What Do My Lab Test Reports Indicate?

Posted on Wed, 26 Aug 2015

Question: Hello, i would like some insight on where to go from here. For several months now, my CBC has been extremely abnormal. I am including a few results for your review. The only other blood tests that have come back abnormal are thyroid (I have Hashimoto's, which i have been on treatment for 11 years) and low vitamin d3. I have felt very unwell and even went to the ER a couple of weeks ago, i did not get to consult with a doctor, they stuck me with a nurse practitioner who claimed my bloodwork was normal and not showing any signs of infection/inflammation. I find that hard to believe when every single blood test i have had both before and after that visit have come back abnormal in terms of CBC.

Answered by Dr. Hardik Sanghvi (45 minutes later)

Brief Answer:
You may have some infection/inflammation.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your total count is slightly high. It can be due to some infection or it may be due to normal variation.
You should check your C reactive protein (CRP). If it comes normal then nothing to worry. If it is higher then you hace infection or inflammation. Then tou need to take antibiotics accordingly.

So go for CRP test and decide accordingly.
Hope I have answered your question, if you have doubt then 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. Chakravarthy Mazumdar

Follow up: Dr. Hardik Sanghvi (8 minutes later)

Ok, i do believe my CRP is normal, as is sed rate and ANA. I will be sure to check CRP again if it has not recently been done.

Answered by Dr. Hardik Sanghvi (2 hours later)

Brief Answer:
You should check CRP.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
You should check your CRP level if not tested recently. If it comes normal then nothing to worry about slightly high total wbc count. If you have checked it recently then its ok.
Give me follow up with your reports.
Hope I have answered your question, if you have 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. Chakravarthy Mazumdar

Follow up: Dr. Hardik Sanghvi (11 hours later)

Do you think this could be related to my hashimoto's? I am recently having a cery hard time getting my levels correct and my antibodies are extremely high (in the thousands). My dr wanted me to see an endocrinologist but i explained to her that fromy research and talking with specialists, there is nothing to be done about that, that we just have to wait it out until my thyroid finally "dies". I dont see an endocrinologist because i dont convert t4 to biologically active t3 so i must take armour, and those ive seen do mot believe in treating woth armour.

Answered by Dr. Hardik Sanghvi (18 minutes later)

Brief Answer:
Hashimoto's thyroiditis generally does not affect the complete blood count.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your symptoms can be due to hashimoto's thyroiditis but it will not affect the complete blood count. Treatment of hashimoto's thyroiditis is related to control the thyroid hormone levels. Hashimoto's destruct the thyroid gland and it cause hypothyroidism. So levothyroxin is the treatment of choice. You need to set the dosage according to your TSH level. Ideally TSH should be maintained below 3.0 Consult your doctor and set the dosage accordingly. It has no relation with your complete blood count. No need to worry about that.

Hope I have answered your question. If you have any doubts 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. Chakravarthy Mazumdar

Follow up: Dr. Hardik Sanghvi (24 hours later)

Ok, one other question; around the same time my cbc began coming back abnormal, i also began having issues with dry mouth, nose and eyes. My first ANA showed mild elevation (1:160) with a soeckled pattern. The 2nd ANA was less elevated at 1:40, speckled, but by the time i got to a rheumatologist, its now negative. I suspect that because i have Hashimotos, that i may also have Sjogren's. I have swollen lymph node in my right cheek area, near the right parotid gland but the parotid gland itself does not appear to be swollen. I do sense some tenderness in the lower right jaw. Would sjogrens raise my wbc like this or do you think i need to keep pressing for answers as to why i have a swollen lymph node coupled with recently odd cbc? I am very certain the rheumatologist is going to say without elevated sed rate, crp, rf, ANA, and anti la/ro that it is not sjogren's.

Answered by Dr. Hardik Sanghvi (14 hours later)

Brief Answer:
Sjogren's syndrome is less likely.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your thinking is right.
Without ANA, ESR, CRP and auto antibodies chances of Sjogren's syndrome is very less likely.
Your enlarge lymphnode may be due to reactive hyperplasia due to some infection. If can change your complete blood count.
If you still have enlarged lymphnode then go for fine needle aspiration cytology of that lymphnode. It will clear all doubts. If you don't have lymphnode now then nothing to worry about that.
Hope I have answered your question, if you still have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.

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