the literature suggests the following ranges for the
classification of 25 OH Vitamin D status:
Vitamin D status 25 OH Vitamin D
Deficiency <10 ng/ml
Insufficiency 10-30 ng/ml
Sufficiency 30-100 ng/ml
Toxicity >100 ng/ml
Note: An exclamation mark (!) indicates a result that was not dispersed into the flowsheet.
Document Creation Date: 06/03/2014 5:54 PM
_______________________________________________________________________
I am supposed to return to the doctor in 2-3 weeks to re-do the tests. But if i have a serious illness, I want to start finding out what it is and treating it sooner than that. What is your opinion based on my labs?
Tests: (1) Complete Blood Count w/ Diff (cbc)
WHITE BLOOD CELL 5.9 x10 3/uL 4.5-11.0
RED BLOOD CELL 4.07 x10 6/uL 3.70-5.50
HEMOGLOBIN 12.0 G/DL 11.7-15.0
HEMATOCRIT 35.7 % 34.0-47.0
MEAN CORP. VOLUME 87.7 FL 79.0-98.0
MEAN CORP. HGB 29.4 PG 27.0-32.0
MEAN CORP. HGB CONC. 33.5 G/DL 32.0-35.0
RED DISTRIB. WIDTH 14.1 % 11.5-15.0
PLATELET 306 x10 3/uL 150-450
MEAN PLT VOLUME 8.4 FL 7.4-12.0
NEUTROPHIL % 49.6 % 40.0-78.0
LYMPHOCYTE % 35.0 % 15.0-50.0
MONOCYTE % [H] 13.2 % 2.0-11.0
EOSINOPHIL % 1.6 % 0.0-5.0
BASOPHIL % 0.6 % 0.0-1.0
NEUTROPHIL # 2.9 x10 3/uL 1.9-8.0
LYMPHOCYTE # 2.1 x10 3/uL 1.0-4.5
MONOCYTE # 0.8 x10 3/uL 0.2-1.0
EOSINOPHIL # 0.1 x10 3/uL 0.0-0.6
BASOPHIL # 0.0 x10 3/uL 0.0-0.2
Tests: (2) Comprehensive Metabolic Panel (cmp)
ALBUMIN 4.6 G/DL 3.5-4.9
BILIRUBIN TOTAL 0.3 MG/DL 0.1-1.2
CALCIUM 9.0 MG/DL 8.5-10.5
CHLORIDE 103 MEQ/L 96-108
CREATININE 0.80 MG/DL 0.50-1.30
GLUCOSE 108 MG/DL 65-139
NON-FASTING 65-139 mg/dL
FASTING 65 - 99 mg/dL
ALK.PHOSPHATASE 32 U/L 30-110
POTASSIUM [H] 5.4 MEQ/L 3.5-5.0
PROTEIN TOTAL 7.0 G/DL 6.0-8.3
SODIUM 138 MEQ/L 135-145
AST (SGOT) 23 U/L 1-50
UREA NITROGEN 16 MG/DL 8-24
CO2 TOTAL 27.6 MEQ/L 22.0-32.0
ALT(SGPT) 12 U/L 1-53
GFR ESTIMATE >60.00 ml/min/1.73m
The National Kidney Disease Education Program encourages laboratories to
automatically report estimated GFR when serum creatinine is ordered. This
Glomerular Filtration Rate (GFR) estimate has been calculated for XXXXXXX
Americans using IDMS traceable MDRD equation. This equation is not
applicable in pediatric patients less than 18 years of age. MDRD is not
recommended for determining drug dosing. Use Cockcroft-Gault equation to
determine drug doses.
GFR ESTIMATE >60.00 ml/min/1.73m
This Glomerular Filtration Rate (GFR) estimate has been calculated for
Non-African Americans using IDMS traceable MDRD equation. This equation is
not applicable in pediatric patients less than 18 years of age.
Staging of Chronic Kidney Disease (CKD)
GFR 30-59 CKD Stage 3 (Moderate)
GFR 15-29 CKD Stage 4 (Severe)
GFR <15 CKD Stage 5 (Kidney Failure)
MDRD is not recommended for determining drug dosing. Use Cockcroft-Gault
equation to determine drug doses.
