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What Does My Blood Test Report Indicate?

Posted on Tue, 14 Jun 2016

Question: Hi, My blood report says - "Predominantly normocytic with macrocytes & ovalocytes".
Monocytes - Absolute Count - 0.1
Basophils - Absolute count - 0.01
Hemoglobin - 17.2
MCV - 107.3
MCH - 32.2
MCHC - 30
RDW-SD - 55.6

Kindly help me understand the report & let me know if any action needs to be taken.

Regards,
XXXX

Answered by Dr. Deepak Sundriyal (1 hour later)

Brief Answer:
Hello dear. Some investigations are required

Detailed Answer:
Hello dear. Welcome to HCM.
I would like to tell you a few things by this report.
you have a slightly higher MCV. This is the reason for macro ovalocytosis.
Your red cell width is also high.
Both these conditions can be seen in liver diseases. As you have already said you are having jaundice, you require investigations for the cause of jaundice like viral jaundice, drug induced, alcohol induced, auto immmune etc.
Please visit a good physician for the evaluation of the causes i have mentioned.
Revert back with reports
thanks and regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepak Sundriyal (2 hours later)

Dear XXXXXXX

Thank You for prompt response. could you please suggest me which tests I should take for further investigation ?

Regards,
XXXX

Answered by Dr. Deepak Sundriyal (4 minutes later)

Brief Answer:
Hello dear. Test for jaundice are required

Detailed Answer:
Hello dear. You require evaluation for jaundice. This will include the following:-
Viral hepatitis ( Hepatitis A, B and E).
Test for alcoholic liver disease
Test for autoimmune hepatitis
You may also require a repeat complete blood count
Please visit a physician or a hepatologist for the evaluation.
Thanks and regards

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Deepak Sundriyal (2 hours later)

Dear XXXXXXX

My Blood test report pdf is 12 MB, So couldn't upload it. Values which are out of normal range apart from previous mentioned parameters are mentioned below for your kind reference.

% transferrin saturation : 47.94
Blood Urea Nitrogen (BUN) : 5.4 mg/dl
Uric Acid : 8.18 mg/dl
BUN / SR. Creatinine ratio : 6.35
HDL Cholesterol - Direct : 26 mg/dl
Triglycerides : 309 mg/dl
TC / HDL Cholesterol ratio : 7.6
LDL / HDL ratio : 3.9
VLDL Cholesterol : 61.8 mg/dl
Non-HDL Cholesterol : 172.3 mg/dl
Bilirubin - Direct : 0.52 mg/dl
Bilirubin - Total : 1.92 mg/dl
Bilirubin (Indirect) : 1.4 mg/dl
SGOT : 55.4 U/I
SGPT : 96.8 U/I

Kindly help me understand the report and let me know if any further tests needed to analyze my health condition further.

I Sincerely thank & appreciate your valuable medical evaluation of my reports.

Regards,
XXXX

Answered by Dr. Deepak Sundriyal (16 minutes later)

Brief Answer:
Hello dear. It again points towards some liver disease.

Detailed Answer:
Hello dear.

I have gone through the reports.
Uric acid and TGL levels are borderline raised. Also there is derangement in the liver enzymes. This picture along with the macrocytosis picture points towards some kind of liver disease(likely alcoholic) which require investigations.
Please visit a good physician or a hepatologist for the tests which i have mentioned earlier.

Thanks and regards

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Deepak Sundriyal (14 hours later)

Dear XXXXXXX

I consulted my family doctor with blood test report, She advised me to take scan of liver and I have done the same. I uploaded the scan result. Kindly review and let me know of any abnormalities found in the scan report. Also request you to suggest actions to take further.

Regards,
XXXX

Answered by Dr. Deepak Sundriyal (1 hour later)

Brief Answer:
Hello dear. Scan is not going to help

Detailed Answer:
Hello dear.
Scan offers little help in the evaluation of jaundice if the cause is suspected in the liver. It only tells that the liver is affected. After sometime, it becomes normal. Your scan is normal except for fatty changes which can be seen in normal individuals also.
hence it is necessary to do the test which i have mentioned already to evaluate the cause of jaundice.
Thanks and regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepak Sundriyal (7 days later)

Hello XXXXXXX

I attached Hepatitis Panel report & HBA CBC report for your kind perusal. Kindly go through the reports and let me know if you see any abnormalities. Also request you to suggest me actions to take further.

Regards,
XXXX

Answered by Dr. Deepak Sundriyal (13 minutes later)

Brief Answer:
Hello. Reports are normal.

Detailed Answer:
Hello dear. Welcome again.

The hepatitis panel report is normal. only thing which is abnormal is the liver enzymes but that too are only mildly deranged.
So , if the hepatitis panel is normal and if you do not consume alcohol then it can be due to a viral infection(trivial which went unnoticed) which was not at all harmful. So no need to do anything further.
If you consume alcohol, then cut down your consumption.
You can get your liver function test repeat after 3 weeks. if it shows again some abnormality, then we can plan further course of action.
Till that rest assured, no need to worry. If you have further queries you can ask me after 29th of April, as i will be busy with some work.

Thanks and regards

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. Deepak