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Is A MPV Reading Of 6.9 A Cause For Concern?

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Posted on Wed, 15 Jun 2016
Question: Is a low MPV of 6.9 significant?
doctor
Answered by Dr. Michelle Gibson James (24 minutes later)
Brief Answer:
if platelet count normal then would not be considered significant

Detailed Answer:
HI, thanks for using healthcare magic

MPV stands for mean platelet volume and refers to the average size of the platelets.
In most cases it is not interpreted on its own but along with the number of platelets.

Though your value is outside the range, it would not be considered to be significantly low at 6.9 especially if the platelet number is normal.
The normal range in 7.5 to 11.5 approximately in most labs.

If your platelet count is also low, then this would need further assessment to determine the cause.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (8 minutes later)
Thank you doctor. Yes, the platelet count is normal at 192 10^3...

I just went for a checkup and some of my test results are high
doctor
Answered by Dr. Michelle Gibson James (52 minutes later)
Brief Answer:
this is fine

Detailed Answer:
HI

Yes, as you mentioned, this platelet count is normal

If you wish to provide the names and values of those readings that are high so that they can be review, you can do this
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (32 minutes later)
Hello again,

Cholesterol is 217 mg/dl
LDL Cholesterol is 131 mg/dl
HDL Cholesterol is 52 mg/dl
ALT (SGPT) is 91 u/L (AST is within range @ 33 U/L)
E.S.R. 1 HR is 16 mm/hr
MCV is 96.9 fl
MCH is 33.8 pg
MCHC is normal
FBS is 105 mg/dl (but HBA1C is normal @ 5%)
Vitamin D is 16.07 (I already started a supplement as per Dr's instructions)

Everything else is within range.

Thank you in advance.
doctor
Answered by Dr. Michelle Gibson James (48 minutes later)
Brief Answer:
will review for you

Detailed Answer:
HI

Starting from the top

(a) total cholesterol, LDL, HDL are normally interpreted along with the risk factors for heart attack or stroke .This means - the presence of diabetes, high blood pressure, family history of heart disease, obesity, smoking etc

The higher the HDL , the better , since this is protective so the high HDL is good.

At 131,the ldl is borderline high. Improved diet and activity would help with this

(B) one of the most common reasons for increased liver enzymes at the moment is NON alcoholic fatty liver.
This means the build up of fat in the liver due to diet and non optimal activity

Other causes would be alcohol, infection , trauma etc

If due to NON alcoholic fatty liver then diet changes and activity of at least 150 mins a week would help

(C)ESR is fine. This is an indicator of inflammation in the body. This can be due to infection, allergies, cancer, trauma, autoimmune diseases (lupus, rheumatoid)
A very significant rise would indicate one or more of these.

Mild changes do not have any significance

(d)MCV, MCH, MCHC are interpreted along with the Hb. They are not interpreted on their own.
If the Hb is fine then there is no concern

If the Hb is low, increase in MCV and MCH may be due to vitamin b12 or folate deficiency, liver disease, thyroid disease, alcohol

(e)The HbA1c gives an indication of blood sugar control for 6 weeks to three months.
Not affected by diet.
The fasting may be affected by what was used the night before

Please feel free to ask anything else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (2 hours later)
Once again, thank you.

For your responses A & B above, yes, I am quite a bit overweight and what would probably be qualified as obese. I am planning on changing my diet and increasing my activity levels. Due to my type of job, I have been quite sedentary and need to increase movement, I know that. In my younger years, I was very active, so this obviously bothers me.

(D) my HGB is 15.8 g/dl.

(e) Admittedly, I had rock melon which was extremely sweet the day before and a piece of cake.

Thank you for all your assistance.
doctor
Answered by Dr. Michelle Gibson James (7 hours later)
Brief Answer:
no problem

Detailed Answer:
Wishing you the best

If you have any other concerns, feel free to contact

Blessings
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Is A MPV Reading Of 6.9 A Cause For Concern?

Brief Answer: if platelet count normal then would not be considered significant Detailed Answer: HI, thanks for using healthcare magic MPV stands for mean platelet volume and refers to the average size of the platelets. In most cases it is not interpreted on its own but along with the number of platelets. Though your value is outside the range, it would not be considered to be significantly low at 6.9 especially if the platelet number is normal. The normal range in 7.5 to 11.5 approximately in most labs. If your platelet count is also low, then this would need further assessment to determine the cause. I hope this helps, feel free to ask any other questions