HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Blood In Urine , Heart Palpitations , Headache And Fatigue

94 My labs show elevated platelets, AST, ALT, and bilirubin. There is also blood in my urine and I experience severe headaches and extreme fatigue, along with heart palpitations when I take a hot bath for my sore muscles. Last month my CBC also showed elevated WBC but not this last round of tests. My docs are stumped and are calling it Chronic Fatigue. BP is 156/94 What other tests should I request? Thanks
Wed, 2 Sep 2015
Report Abuse
Cardiologist 's  Response

Hello!

Welcome and thank you for asking on HCM!

I read your question carefully and understand your concern.

These symptoms may be related to a chronic liver infection or biliary tract infection.

High platelets are often a nonspecific sign of inflammation.

Blood in urine could be caused by an urinary tract infection or a lesion in the urinary tract , or a coagulation disorder (related to liver dysfunction).

I recommend consulting with your GP for a careful physical examination, an abdominal ultrasound and some tests (besides the performed tests):

- coagulation tests
- Gama GT
- alkaline phosphatase plasma levels
- inflammation tests ( PCR, fibrinogen, sedimentation rate)
- thyroid hormone levels
- blood electrolytes
- HBV
- HCV
- blood lipid profile
to establish the possible diagnosis.

Regarding your high blood pressure, I would advise to discuss with your attending physician the possibility to make some changes to your actual antihypertensive therapy, or to start therapy if your don't have any.

Hope to have been helpful!

Best regards,

Dr. Iliri
I find this answer helpful

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Blood In Urine , Heart Palpitations , Headache And Fatigue

Hello! Welcome and thank you for asking on HCM! I read your question carefully and understand your concern. These symptoms may be related to a chronic liver infection or biliary tract infection. High platelets are often a nonspecific sign of inflammation. Blood in urine could be caused by an urinary tract infection or a lesion in the urinary tract , or a coagulation disorder (related to liver dysfunction). I recommend consulting with your GP for a careful physical examination, an abdominal ultrasound and some tests (besides the performed tests): - coagulation tests - Gama GT - alkaline phosphatase plasma levels - inflammation tests ( PCR, fibrinogen, sedimentation rate) - thyroid hormone levels - blood electrolytes - HBV - HCV - blood lipid profile to establish the possible diagnosis. Regarding your high blood pressure, I would advise to discuss with your attending physician the possibility to make some changes to your actual antihypertensive therapy, or to start therapy if your don t have any. Hope to have been helpful! Best regards, Dr. Iliri