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What Do The Following Lab Test Results Indicate?

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Posted on Mon, 1 Aug 2016
Question: I am feeling very fatigued. Below is a synopsis of my recent test results. I am curious what I can do to feel better. My physician has ordered a colonoscopy for a date later this month. I appreciate the effort to learn the source of anemia, but I am having a hard time functioning. Any suggestions for treatment in the interim? As I previously mentioned, I had a heart XXXXXXX last week and the results were unremarkable.


Value Reference
Iron 16 L 50-170
Iron Saturation Percentage 3.72 L 20-50%
Total Iron Binding Capacity 430 228-460
Ferritin 14.8 10.0-291.0
WBC 6.34X10*3/uL
RBC 4.02X19*6/uL L
Hemoglobin 9.8 L
Hematocrit 31.2 L
MCV 77.6 L
MCH 24.4 L
MCHC 31.4 L
Platelet Count 290X10*3/uL
MPV 10.8
RDW 14.8 H
Nuets, automated 52.6%
Immature Grans, Automated .3%
Lymphs, Automated 35.3%
Monos, Automated 8.8%
EOS, Automated 2.7%
Basos Automated 0.3%
ABS Neutrophils 3.33X10*3/uL 1.80-7.70
Immature Grans Absolute 0.02X10*3/uL 0.00-0.04
ABS Lymphocytes 2.24X10*3/uL 0.90-5.00
ABS Monocytes 0.56X10*3/uL 0.20-1.00
ABS Eosinophils 0.17X10*3/uL 0.04-0.35
ABS Basophils 0.02X10*3/uL 0.00-0.10
Prothrombin Time 9.7 sec L 9.8-12.6
INR 0.89 0.00-4.80
doctor
Answered by Dr. Anantharamakrishnan (1 hour later)
Brief Answer:
Occult blood loss needs evaluation

Detailed Answer:
Hi friend
Welcome to Health Care Magic

Obviously, the symptom is from anaemia
The anaemia is due to Iron deficiency

At this age, the commonest cause of iron deficiency is bleeding…
The source here is slow, small and occult (not obvious) – in such cases, the usual source is the Gastro Intestinal Tract (GIT) … ulcer in stomach, polyp in colon etc… and malignancy needs to be evaluated…
A battery of investigations may be required – endoscopy is the first / more may be needed depending on the outcome of the investigations already done…
If there are no clues in GIT, a haematologist will investigate further…

You appear to be in good hands… keep following up

Good luck
God bless you
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Do The Following Lab Test Results Indicate?

Brief Answer: Occult blood loss needs evaluation Detailed Answer: Hi friend Welcome to Health Care Magic Obviously, the symptom is from anaemia The anaemia is due to Iron deficiency At this age, the commonest cause of iron deficiency is bleeding… The source here is slow, small and occult (not obvious) – in such cases, the usual source is the Gastro Intestinal Tract (GIT) … ulcer in stomach, polyp in colon etc… and malignancy needs to be evaluated… A battery of investigations may be required – endoscopy is the first / more may be needed depending on the outcome of the investigations already done… If there are no clues in GIT, a haematologist will investigate further… You appear to be in good hands… keep following up Good luck God bless you