Concerned abt bloodwork
I'm concerned about recent lab results:
Male 54, w/medicated hypertension, Jan prostate biopsy w/diagnosis very low level of Prostate Cancer (active surveillance). Bloodwork was done as annual screening,
MCH 34.9 (r. 26.6-33)
MCV 100 (r. 79-97)
Platelets 71 (low Alert) (r. 150-450)
Glucose 106 (r. 70-100)
ALT 156 (r. 0-44)
AST 206 (r. 0-40)
Immature Granulocytes 1 (high)
Hemoglobin 13.9 (r. 13.2-17.1)
Hematocrit 39.9 (r. 38-50)
Lymphs 19 (r. ?)
Lymphs Absolute 0.7 (r. 0.7-3.1)
Chloride 97 (r. 96-106)
Potassium 3.8 (r. 3.5-5.2)
RDW 15 (r. 11-15)
WBC 3.9 (r. 3.8-10.8)
RBC 3.98 (r. 4.14-5.80) – w/Burr Cell Present, Macrocytes Present, Ansocytosis Present.
The numbers seem scary to me. Havent't seen a doc yet about them, just wondering what these numbers indicate? Any ideas appreciated.
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Hi @rinbea, Welcome to Mayo Connect. While our forum is backed by the Mayo Clinic, members are not medical professionals, nor can we read or interpret test results. We can, however, use our personal experiences to help each other and offer encouragement or suggestions.
I agree, numbers in blood results can feel scary if they land outside the test parameters. But they don’t always give the entire picture and need to be taken in context with your overall health and values of all of the blood work numbers.
You have a few results such as your ALT and AST a little out of the normal. These are liver enzymes and if there is inflammation in the liver they can be elevated. So your doctor will most likely want to followup with a few questions, possibly an ultrasound to check the health of your liver. It can be something as simple as a medication causing inflammation. I’ve gone through some serious cancer treatments and my ALT and AST were significantly higher…they are now back to normal.
Your platelets are quite low at 71,000. They should be between 150,000 and 450,000. Having low platelets, you may have prolonged bleeding if you cut yourself. So no knife juggling until you talk to your doctor about this.
Do you find you bruise easily or have frequent nose bleeds? Again, platelets can be affected by medications or another condition that is causing your bone marrow to not produce enough platelets.
Most of your other numbers are in the normal ranges. But your doctor may want to do a few followup tests to see why your liver enzymes are elevated. And also check out your platelets and red blood cells. The report at the bottom indicate that some cells are a little larger than the norm or misshapen which can happen for a number of reasons, some of which can be medication related.
Here are a few articles to read if you’re interested to familiarize yourself with the terms used at the bottom of the report for Burr Cells, Macrocytes and Anisocytosis.
Burr Cells: https://study.com/learn/lesson/what-are-burr-cells.html
Do you have a followup scheduled with your doctor?
@rinbea, any update? Have you been able to review the results with your doctor?
Saw my family doctor who re-ran the labs plus a few more (Folic, D, & B12 & they were all normal). He called with the results and said I needed to see a GI doctor to have a FibroScan (Liver). I have an appt with GI doc May 22. So, I'll have to wait and see what the GI doctor does and see what he says.
Here are the old vs the new numbers. Tests were 7 days apart.
MCH 34.9 – NEW 34.5
MCV 100 – NEW 97.2
Platelets 71 – NEW 152
Glucose 106 – NEW 117
ALT 156 – NEW 230
AST 206 – NEW 193
Hemoglobin 13.9 — NEW 15
Hematocrit 39.9 – NEW 42.3
Lymphs 19 – NEW 12
Lymphs Absolute 0.7 – NEW 0.6
Chloride 97 – NEW 98
Potassium 3.8 -NEW 3.7
RDW 15 (- NEW 14
WBC 3.9 – NEW 5
RBC 3.98 – NEW 4.35
Billirubin 0.9 – NEW 1.6
Protein 7.4 – NEW 8.2
Depending on age and health history.. ask a hep panel also..many baby bombers were exposed to hep threw tattoos and/or blood transfusions..many practitioners don’t run these panels..everyone baby boomer should check if history of exposure there..
Thanks, will do that.