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Query about Blood reports - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
User :   Hello
User :   I would like to ask you something regarding my recent blood results ?
Doctor :   Sure
Doctor :   You can proceed with it
User :   mY RESULTS came back as follows.. so not sure if its different with the results over here..
Doctor :   Ok
User :   My ESR is 24 . Normal is (1-20)
User :   CRP +7 .Normal is 0-6
User :   Total Protein is 84 Normal is 60-80
User :   Albumin 43 Normal is 35-50
User :   Globulins 41 Normal is 20-40
Doctor :   Ok
Doctor :   I can see the same query in your chat history as well
User :   And Transfferin IBC 75 Normal is 45-70
Doctor :   where you have chatted with Dr.Bharath
User :   Ok
Doctor :   So you have been explained about your condition
User :   I would like to know what they mean..i have chatted to a previous doctor but ive been reading more online and im worried still
Doctor :   that it could be due to an inflammation wrt your eyes
Doctor :   Ok
Doctor :   I understand
User :   actually my eyes were irritated by make up
User :   my doctor said my eyes are fine
Doctor :   Let me reassure you that the blood picture is just a slight higher reading
Doctor :   and does not say anything alarming
User :   and i did not have any kind of virus or even a cold
Doctor :   the reason for that increase is as explained by Dr.Bharath
User :   what does transfferin IBC mean..and it is higher?
User :   i forgot to mention that to DR.Bharath
Doctor :   Ok
Doctor :   TIBC it is abbreviated as
User :   Also my IGE was 400 and normal is 0-100
Doctor :   it is the iron binding capacity of the Transferring
Doctor :   Yes, that is quite good to see that
User :   ok.. and that being 75 what does it usually indicate if it is elavated
Doctor :   IgE is more due to allergic cause
User :   oh ok
Doctor :   transferrin protein's iron binding capacity is increased
Doctor :   due to increased production of red blood cells
Doctor :   or a deficiency of iron
Doctor :   can also cause the TIBC to increase
Doctor :   for that you should get your serum iron levels, Hemoglobin level tested
User :   it says SERUM iron 14 normal 10-33
Doctor :   along with Hematocrit and RBC count
Doctor :   but not required as of now
Doctor :   Ok
Doctor :   Iron is in normal range
User :   Transfferin Saturation 19% Normal 16-50
Doctor :   That is normal and is in the lower end if you can observe
User :   Serum Ferritin Assay 35 Normal 15-290
Doctor :   and hence binding capacity is slightly more
User :   so what do you think that means
Doctor :   the rest are normal as evident
Doctor :   just slight increase in Transferring IBC
Doctor :   nothing to say abnormal as such
Doctor :   just a slight variation
Doctor :   The IgE part is however significant
User :   can i please tell you the rest of my results so that you can tell me what you think the cause is ...
Doctor :   Sure
Doctor :   Proceed with it
User :   FBC results .. Haemoglobin 128 Normal is 115-160
User :   Red Cell Count 4.4 Normal is 3.6-5.2
User :   Haematorcit 0.38 Normal is 0.33-0.46
User :   Mean Cell Volume 88 fL Normal is 80-98
User :   Mean Cell Haemoglobin 29 pg Normal is 27-35
User :   Platelet Count 358 Normal is 150-450
User :   White Cell Count 6.1 Normal is 4.0-11.0
User :   Neutropholis 38% 2.3 Normal is 2.0-7.5
User :   Lymphocytes 47% 2.9 Normal is 1.1-4.0
User :   Monocytes 11% 0.7 Normal is 0.2-1.0
User :   Eosinopholis 3% 0.18 Normal is 0.04-0.40
User :   Basopholis 1% 0.06 Normal is
User :   That is all sorry i took so long to write it all :(
Doctor :   Not a problem
Doctor :   The reports are well within the range
Doctor :   and there is no discrepancy in the values in relativity as such
Doctor :   Neutrophils percentage is decreased
User :   and cholesterol 6.1 mmol/L normal is 3.1-6.5
Doctor :   wrt lymphocytes
Doctor :   that can be due to a viral infection
Doctor :   but that is a possibility only
Doctor :   However the IgE which is significantly raised
User :   what did you say about lymphocytes?
