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Dr. Andrew Rynne

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What does my blood test report indicate?

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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 6061 Questions

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Posted on Fri, 3 Mar 2017 in Hypertension and Heart Disease
Question: I am getting over a virus/3rd week/ last week: blood tests show nothing serious, normal ECG, lung function/doctor prescribed rest and high vitamin (with various B vitamins). Feel tired all the time, sleeping a lot. Blood pressure was normal/i do not have high blood pressure; usually normal or low/when doctor measured.. cant remember numbers. Just now measured blood pressure on own monitor: registered 137/55 with pulse 84. Feel a bit shaky, all day, tired, and if move about too much, feel a bit faint. What should I do now that i am feeling a bit shaky etc? am booked for doctors appointment on Monday for further tests. Otherwise i am normally fit and have no medical conditions. I take HRT, and have a marker for Epstein Barre syndrome. I do have an immune system where I usually get most viruses going, with 3 or 4 days fever then am ok after 7-10 days.
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Answered by Dr. Ilir Sharka 2 hours later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

As you are recovering from an acute viral infection, those lab test results could be expected to be high.

The sedimentation rate seems a little higher than expected, but no conclusion could be drawn, because no specifications are already known for the exact virus cause.

Nevertheless, as you are demonstrating an increased pulse pressure value (increased difference between systolic and diastolic blood pressure), it is necessary to consider a possible relative hypovolemia (which is usually caused by some degree of dehydration, quite common in acute inflammation/infection).

Coming to this point, I would recommend to keep monitoring your BP values periodically and meanwhile try drinking plenty of fresh fluids orally (water, fresh fruit juices, etc.).

If after checking again the lab tests, the sedimentation rate remains persistently high, then other inflammation markers like PCR, leukocytes number with formula are necessary for investigating a possible secondary over-imposed bacterial infection.

I would advise the following lab tests:

- complete blood count,
- fasting blood glucose level,
- thyroid hormone levels,
- PCR,
- AST & ALT,
- bilirubin,
- LDH,
- CPK,
- BUN & creatinine,
- blood electrolytes level

Hope to have been helpful!

In case of any further uncertainties, feel free to ask me again!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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