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What Does My Blood Test Report Indicate?

Posted on Mon, 5 Oct 2015

Question: blood tests done 9/11/2015 - doc called today - high iron 479 and high liver counts AST 132 and ALT 86 - going back for more blood work 9/16 - constipation most of the time with also anal itiching (?) - growing up had anemia and had weekly pokes i my finger lots of nose bleeds - but subsided - my mom does not remember the outcome. what should my concerns and questions be for my doc at upcoming appt

Answered by Dr. Luchuo Engelbert Bain (1 hour later)

Brief Answer:
Check out for a liver disease called hemochromatosis and hemosiderosis

Detailed Answer:
hi and thanks for the query

Iron levels in the blood could imply excessive destruction of red blood cells. this can also explain the anaemia.

Raised liver enzymes implies an inflammatory process in the liver. Hemochromatosis is a disease in wich a person can present with high blood iron and high liver enzymes. In hemisiderosis, due to excess destruction of red blood cells, iron generally located inside the red blood cell is now found in the outside and accumulates in tissues including the liver. Red blood destruction occurs mainly in the liver and spleen.

It might be of interest for your doctor to check out diseases that cause massive destruction of red blood cells. Special tests maybe needed and the expertise of the hematologist (blood specialist) and hepatogastroenterologist (liver disease specialist) could be more productive.

thanks and kind regards as I wish you the best of health.

Dr Bain

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Luchuo Engelbert Bain (39 hours later)

Dr.

My lab reports from 9/11 are attached - for some reason 2 pages are missing - please review and give me your opinion - my doc appt is 10/5 - Today, I went for blood tests and they took a non-fasting CBC - they took 4 tubes of blood

My mother has auto immune disease and WBC are 2.4 - mine are high - please if you could provide a little insight to these tests

My sincere appreciation

XXXX

Answered by Dr. Luchuo Engelbert Bain (10 hours later)

Brief Answer:
Check mainly liver function, blood cholesterol lowering,

Detailed Answer:
Dear XXXX,

Thanks for uploading the laboratory results and I have gone through them carefully. Slight raised anion gap at 21 should be very concerning and you should not be worried with this. Slightly raised white blood cell count with normal C reactive protein levels, a marker of inflammation or infection make us think you certainly do not have an infectious problem.

AST, ALT and alkaline phosphatase in your case are raised. These are markers that usually indicate if the liver is touched or not, Doing blood tests for viral hepatitis (Hepatitis B and C) would be very much welcome. I also suggest an abdominal ultrasound to rule out gall bladder stones.

Cholesterol levels are raised also and would require drugs to reduce accompanied by a dietary advice .

Thanks and kind regards and do not hesitate asking any further questions in case of need.

Dr Bain

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Luchuo Engelbert Bain (13 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Luchuo Engelbert Bain (3 hours later)

Brief Answer:
Reviewed. No new recommendations

Detailed Answer:
hi and thanks for the new attachments

after going through them I think there are no new recommendations to add.recommendations of our previous discussion are in my opinion sufficient for now.no need to worry so much.

kind regards as I wish you the best of health.

Dr Bain

Above answer was peer-reviewed by : Dr. Yogesh D