Doctor :   does point out towards an allergic cause
Doctor :   lymphocytes percentage is more than neutrophils
User :   is that bad?
Doctor :   lymphocytes increase in response to viral infections
Doctor :   no it is not bad
Doctor :   just an indication of viral infection
User :   so are the lymhocytes still in normal range or a bit more
Doctor :   it is in the normal range
Doctor :   just more when compared to neutrophils
Doctor :   but that does not indicate any abnormality or a bad condition
User :   if someone has lymphoma ..are the lymphocytes increased alot
Doctor :   Yes, it shall be
Doctor :   Dont worry that is not increased in your case
User :   im worried because a few years ago i has swollen lymph nodes for no reason.. i had blood tests done ..ultrasounds..and everything was fine..
Doctor :   Ok
User :   the doctor i had at the time... said it might be leukemia..or lymphoma.. prior to even doing any tests ..
User :   she scared me..
Doctor :   ok
User :   anyway i did all te required tests..
Doctor :   there is no possibility of that as of now
User :   and everything was fine...they could not find a reason why my glands were swolen..
Doctor :   with your current blood reports
Doctor :   hence should stop worrying much
User :   so i changed the doctor after that
Doctor :   ok
User :   but kept worrying for years..this was around 4 years ago
User :   i had a large lymph node in the groin area and a few on my neck
Doctor :   ok
User :   they just started appearing out of nowhere ..
User :   and i had no virus or cold flu at the time
Doctor :   Fine, as things have been ruled out then
User :   my current doctor gave me these results...and she said theres a mild inflammation..maybe a virus ...
User :   she said they are fine..
User :   except for my allergies
Doctor :   Yes, that is a possibility
Doctor :   and does settle
User :   i didnt ask her much more...but when i read the results myself i started worrying..and my doctor is too far ..ive recently i wasnt able to go back and speak to her
User :   ok..
Doctor :   Ok
User :   so you dont think the esr is raised and crp ...and globulin due to something dangerous / serious
Doctor :   This should convince you for now
Doctor :   and I reassure you again
User :   because when i read online..people are talking about ..esr raised at the same time as total protein and they all say it can be due to cancer
Doctor :   You should take an expert opinion
Doctor :   rather than the confusing loads of info online
Doctor :   now you have done that
Doctor :   and I do repeat, that there is no such issue in your case
User :   how much would my esr need to be elavated if there was something serious going on..?
User :   ok
Doctor :   More than 80
Doctor :   but it is not right on me to give the values like that
Doctor :   things shall be assessed as a whole
User :   ok ..
Doctor :   and not on one individual test
User :   i understand
User :   but theres a few things elavated in my results..and the one that worried me is the total i was reading it is not good if total protein is high
Doctor :   You have been explained by Dr.Bharath about that aspect
Doctor :   in terms of Immunoglobulins
User :   i dont have any sympthoms ..this is why im worried
User :   yes
Doctor :   I do go with the same opinion
Doctor :   and it is right
User :   ok :)
User :   can i ask you one more thing please
Doctor :   Sure
User :   can esr and these other results be higher if there is a dental problem at the time..
User :   does that affect the results
Doctor :   Yes, it can cause
User :   ive lost a filling in one tooth and have been having pain at the time i had my blood tests..but its all fine now and fixed
Doctor :   ok
User :   so this can change the results
Doctor :   yes it can have an influence
User :   but would it have elavated all of my results..crp total protein and esr and transfferin ?
Doctor :   Yes, it can
User :   ok
Doctor :   CRP, ESR, as a result of inflammation
User :   should i repeat the blood tests.. my doctor did not say anything about this
Doctor :   Not required
User :   ok thank you for all your help..
User :   you do not think i should worry :)
Doctor :   Thanks for consulting, bye for now
Doctor :   No need to worry
User :   ok thank you again..:)
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