Tests: (3) C-REACTIVE PROTEIN (crp)
C REACTIVE PROTEIN 0.8 MG/L 0.0-5.0
Significantly decreased CRP values may be obtained from
samples taken from patients who have been treated with
carboxypenicillins.
Tests: (4) IRON&TIBC (irti)
! IRON, SERUM [L] 31 MCG/DL 50-200
TIBC [L] 224 MCG/DL 250-400
! TRANSFERRIN SAT [L] 14 % 15-50
Tests: (5) Erythrocyte Sedimentation Rate (esr)
ERYTHROCYTE SED. RATE
7 MM/HR 0-15
Tests: (6) TSH w/reflx to Free T4 (tshrfx)
TSH W/ FREE T4 REFLEX
1.10 uIU/Ml 0.34-5.60
Reference Ranges:
Age: Female: Male:
1-25 days 1.5-6.5 0.7-9.8
1-24 months 1.6-5.7 0.7-5.9
9-10 years 0.9-4.0 1.0-3.7
11-14 years 0.7-3.4 0.8-3.9
15-17 years 0.6-3.7 0.7-2.8
18-99 years 0.34-5.60 0.34-5.60
Tests: (7) VITAMIN D,25-HYDROXY (VitD)
VITAMIN D,25-HYDROXY 35.8 NG/ML 30.0-100.0
A review of the literature suggests the following ranges for the
classification of 25 OH Vitamin D status:
Vitamin D status 25 OH Vitamin D
Deficiency <10 ng/ml
Insufficiency 10-30 ng/ml
Sufficiency 30-100 ng/ml
Toxicity >100 ng/ml
Note: An exclamation mark (!) indicates a result that was not dispersed into the flowsheet.
Document Creation Date: 06/03/2014 5:54 PM
_______________________________________________________________________
Brief Answer:
Nothing to be freaked out....
Detailed Answer:
Hi there my dear,
I have gone through your lab results and did not find anything to be freaked out.
It is true that your iron levels are low together with iron deposits (TIBC and transferrin), but not at the point to be freaked out.
Now, let me explain. You are a 40 years old lady. It is normal for ladies to be anemic due to their monthly periods. So, your TIBC and transferrin were within the acceptable levels although slightly decreased.
Your iron levels were low at the point that make me think that you had just had your periods or were having your periods at the time where the test was carried out. I would recommend to re-take the test 3 weeks after having your periods to evaluate your iron-situation better.
Taking iron supplements together with folic acid and vit.C and magnesium and zinc are highly recommended for you at this moment. Many of my patients have reported excellent results 3 months after a full anti-anemia therapy.
The rest of your blood work is fine, except for slightly elevated potassium levels. Try not to take potassium supplements or other drugs or foods/drinks that would increase potassium levels. However, it is not to be freaked out although slightly elevated.
Hope it answered to your queries! Do write me back if you need further clarifications.
Dr.Albana
Nothing to be freaked out....
Detailed Answer:
Hi there my dear,
I have gone through your lab results and did not find anything to be freaked out.
It is true that your iron levels are low together with iron deposits (TIBC and transferrin), but not at the point to be freaked out.
Now, let me explain. You are a 40 years old lady. It is normal for ladies to be anemic due to their monthly periods. So, your TIBC and transferrin were within the acceptable levels although slightly decreased.
Your iron levels were low at the point that make me think that you had just had your periods or were having your periods at the time where the test was carried out. I would recommend to re-take the test 3 weeks after having your periods to evaluate your iron-situation better.
Taking iron supplements together with folic acid and vit.C and magnesium and zinc are highly recommended for you at this moment. Many of my patients have reported excellent results 3 months after a full anti-anemia therapy.
The rest of your blood work is fine, except for slightly elevated potassium levels. Try not to take potassium supplements or other drugs or foods/drinks that would increase potassium levels. However, it is not to be freaked out although slightly elevated.
Hope it answered to your queries! Do write me back if you need further clarifications.
Dr.Albana
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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