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Hi Dr, Please Look At My Labs And Tell Me

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Posted on Wed, 6 Jan 2021
Question: Hi Dr,

Please look at my labs and tell me what can be causing this? Thank you
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Follow up: Dr. Hardik Sanghvi (0 minute later)
Hi Dr,

Please look at my labs and tell me what can be causing this? Thank you
doctor
Answered by Dr. Hardik Sanghvi (1 hour later)
Brief Answer:
Nothing serious in the reports.

Detailed Answer:
Hi, dear
I have gone through your question and reports. I can understand your concern.

Your reports of protein electrophoresis and immunofixation. It suggests your protein levels are almost normal with slight high polyclonal rise in immunoglobulin.

It can be seen in some chronic bacterial or viral infection, liver disease, autoimmune disorder or some malignancy.

But your erythrocytes sediment rate is normal so it rule out major autoimmune disorder or malignancy.

Your other reports are for rhumatoid arthritis and it is negative so no need to worry about that.

If you have any symptoms then please tell me about that. Because in absence of symptoms the reports are almost normal.

No need to worry about any serious condition from this report.

Please tell me about complains.

Hope I have answered your questions. If you have any doubt then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Hardik Sanghvi (0 minute later)
Brief Answer:
Nothing serious in the reports.

Detailed Answer:
Hi, dear
I have gone through your question and reports. I can understand your concern.

Your reports of protein electrophoresis and immunofixation. It suggests your protein levels are almost normal with slight high polyclonal rise in immunoglobulin.

It can be seen in some chronic bacterial or viral infection, liver disease, autoimmune disorder or some malignancy.

But your erythrocytes sediment rate is normal so it rule out major autoimmune disorder or malignancy.

Your other reports are for rhumatoid arthritis and it is negative so no need to worry about that.

If you have any symptoms then please tell me about that. Because in absence of symptoms the reports are almost normal.

No need to worry about any serious condition from this report.

Please tell me about complains.

Hope I have answered your questions. If you have any doubt then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Hardik Sanghvi (43 minutes later)
Thank you so much for your quick response Dr
This will be very time consuming because I want to start from beginning.
I have had issues with lethargy, fatigue, chronic nausea, bowel xhanges with intermittent stool color changes to yellow, light browm and clay color for the past 2 yrs. I have in the past had h pylori and ulcers whcih were resolved. Currently, remain with what I stated above as far as symptoms. I have a hx of premature ovarian failure, alopecia areata, svt, mild fatty liver infiltrate, and gerd. I was on ppi for several years, have been off the last year and was doing well. I recently had a bout of heart burn tbat was so bad it sent me to hospital. At hospital ct scan was normal and labs normal aside from my bilirubin being 2.2. I have a history of normal to elevated bilirubin, however never this high. I did not have juandice. I followed up with my regular md for a coag panel to start hrt for pof and my facotr 8 was elevated, she than sent me toa hematologist. While at the hematologist office the doctor asked a myraid of questions resulting in her doing multiple labs along with tumor markers. All tumor markers were normal except ca 19 which was 71. She than wanted to do a pt scan and insurance would not cover due to ct scan being negative. I was sent back toprimary md who sent me to a gi dr. The gi did a egd whichwas normal and retested the ca 19 a month later and it was normal at 35. I had done another ct scan pancreatic protocol and a mri/mrcp which was negative. My dr also suggested i have this test done to rule other things out and this is what has appeared. All my other labs for liver are normal. I am assuming tbey were worried about pancreas, but the ct scan and mri were negative, but is this efficent to rule out occult malignancy? Idk what else can be looked for or what is happening in my body. Sorry for drawn out response. Thank you doctor.
Do you recommend I follow up with another lab draw for ife and pe?.
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Follow up: Dr. Hardik Sanghvi (0 minute later)
Thank you so much for your quick response Dr
This will be very time consuming because I want to start from beginning.
I have had issues with lethargy, fatigue, chronic nausea, bowel xhanges with intermittent stool color changes to yellow, light browm and clay color for the past 2 yrs. I have in the past had h pylori and ulcers whcih were resolved. Currently, remain with what I stated above as far as symptoms. I have a hx of premature ovarian failure, alopecia areata, svt, mild fatty liver infiltrate, and gerd. I was on ppi for several years, have been off the last year and was doing well. I recently had a bout of heart burn tbat was so bad it sent me to hospital. At hospital ct scan was normal and labs normal aside from my bilirubin being 2.2. I have a history of normal to elevated bilirubin, however never this high. I did not have juandice. I followed up with my regular md for a coag panel to start hrt for pof and my facotr 8 was elevated, she than sent me toa hematologist. While at the hematologist office the doctor asked a myraid of questions resulting in her doing multiple labs along with tumor markers. All tumor markers were normal except ca 19 which was 71. She than wanted to do a pt scan and insurance would not cover due to ct scan being negative. I was sent back toprimary md who sent me to a gi dr. The gi did a egd whichwas normal and retested the ca 19 a month later and it was normal at 35. I had done another ct scan pancreatic protocol and a mri/mrcp which was negative. My dr also suggested i have this test done to rule other things out and this is what has appeared. All my other labs for liver are normal. I am assuming tbey were worried about pancreas, but the ct scan and mri were negative, but is this efficent to rule out occult malignancy? Idk what else can be looked for or what is happening in my body. Sorry for drawn out response. Thank you doctor.
Do you recommend I follow up with another lab draw for ife and pe?.
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Follow up: Dr. Hardik Sanghvi (5 minutes later)
I also have joint pain mostly in my knees dr. Idk if it is from my early menopause or something else since my ca 19 was elevated at one point so now cancer needs to be ruled out I guess. I had lost 6 lbs within a year. But it is due to my chronic nausea and not being able to eat really. Its interesting that my inflammatory matkers are normal with alopecia and premature ovarian failure as they day they are auto immune. Can it be my liver or something else being over looked?
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Follow up: Dr. Hardik Sanghvi (0 minute later)
I also have joint pain mostly in my knees dr. Idk if it is from my early menopause or something else since my ca 19 was elevated at one point so now cancer needs to be ruled out I guess. I had lost 6 lbs within a year. But it is due to my chronic nausea and not being able to eat really. Its interesting that my inflammatory matkers are normal with alopecia and premature ovarian failure as they day they are auto immune. Can it be my liver or something else being over looked?
doctor
Answered by Dr. Hardik Sanghvi (38 hours later)
Brief Answer:
Nothing to worry about cancer

