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CBC report - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Can you pls read my lab test

Doctor :   Hi
User :   hello
Doctor :   Sure, I can help you in that
Doctor :   May I know what tests are those?
User :   i just got my CBC result would you interpret it pls
Doctor :   Sure

User :   WBC= 12.5H
Doctor :   ok

User :   RBC= 4.31 x1009/L
User :   Hgb= 141 g/L
User :   Hct= 433 L/L
Doctor :   ok
User :   MCV=101H fL
User :   MCH+ 32.*H
User :   MCHC=326 g/L
User :   RDW= 14.3%
User :   Plt= 304
User :   MPV=5.9L
User :   Pct= 1.80 mL/L
User :   PDW= 10.2%
User :   Lym= 37, Mon= 4, Neu= 57, Eos= 2, Bas= 0
User :   what does this mean?
Doctor :   Ok
Doctor :   Firstly, there is no problem with your blood report
Doctor :   Congrats for that
Doctor :   Your WBC is slightly higher
User :   thank you
Doctor :   did you have any infection at the time of blood collection?
User :   but for 4 days my sweat is like dead cold literaly and my body
User :   severe fatigue worst is today
Doctor :   Ok

Doctor :   Anemia is not the cause
Doctor :   as that has to be ruled out most of the times
Doctor :   for fatigue
Doctor :   especially in females

User :   what may be causing all this?
Doctor :   What are the other symptoms?
Doctor :   how about your height and weight?
Doctor :   and also stress levels
User :   5'4" and 79kilos
Doctor :   Ok
Doctor :   That can be one of the reasons
Doctor :   you should increase your activity strenght
Doctor :   any weight gain of late?
User :   i just had laparoscopic cholecystectomy
Doctor :   Ok

Doctor :   How about the weight gain part?
User :   but i still have moderate hydronephrosis of the right kidney
Doctor :   Ok
Doctor :   Are you on treatment for that and how is your BP regulated?
User :   for the past few months i have no liking of eating much i always feel full
User :   I did not yet checked my BP
Doctor :   Yes, that is a problem with gall bladder issues

Doctor :   Ok, it is advisable to check your BP
User :   but I can check now
Doctor :   as you have hydroneprhosis
User :   for a while doctor
User :   120/80 pulse is 111
Doctor :   Ok
Doctor :   That is fine enough
Doctor :   When was your gall bladder operated?
User :   april 27
User :   of this year
Doctor :   Ok
User :   post TAH (2005) and Post LSO (2007)
Doctor :   Even after cholecystectomy, one can have such problems
Doctor :   that shall subside in few weeks time

Doctor :   like 6-8 weeks
Doctor :   it is called as post cholecystectomy syndrom
Doctor :   'syndrome
User :   before my cholecystectomy in ultrasound they put prominent spleen
Doctor :   Ok

Doctor :   Meaning it was detected on ultrasound right?
User :   spleen measures 10.6x10.2x5.0cm w/ an index of 540 (normal=480). the parenchyma is homogenous
Doctor :   Ok

Doctor :   What was the impression?
User :   yes in whole abdominal ultrasound
Doctor :   ok
Doctor :   AAAAAAA are you getting it?
User :   not very much
Doctor :   Ok
Doctor :   Now if the spleen is prominent
Doctor :   it can be due to an infection(even the gall bladder problem) or certain autoimmune disorders
Doctor :   so that is not of a problem as such
Doctor :   now post surgery
Doctor :   since your appetite is also low
Doctor :   you feel less energetic
Doctor :   also if you are having bit of stress levels

Doctor :   then the symptoms get aggravated
User :   but even before surgery since the last months of last year my body is alway dead cold and sweat and fatigue but just today that feel super fatigue even not standing
Doctor :   Ok

Doctor :   Have you checked your thyroid levels?
User :   no
Doctor :   Ok

User :   what test do i need for that
Doctor :   After anemia, that is the most common problem in females
Doctor :   it is called as Thyroid profile
Doctor :   a blood test
User :   so i have anemia?
Doctor :   No, you do not have Anemia
Doctor :   other than Anemia, I meant
User :   oh ok sorry
Doctor :   if the thyroid levels are disturbed
Doctor :   then there shall be an impact on the appeite, weight, menses
Doctor :   everything shall get affected

User :   i donot have menstration anymore
Doctor :   Yes, I understand as you have been operated
Doctor :   but the spectrum of thyroid problems
User :   in my TAH they have to transfuse 10 bags of blood
Doctor :   affects all the mechanisms in the body
Doctor :   Ok
Doctor :   and with reference to your hysterectomy
Doctor :   have you been put on hormone replacement treatment?
User :   no
Doctor :   Ok
Doctor :   Even that should be discussed with your Gynecologist
Doctor :   Hormonal disturbances can affect
Doctor :   even thyroid is a hormone, if you are aware
Doctor :   of
Doctor :   but hormone replacement shall be more related to
Doctor :   female hormones like estrogen and progesterone
User :   yes im aware but my gynecologist said that i do not need hormone because i still have 1 ovary left
Doctor :   Ok
Doctor :   Have you got the hormone levels tested?
User :   no and i was asking my doctor that i should get one but said not neccessary
Doctor :   Ok

Doctor :   Discuss about both thyroid and hormone test in your next visit
Doctor :   your problems are not with the CBC
Doctor :   that is fine enough
User :   ok
User :   one more docotr
User :   i again been feeling menstral cramps, it started last november of last year
Doctor :   Ok

User :   and my pap smear result was severe inflammation and reparative changes
Doctor :   Ok

Doctor :   Were you treated for that?
User :   no
Doctor :   Ok
User :   that test was done march 29, 2010
Doctor :   Severe inflammation does need treatment
User :   and on Sept. 16, 2009 my result was shift to flora suggestively bacterial vaginosis
Doctor :   Ok

User :   also no treatment
Doctor :   That shall happen as you are not having menses
Doctor :   that is the reason I suggested you to discuss hormone replacement with your gynec
Doctor :   there are certain estrogen creams as well
Doctor :   which can be applied
Doctor :   for betterment
User :   since november up to febraury i was hospitalized 5 times because of fever that even with medicine through IV it does not go down
Doctor :   Ok
Doctor :   What was the reason for hospitalization?
Doctor :   was it bacterial vaginosis?
Doctor :   as you mentioned it was not treated
User :   fever 39 up always does not go down even with complete medication
Doctor :   Ok

Doctor :   Your WBC count is high on account of that
Doctor :   suggestive of an infection
User :   ill check but i remembered they wanted me to have blood transfusion which i disagreed
Doctor :   I recommend you to consult our Gynecologist otherwise for your gynec issues, which can be the root cause of your illness
Doctor :   Does that make sense?

User :   actually my 2005 operation they said that they already removed my cervix but i already went to different doctors and hospital to make sure, is that my cervix is still there
User :   \
Doctor :   Ok

Doctor :   and your pap smear says it again
User :   yes
Doctor :   So shall I give you the details for gynec consultation?
User :   and since after my hysterectomy i keep on complaining of lower quadrant pain
User :   yes pls
Doctor :   WWW.WWWW.WW
Doctor :   For further inputs , you can take her help
Doctor :   Is there any thing else I can help you with?

User :   none thank you very much for your time.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.

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