What does these abnormal blood tests indicate? - Online Doctor Chats
Yes. Thank you. What could the following abnormal blood tests be indicative of:
Do you see my question?
Your hemoglobin levels are low
and you have larger than normal red blood cells
that means you are suffering from a condition called as megaloblastic anemia
How about the high Ferritin.
Yes, you do have high ferritin levels
it is all connected
you would need to see a hematologist
Do you think I need to see a hematologist or a hematologist oncologist?
You will first need to see a hematologist
you will need further testing
What makes you say that?
Megaloblastic anemia means abnormal red blood cell maturation
Could that be indicative of any type of cancer?
bone marrow study is mandatory in the work up of megaloblastic anemia
Probably not indicative of any cancer
I also have Crohn's disease. I am going to have a CT scan of my upper Bowel. If that is ok, should I consult with a hematologist oncologist or a hematologist? Are any of these results indicative of any type of cancer?
Also, my lipase is elevated to 78. I do not have any other symptoms.
Crohn's disease can explain the megaloblastic anemia
In my opinion it does not look like any cancer
HOw does Crohn's explain the megaolastic anemia? I have not had a flare up in serveral years.
since you have Crohn's disease, it can cause these deficiencies
Crohn's disease interferes with absorption of the vitamins B12 and folic acid
so it can cause megaloblastic anemia indirectly
Can my gastroenterologist diagnose the megaloblastic anemia or do I need to see a hematologist? Also, I have had the Crohn's for 24 years. Is it normal for these results after all that time?
Yes, you can expect these results after such a long time too
Your gastroenterologist will invariably refer you to one
He wants to refer me to a hematologist oncologist?
both are essentially same
so it doesn't actually matter
however, I am positive that your reports do not indicate any cancer
OK. Also, my lipase is elevated at 78 and my platelets are 8. Also, my RBC distribution width is elevated. Any thoughts?
You will need further testing to rule that out
Lipase is slightly elevated, could be a part of Crohn's
You mentioned further testing to rule "that" out. What is "That"?
Red cell distribution can be altered in megaloblastic anemia
by "that" I meant cancer, since you are worried about cancers, by bone marrow study any blood cancers can be ruled out
But in your opinion, my labs do not indicate any signs of a blood cancer?
Is a bone marrow test needed for diagnosis of megaloblastic anemia?
Yes, that is correct, your current blood reports and your medical history do not indicate any blood cancer
Not necessarily, but it is one of the tests that is done routinely in megaloblastic anemia
And with Mealoblastic Anemia the hgb is low and the ferritin is elevated correct? Are there other symptoms?
That is to find the exact cause, to differentiate between vitamin deficiency megaloblastic anemia from bone marrow suppression
With megaloblastic anemia, the red cell width will be increased
And you will fell generalized weakness
And will the ferritin be high?
Also is bone marrow suppression indicative of cancer?
ferritin levels will be high
bone marrow suppression does not mean cancer always
in some cases yes, but not always
What else could it indicate?
Your blood report is very clear
it is clearly saying that you have megaloblastic anemia
Could my internist also diagnosis this by looking at the blood work?
Thanks so much for your time.
your internist will also be able to diagnose without any problem
You are most welcome
so a visit to a hematologist isnt necessary
is there anything else ?
You are right
you can instead visit your internist
Thank you for consulting me here
have a great day ahead
My vitamin B12 is normal. I just checked my labs. It is 401.
what about the folic acid levels
I am checking
Folate Serum was 12.5. Is that normal?
Is that the same as folic acid
it is same as folic acid
can you tell me the units
it is 12.5 .....?
Does B12 need to be low for it to be megaloblastic anemia?
both vitamin B12 and Folic acid can cause megaloblastic anemia
B12 is 401
independently of each other
Yes, Your B12 seems to be fine
but without the units mentioned the numbers do not make any sense
Folate is "borderline low" Does that help?
that means it is low
So, there you have it
How about the low Hgb at 9.5?
You might have to ask for a red cell folate levels, that is more sensitive than serum folate levels
Anemia means low hemoglobin
THey also want to check my pancreas in a
Cat scan. Why would that be?
It is because of the elevated lipase levels
They just want to make sure that you do not have any pancrease inflammation
Could inflammation be indicative of the Crohns or possibly cancer?
Inflammation will be indicative of Crohn's
Even if I am not symptomatic?
or it could just be a completely different issue
if you had consumed alcohol a day before you gave the blood samples, that could raise the lipase levels
Pancrease inflammation is mostly due to alcohol consumption
These results were not fasting. Is that OK?
that is fine
Which type of blood test results are more indicative of cancer? WBCs? and what else?
I would not consider 67 to be worrisome
What is 67?
Cancers are not usually detected by these blood tests
You mentioned that your lipase level was 67, is it not?
I was referring to that
Actually Lipase ws 78
Oh okay, still not much elevated
If you get it retested it might come back normal
But just a question: Are abnormal WBC labs more indicative of cancer?
I thought abnormal HCT and HgB can also be indicative of cancer?
Abnormal shapes and immature WBC can be indicative of particular types of blood cancers
HCT is hematocrit, it is just a measure of hemoglobin
and hemoglobin is not indicative of any cancer
Oh. Thanks. Also does my RBC 2.60 make sense?
hemoglobin levels can be low because of low iron intake
RBC 2.6 also points to vitamin deficiency
and possibly aplastic anemia
meaning, the RBC are not forming in adequate numbers
Oh. Also, I knew someone diagnosed with lymphoma that had very low hgb
Yes, that maybe secondary to bleeding
Oh. That makes sense
if you have chronic bleeding which is hard to notice, you will land up with low iron, that will result in low hemoglobin
What are the treatments for the two anemias you mentioned?
If it is vitamin deficiency, then taking that vitamin will correct the issue
if it is aplastic anemia, then the reason for that needs to be looked for
it is generally due to some of the medications you might be on
What are some reasons for it?
so stopping the medication will usually solve the problem
Many medicines can cause aplastic anemia
I am on an immunosuppressent. could that be one?
like steroids or immunosuppressants etc
If you are on immunosuppressants then that will be the culprit
Since you said your RBCs are only 2.6, I would consider your condition as a mixed type of anemia
But I have been on them for almost 20 years.
that is aplastic as well as megaloblastic anemia
both can be treated
the treatment will be to stop your immunosuppressants for some time
and you will need some folic acid supplements as well
Considering all these, it is best if you consult a hematologist
and please tell him/her that you are on immunosuppressants before you say anything else
Thank you. You have been very helpful.
It was my pleasure
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