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Dr. Andrew Rynne

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Exp 50 years

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What does my blood test report indicate?

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Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 7118 Questions

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Posted on Thu, 10 Sep 2015 in Blood Disorders
Question: Recently my ferritin levels came back very high...is this something I should be concerned about?

I donated blood two weeks ago so try and offload some iron I have also cut red meat right back to once per week..
I was also drinking too much and I have also cut right back to no more than 9 standard drinks per week..I used for drink that almost every 2nd night!!
I now have at least 5 dry nights a week..

Blood test results 6 weeks ago...I am just about to go for a follow up blood test next week..will the small changes see any improvement?.

Ferritin serum 331h
Alt 47h
Ast 22
Ggt 61h
Glucose fasting 5.8h
Cholesterol 5.8

Everything else in fbc was within normal range.

I am overweight Female 36yo.(have lost 2 kg since lifestyle changes) and will continue to lose weight.

Should I be concerned about my raised ferritin and will lifestyle change and donating blood help?

doctor
Answered by Dr. Shailja Puri 2 hours later
Brief Answer:
High ferritin due to iron overload, post complete hemogram report.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

A high ferritin level suggests iron over-load in body.
High ferritin in occur in number of conditions like hemochromatosis, hemosedirosis, iron overload due to repeated blood transfusions to name a few.
Donating blood will decrease the red cell mass and not ferririn because ferritin is present in cells of reticulo-endothelial system in bone-marrow, liver and spleen and not peripheral blood.
Treatment of underlying cause of iron overload is required for permanent cure.
It would be more helpful if you post the results of complete hemogram even though it is normal.
Rest the ALT level is slightly raised.

Thanks
Dr Shailja Puri




Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Shailja Puri 26 minutes later
Electrolytes
Sodium 140
Potassium 4.5
Chloride 104
Bicarbonate 22
Urea 6.0
Creatinine 60
Egfr. >90

Total protein 75
Albumin 48
Bilirubin 8
Alkaline phosphat 78
Alt 47h
Ast 22
Ggt 61h
Amylase 51
Lipase 30

Gel cholesterol 1.0l
Cholesterol 5.8
Triglyceridide 1.9
Ldl 3.9
Glucose fasting 5.8
Lipids 30

Ferritin serum 331h
Transferrin satin 26
Iron serum 17
Transferrin 2.6
doctor
Answered by Dr. Shailja Puri 52 minutes later
Brief Answer:
Please post the complete hemogram report also

Detailed Answer:
Hello and welcome again,

I would like to know hemoglobin, hematocrit, RBC count, MCV, MCH and MCHC levels. If you have complete hemogram report, please post it / upload it here.

Dr Shailja Puri
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Shailja Puri 16 hours later
full blood count
white cell 9.0
red cell 4.4
haemoglobin 130
haematocrit 0.38
mcv87
mch29.3
rdw12.7
platelet count 279
neutrophils 6.0
lymphoctes.01
monocytes 0.6
eosinophils0.1
basphils 0.0

manual haemtology tests
esr 16h

ferritin sertum 331h
transferrin satn 26
iron serum 17
transferrin 2.6
doctor
Answered by Dr. Shailja Puri 6 hours later
Brief Answer:
Hemogram is normal, ferritin high not due to any hematology disorder

Detailed Answer:
Hello and welcome again,
Thanks for posting your complete hemogram report.
The red blood cell count, hemoglobin, hematocrit, red cell indices- MCV, MCH & MCHC and RDW are within normal range.
Ferritin is high, iron, transferrin saturation and transferrin saturation is normal.
There is no iron deficiency in body.
Ferritin is an inflammatory mediator and it can increase in any inflammatory condition in the body.
Is there any chronic disease that you suffer from?
If yes then it may be the probable cause of elevated ferritin.
However, there is no blood related or hematology related disorder.
Thus, there is nothing to worry.
You can get ferritin repeated after some time to monitor its level.

Thanks and take care
Dr Shailja Puri






Above answer was peer-reviewed by : Dr. Sonia Raina
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