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What Do The Following Blood Test Results Indicate?

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Posted on Thu, 3 Nov 2016
Question: I just received my blood results back and I have elevated calcium and my kidney function is off as well. Is that very serious?
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Possibly yes

Detailed Answer:
Sorry to learn about your high blood calcium and kidney report.

How serious this is depends on the exact numbers on the laboratory results.

A calcium of 13 or 14 and above is concerning ad a creatinine of more than 1.4 is also worrisome.
This does not mean that values lower than this should be ignored. Any abnormal result must be comprehensively evaluated.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Ionized Calcium
Intact PTH
Phosphorus
Magnesium
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (48 hours later)
My calcium was 10.5, creatinine 1.06, and also glucose 122. I faxed it to my primary and havent heard back from him yet. Should i be concerned and is this something i should urgently follow-up on or can it wait a bit?
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Follow up

Detailed Answer:
This does not appear to be a medical emergency.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Do The Following Blood Test Results Indicate?

Brief Answer: Possibly yes Detailed Answer: Sorry to learn about your high blood calcium and kidney report. How serious this is depends on the exact numbers on the laboratory results. A calcium of 13 or 14 and above is concerning ad a creatinine of more than 1.4 is also worrisome. This does not mean that values lower than this should be ignored. Any abnormal result must be comprehensively evaluated. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) Ionized Calcium Intact PTH Phosphorus Magnesium 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.