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What Do My Lab Test Reports Indicate?
Question: These are my lab results that came back as abnormal. I have been diagnosed with Sjogren's and Fibromyalgia. Is there something else going on as well? I'm very concerned!!
U WBC
14 /hpf (Abnormal)
U RBC
3 /hpf (Abnormal)
U Prot Ql
30 mg/dL (Abnormal)
U Occ Bld
Moderate (Abnormal)
U Lk Est
Small (Abnormal)
U Ketones
Positive (Abnormal)
U Bac
Present (Abnormal)
Cast-Hyal
9 /lpf (Abnormal)
SS-A/Ro Ab, IgG, S
5.0 U (High)
ANA
1.3 U (High)
A2 Glob
1.1 g/dL (High)
U WBC
14 /hpf (Abnormal)
U RBC
3 /hpf (Abnormal)
U Prot Ql
30 mg/dL (Abnormal)
U Occ Bld
Moderate (Abnormal)
U Lk Est
Small (Abnormal)
U Ketones
Positive (Abnormal)
U Bac
Present (Abnormal)
Cast-Hyal
9 /lpf (Abnormal)
SS-A/Ro Ab, IgG, S
5.0 U (High)
ANA
1.3 U (High)
A2 Glob
1.1 g/dL (High)
Brief Answer:
an abnormal urinalysis but it depends on other information
Detailed Answer:
Hello,
you've presented an abnormal urinalysis and some expected antibody tests (positive Ro for example are very common in Sjogren's syndrome). The urinalysis could be the result of a urinary tract infection but it could also denote more serious pathology. The high number of hyaline casts is more concerning. The same applies for a2-globulin. Both can be related to proteinuria, which has also been detected in this urinalysis.
You need investigation for proteinuria, which should start with a 24 hour urine collection and protein analysis. A blood test for total protein, albumin, globulins and serum protein electrophoresis would be very helpful as well. Urea and creatinine are general markers of renal function and should be included in the investigation.
The potential causes of proteinuria are too broad to be discussed here but this very first steps I've proposed should give the first directions towards the necessary investigation.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification, further information or if you'd like to add some details (like your symptoms or any related information) to your description.
Kind Regards!
an abnormal urinalysis but it depends on other information
Detailed Answer:
Hello,
you've presented an abnormal urinalysis and some expected antibody tests (positive Ro for example are very common in Sjogren's syndrome). The urinalysis could be the result of a urinary tract infection but it could also denote more serious pathology. The high number of hyaline casts is more concerning. The same applies for a2-globulin. Both can be related to proteinuria, which has also been detected in this urinalysis.
You need investigation for proteinuria, which should start with a 24 hour urine collection and protein analysis. A blood test for total protein, albumin, globulins and serum protein electrophoresis would be very helpful as well. Urea and creatinine are general markers of renal function and should be included in the investigation.
The potential causes of proteinuria are too broad to be discussed here but this very first steps I've proposed should give the first directions towards the necessary investigation.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification, further information or if you'd like to add some details (like your symptoms or any related information) to your description.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Is there a possibility I have Lupus?
Were you able to view my Electrocardiogram report?
Were you able to view my Electrocardiogram report?
Brief Answer:
can't see the ECG, lupus is possible but not the most probable diagnosis
Detailed Answer:
Hello,
autoimmune diseases may sometimes share symptoms and lab findings. Lupus is indeed a potential diagnosis but there are no data to back this up. More investigation is needed.
No ECG, sorry. Please upload it as a picture or file. You can't upload in the middle of the text.
can't see the ECG, lupus is possible but not the most probable diagnosis
Detailed Answer:
Hello,
autoimmune diseases may sometimes share symptoms and lab findings. Lupus is indeed a potential diagnosis but there are no data to back this up. More investigation is needed.
No ECG, sorry. Please upload it as a picture or file. You can't upload in the middle of the text.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I just uploaded my ECG report.
Thank you sir!
Thank you sir!
Brief Answer:
I've taken a look...
Detailed Answer:
Thanks for the additional info!
Regarding your ECG, I don't know if the comments are automated comments (this is more likely) from the ECG machine or a cardiologist's evaluation (not very likely). Automated 'diagnoses' are helpful just to indicate the presence of abnormalities but they can often be erroneous. An assessment of the actual ECG is required.
Your ECG report seems to have disappeared now! I can see about 10 images of your other lab tests. All 10 are identical and contain cortisol, calcium etc. The ECG report which I read before, is not there anymore. Please make sure you've uploaded all the data (check the files you've uploaded) and try to upload the ECG (not only the report).
Also, did you have any cardiological problems like arrhythmias (palpitations) or any prior events (myocardial infarction or angina)?
I've taken a look...
Detailed Answer:
Thanks for the additional info!
Regarding your ECG, I don't know if the comments are automated comments (this is more likely) from the ECG machine or a cardiologist's evaluation (not very likely). Automated 'diagnoses' are helpful just to indicate the presence of abnormalities but they can often be erroneous. An assessment of the actual ECG is required.
