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Suggest Treatment For High Calcium, Protein And ALT Levels

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Posted on Mon, 20 Oct 2014
Question: high calcium (10.5) high protein (8.6), high ALT (36) high WBC (11.4), High RBC (5.14), High hemoglobin (15.9), and high hematocrit (48.2). Your thoughts?
doctor
Answered by Dr. Panagiotis Zografakis (33 minutes later)
Brief Answer:
More clinical information needed

Detailed Answer:
Hello,
it is not the easiest thing to talk about laboratory results without knowing if the patient had symptoms or any medical history at all. The first thing that comes to a doctor's mind when one sees a high protein, high hematocrit is dehydration which means that the body needs more water.
The ALT is marginally higher than normal (perhaps - some labs would interpret it as normal). Hemoglobin goes with the hematocrit. High calcium has to do with high proteins. High WBC could also be interpreted as dehydration.
Of course this is just one of the many possible explanations. For example if the 'patient' had a different hematocrit in the past (lower or higher) then this value could be alarming.
I hope I've given you some insight.
If you need a more specific answer, I'll be glad to provide it for you. Please include some clinical information like the past medical history, current symptoms, other lab results and drugs taken, if any.
Kind Regards!
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Panagiotis Zografakis (25 minutes later)
Patient just has had gross fatigue and weight gain. No other significant history.
doctor
Answered by Dr. Panagiotis Zografakis (18 minutes later)
Brief Answer:
The results are not conclusive of any diagnosis

Detailed Answer:
Hi,
thanks for the information!
Fatigue and weight gain call for a thyroid stimulating hormone measurement (TSH).
Since you've not mentioned other lab results, I suppose they were within normal ranges.
The other results that we've already discussed are not conclusive. They probably mean nothing. The marginally increased ALT could possibly be explained by the weight gain and potential fat deposition to the liver.
The rest are also not significantly far from the normal range.
In patients like him/her I always check for a high TSH level and I examine them to reveal possibly enlarged lymph nodes or internal organs. I always ask them to make sure they don't have a temperature even if they don't feel like they do and if the tests are inconclusive, I ask for a repeat measurement after some days.
I believe your question has been answered.
Should you require more information, please ask a follow-up question.
Kind Regards!
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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Suggest Treatment For High Calcium, Protein And ALT Levels

Brief Answer: More clinical information needed Detailed Answer: Hello, it is not the easiest thing to talk about laboratory results without knowing if the patient had symptoms or any medical history at all. The first thing that comes to a doctor's mind when one sees a high protein, high hematocrit is dehydration which means that the body needs more water. The ALT is marginally higher than normal (perhaps - some labs would interpret it as normal). Hemoglobin goes with the hematocrit. High calcium has to do with high proteins. High WBC could also be interpreted as dehydration. Of course this is just one of the many possible explanations. For example if the 'patient' had a different hematocrit in the past (lower or higher) then this value could be alarming. I hope I've given you some insight. If you need a more specific answer, I'll be glad to provide it for you. Please include some clinical information like the past medical history, current symptoms, other lab results and drugs taken, if any. Kind Regards!