Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

192 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does this blood test report indicate?

Answered by
Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3920 Questions

Posted on Mon, 16 Apr 2018 in Medicines and Side Effects
Question: Blood test recently came back with certain values marked 'high' or 'low' (below).
Some are quite different than they were at the last test about 8 months ago. I haven't heard from the Dr.

Will you comment, please, on whether anything further is indicated? I'm being general in the question as not sure what these results may mean. Thanks.

BUN 23 high
Calcium 10.3 high
Cholesterol 254 high
LDL calculated 123.8 high
WBC 10.1 high
RBC 4.05 low
LY% 7.8 low
GR% 89.4 high
GR(absolute) 9.0 high

8 months ago
WBC 4.9
RBC 4.18
Answered by Dr. Ivo Ditah 2 hours later
Brief Answer:
I will like that you upload the entire reports!

Detailed Answer:
Hi and thanks so much for this query.

I have reviewed your test results. Appears you only reported those you consider as flagged (high/low). I will need to look at the entire picture in order to provide a personalized and helpful response. Kindly follow the directives below to send an entire report to me.

To upload an image, simply click on the link to upload a file and follow the instructions. If this proves difficult, please send the image by mail to YYYY@YYYY and request that the image should be uploaded to your query.

I do promise to get back to you with more insights and helpful recommendations as soon as the requested information gets here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ivo Ditah 7 minutes later
Sorry, not comfortable doing that. May I ask how that helps you? Aren't the values provided, which are apparently out of normal range, the important ones?
Answered by Dr. Ivo Ditah 12 minutes later
Brief Answer:
I can go with this but you wouldn't benefit as much as with all results.

Detailed Answer:
HI and see below.

1. BUN is elevated. I would have loved to see what the creatinine value is. If this is truly normal and not on the high normal, I will attribute this more to dietary and maybe dehydration. This a lone would not suggest renal insufficiency as creatinine is a better proxy than BUN.

2. Calcium of 10.3 is certainly higher than normal but seems just a little above higher normal. This might actually settle with dehydration which explains increased concentration. However, 10.3 warrants a control and this alone isn't a redflag.

3. LDL and total cholesterol need to be treated with statins to reduce the risk of heart disease.

4. WBC of 10.1 to me isn't a problem. Upper normal is 10. However, seen that you were at 4.9 8months ago, you might have an infection. I will suggest you get evaluated thoroughly for this. This follows with the Granulocytes, and lymphocytes.

5. An EBC of 4.5 is borderline. Should you have a normal hemoglobin or hematocrit value, I will suggest that you don't get bothered by this.

I hope this guides. I wish you well. Feel free to follow up with me if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ivo Ditah 26 minutes later
Thank you.

Creatinine is 0.90

HGB. 12.7. HCT. 36.6

I'll see if this evening I can remove the identifying info so as to send the whole report. That may not be the case -- only a thought -- sonsebding the above 3 values you mentioned.

Answered by Dr. Ivo Ditah 42 hours later
Brief Answer:
THese are fine!

Detailed Answer:

If you are able to upload the results, that will be okay. However, these numbers are normal and I will not raise further worries about possible anemia and kidney failure. I will recommend a follow up control of these values in 4weeks just to make sure there is nothing we are missing out on.

I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ivo Ditah 3 days later
Thank you I wanted to follow up, please, with the full lipid panel sent to you via email per your instructions
Answered by Dr. Ivo Ditah 1 hour later
Brief Answer:
Start treatment with statins!

Detailed Answer:
Hi and thanks for the report.

1. You need to start treatment with statins. In addition, exercise often and avoid fatty meals.

2. Your HDL is too high. While this is always good news, the values are too high and I would have requested for a recheck just in case.

I hope this helps. I wish you well. As always, am available to address further concerns.

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

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Lab Tests ,  
Medical Topics ,   ,   ,  

Recent questions on  Renal insufficiency

doctor1 MD

My son is 25 years old and is a smoker. He has had now two episodes that his feet swell and it appears he has also fluid retention on his feet and after approximately 24 hours the swelling dissapates. He is less active too.

doctor1 MD

i just got back my blood test results..which i did while fasting.. do i need to be concerned with the following? RDW : 11.7 MCV : 83.7 Vitamin D : 19.9 Eosinophils : 0.07 eGFR : >60 HDL Cholestrol : 50 blood pressure : 100/72 am a female..30 years...

doctor1 MD

i use marijuana since 30 years almost. I also began smoking tobacco cause of rolling up joints. Recently I was forced to quit marijuana. After I quit, I have felt that my body is over reacting to tobacco and having heart and kidney insufficiency. I was born with mitral valve stenosis in the heart. THC level stayed stable even 74 days after quitting. from 134microgram went only down to 100. I am a frequent flyer. I think, The G Force caused from flying may have caused that THC integrated in all my body. My T Lymphocites test showed also auto immune disorder. Meanwhile I smoked marijuana, my immune disorder dicreased, and also allergies went away. Can you tell me why THC dont leave my body?

doctor1 MD

I am receiving Lupron injections every 3 months for prostate cancer. I had radiation therapy 8 weeks in Sept-Nov 2013. Just recently, my AST and ALT levels doubled in one month. I am going to be retested, but I wondered if Lupron could be a cause of liver problems. I also have renal insufficiency.

doctor1 MD

hi my husband came home from work on Tuesday night.. he was sweating, dizzy, sick, scared me, I took him to the ER...he is 54 yrs old. has a history of high blood pressure, but b/p was low.. he has been on Pravastin for about 3 months...the ER drs diagnosed his as renal insufficiency..they changd his b/p meds .. I have received his last labs that I don t understand... WBC is 14.6 Neutrophils is 82 NEUT# 12.0.. He does not want to go to Dr due to the fact that we don t have insurance...with this info, how important is it for him to go... we will have insurance in 3 weeks..can he wait????

doctor1 MD

I have been experiencing a headache since Sunday. It begins at the base of the left side of my head and wraps around to the forehead. Tylenol helps a bit. It is worse when I try to lay down to sleep. I have been getting some ret in our recliner. I have kidney insufficiency and diabetes so I cannot take non steroidal anti inflammatories
. What can I do to get relief?