Your ECG report seems to have disappeared now! I can see about 10 images of your other lab tests. All 10 are identical and contain cortisol, calcium etc. The ECG report which I read before, is not there anymore. Please make sure you've uploaded all the data (check the files you've uploaded) and try to upload the ECG (not only the report).
Also, did you have any cardiological problems like arrhythmias (palpitations) or any prior events (myocardial infarction or angina)?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I'm not sure what happened. Just uploaded the ECG and full lab again.
I was recently diagnosed with "reactive tachycardia".
My recent heart XXXXXXX was normal with only slight mitral valve regurgitation.
I have been having issues with my veins within the last 5 months (veins collapse and roll when I receive IV therapy or have blood withdrawn). Techs have also had difficulty finding "good" veins. My specialist said it was due to my health issues ie....inflammation. I also have 2 copies of the mutated gene "MTHFR C677T".
Diagnosed with migraines associated with my Trigeminal nerve which causes pain in the upper XXXXXXX of my left eye and radiates down into my left ear.
I checked my images after uploading.....they were all there. Checked again....they were all the same image. I apologize. I'm not sure what the problem is?
Thank you!
I have been diagnosed with arrhythmia's and angina as well.
I was recently diagnosed with "reactive tachycardia".
My recent heart XXXXXXX was normal with only slight mitral valve regurgitation.
I have been having issues with my veins within the last 5 months (veins collapse and roll when I receive IV therapy or have blood withdrawn). Techs have also had difficulty finding "good" veins. My specialist said it was due to my health issues ie....inflammation. I also have 2 copies of the mutated gene "MTHFR C677T".
Diagnosed with migraines associated with my Trigeminal nerve which causes pain in the upper XXXXXXX of my left eye and radiates down into my left ear.
I checked my images after uploading.....they were all there. Checked again....they were all the same image. I apologize. I'm not sure what the problem is?
Thank you!
I have been diagnosed with arrhythmia's and angina as well.
Brief Answer:
all the images are the same again!
Detailed Answer:
I don't know why's this happening! The images are (again) identical. This time I've seen your iron, ferritin levels, etc. All the tests I've seen are OK, except the initial ones you've typed in your first question.
Regarding your MTHFR genes, if your homocystein levels are OK, there is no reason to worry about the genes. If your homocystein levels are increased then folic acid supplementation and precautions for thrombosis would help.
The migraines seem to be irrelevant to the rest of your problems.
If you've had angina and arrhythmias then perhaps your ECG identified prior (known) problems. Comparison with a previous ECG is required to determine the changes (if any) in your ECG. If your ECG is identical to your previous one then I'm sure your cardiologist has advised you appropriately.
I don't know if you'll be able to upload all the reports. You've probably done something wrong, because I've not seen similar problems in the past with uploaded files. Perhaps you can try to upload them somewhere else (where no password is required) and send me the link.
Besides that, the investigation I've already mentioned for proteinuria is required.
Kind Regards!
all the images are the same again!
Detailed Answer:
I don't know why's this happening! The images are (again) identical. This time I've seen your iron, ferritin levels, etc. All the tests I've seen are OK, except the initial ones you've typed in your first question.
Regarding your MTHFR genes, if your homocystein levels are OK, there is no reason to worry about the genes. If your homocystein levels are increased then folic acid supplementation and precautions for thrombosis would help.
The migraines seem to be irrelevant to the rest of your problems.
If you've had angina and arrhythmias then perhaps your ECG identified prior (known) problems. Comparison with a previous ECG is required to determine the changes (if any) in your ECG. If your ECG is identical to your previous one then I'm sure your cardiologist has advised you appropriately.
I don't know if you'll be able to upload all the reports. You've probably done something wrong, because I've not seen similar problems in the past with uploaded files. Perhaps you can try to upload them somewhere else (where no password is required) and send me the link.
Besides that, the investigation I've already mentioned for proteinuria is required.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My ECG in April was normal.
Thank you!
Thank you!
Brief Answer:
you should get your ECGs to a cardiologist
Detailed Answer:
You are welcome!
A normal ECG that becomes abnormal with signs of ischemia and arrhythmia, requires prompt assessment by a cardiologist. Your MTHFR history which is suggestive of vascular disease, is another reason to do so as soon as possible.
Best wishes!
Brief Answer:
You are very welcome!
Detailed Answer:
I hope I've shed some light into your situation!
You can get back to me again in the future should the need arise!
Kind Regards!
you should get your ECGs to a cardiologist
Detailed Answer:
You are welcome!
A normal ECG that becomes abnormal with signs of ischemia and arrhythmia, requires prompt assessment by a cardiologist. Your MTHFR history which is suggestive of vascular disease, is another reason to do so as soon as possible.
Best wishes!
Brief Answer:
You are very welcome!
Detailed Answer:
I hope I've shed some light into your situation!
You can get back to me again in the future should the need arise!
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. Zografakis!
I appreciate your timely replies and advice!
I appreciate your timely replies and advice!
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