Detailed Answer:
Hi, dear
I have gone through your question and I can understand your concern.

Continue your treatment for GERD as advised.

Your CA 19.9 was elevated and then it decreased moreover your MRI and other related reports are normal so there is no worry about pancreatic cancer.

Your protein electrophoresis is not significant so no need to worry about that also.

Alopecia areata and premature ovarian failure can be autoimmune but your ESR is normal that is something odd. Generally ESR is high in auto immune disorder.

But still you have weight loss, joint pain, alopecia so you should go for diagnosis of autoimmune disorder.

You should go for ANA test if it is positive then go for ANA profile test. If ANA test is negative then nothing to worry.

So go for ANA test at your convenience. There is nothing urgent and nothing serious. It may be some chronic disorder.

Hope I have answered your questions. If you still have any doubt then feel free to ask. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Hardik Sanghvi (0 minute later)
Brief Answer:
Nothing to worry about cancer

Detailed Answer:
Hi, dear
I have gone through your question and I can understand your concern.

Continue your treatment for GERD as advised.

Your CA 19.9 was elevated and then it decreased moreover your MRI and other related reports are normal so there is no worry about pancreatic cancer.

Your protein electrophoresis is not significant so no need to worry about that also.

Alopecia areata and premature ovarian failure can be autoimmune but your ESR is normal that is something odd. Generally ESR is high in auto immune disorder.

But still you have weight loss, joint pain, alopecia so you should go for diagnosis of autoimmune disorder.

You should go for ANA test if it is positive then go for ANA profile test. If ANA test is negative then nothing to worry.

So go for ANA test at your convenience. There is nothing urgent and nothing serious. It may be some chronic disorder.

Hope I have answered your questions. If you still have any doubt then feel free to ask. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Hardik Sanghvi (2 hours later)
Hi Dr,

Thank you again for.your response. I have gone for ANA also and that was negative. I do not knoe what could be wrong at this point making me feel tbis way. Are you able to tell me what chronic sisorder can be possible with these symptoms? Thank you and hope you have a great holiday.
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Follow up: Dr. Hardik Sanghvi (0 minute later)
Hi Dr,

Thank you again for.your response. I have gone for ANA also and that was negative. I do not knoe what could be wrong at this point making me feel tbis way. Are you able to tell me what chronic sisorder can be possible with these symptoms? Thank you and hope you have a great holiday.
doctor
Answered by Dr. Hardik Sanghvi (3 hours later)
Brief Answer:
No any specific diagnosis can be made right now.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.

If you ANA test is also negative and ESR is normal so no any specific autoimmune disorder we can think about.

Your tests related to pancreatic cancer are negative.

Your symptoms are due to GERD and some non specific symptoms. Premature ovarian failure can be due to genetic cause and that can not be cured.

What you can do is take symptomatic treatment right now and hormone replacement therapy for premature ovarian failure.

If you develop any further symptoms then we will search for cause regarding that. Otherwise right now no any specific diagnosis can be made from your reports and symptoms.

If you have any doubt then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Hardik Sanghvi (0 minute later)
Brief Answer:
No any specific diagnosis can be made right now.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.

If you ANA test is also negative and ESR is normal so no any specific autoimmune disorder we can think about.

Your tests related to pancreatic cancer are negative.

Your symptoms are due to GERD and some non specific symptoms. Premature ovarian failure can be due to genetic cause and that can not be cured.

What you can do is take symptomatic treatment right now and hormone replacement therapy for premature ovarian failure.

If you develop any further symptoms then we will search for cause regarding that. Otherwise right now no any specific diagnosis can be made from your reports and symptoms.

If you have any doubt then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Hardik Sanghvi (1 hour later)
Thank you very much Doctor.
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Follow up: Dr. Hardik Sanghvi (0 minute later)
Thank you very much Doctor.
doctor
Answered by Dr. Hardik Sanghvi (18 hours later)
Brief Answer:
You are most welcome

Detailed Answer:
You are most welcome.

Thanks for using health care magic.

Wish you very good health.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Hardik Sanghvi (0 minute later)
Brief Answer:
You are most welcome

Detailed Answer:
You are most welcome.

Thanks for using health care magic.

Wish you very good health.
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7043 Questions

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Hi Dr, Please Look At My Labs And Tell Me

Hi Dr, Please look at my labs and tell me what can be causing this? Thank you