What Does My Lab Test Report Indicate?

Posted on Tue, 28 Nov 2017

Question: what does No M-Protein Detected. but IgA at .40 and IgM -0.10 1 years ago i finish my LLC stage 2 B non mutated , i just dont wnat to do that again soon

Answered by Dr. Ivo Ditah (1 hour later)

Brief Answer:
Upload this report!

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

I recommend you take images or screenshots of your results and upload rather. It is difficult to interpret them when typed out in this form. Only then can I adequately interpret and offer a personalized and helpful response to you.

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.

Waiting...

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

Follow up: Dr. Ivo Ditah (17 minutes later)

thias is the best i can do this is my latest blood work the one i sent is the result form the last 3 WEEKS
      11-Oct     20-Oct
white blood cell       8.4     7.2
red blood cell       4.1     3.9
hemoglobine       136     132
hematocrit       0.41     0.39
mean cell volume       99     100
mean cell hemoglobine       33     34
mean cell concentration       333     340
RBC       15.3     15.3
paltelet       493     529
mean patelet volume       8.2      8.2
neutrophile       4.1     3.4
lymphocyte       3.2     2.6
monocyte       0.7     0.7
eosinophil       0.4     0.5
basophil       0     0.1
protein ellectrophoresis      66
albumin       45     39
alpha 1            3
alpha2            6
gamma globuline            9
beta 1            5
beta2            4
IgG            8.9 9.7
IgA            0.44 0.40
IgM      *      -0.1 -0.1
sedimatation rate            6
creatinine       69      74
sodium       142      143
potasium       4.6      4.6
creatine kinase            63
alanine aminotransferase       41      38
C-reactive protein            10
thyroid            3.7 3.9
ALP 8last year i did 6 cycle of FRC chimo treatement and last moth was my last immonoglon=bine treatement that i got for 6 month every month for 6 hours

Answered by Dr. Ivo Ditah (2 hours later)

Brief Answer:
No abnormality on this report!

Detailed Answer:
Hi,

From this report, you are in remission. Nothing suggests that you have a relapse.

Do you have any worries at this time such as symptoms of fever, fatigue, anorexia, weight loss, etc. or was this a routine follow up evaluation?

I wish you well and hope to hear from you!

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

Follow up: Dr. Ivo Ditah (29 minutes later)

I still have frequent nose bleed, night sweats swollen neck glands on and off ,lack of energy still after 14 months after treatments and I get sick so easily I even got streptococcus infection in my leg in April had to have surgery to remove dead skin something I got at work and I bruise very easily even got my spleen removed 5 years ago because of thrombocytopenia. My concern is that I see my blood work that is out of whack on day my lymphocyte are normal the next high are they going to stabilize at one point or not . Also can someone with chronic lymphatic leukemia can they develops a permanent immune system weakness. It s to a point that since 3 weeks I m having difficulties eating since after a few bite I m full and if I try to eat more I get pain in my right side and can even start vomiting .

Answered by Dr. Ivo Ditah (11 hours later)

Brief Answer:
I strongly recommend you see an oncologist!

Detailed Answer:
Hi,

I have reviewed this information fully. YOur symptoms are very much suggestive of something not going right. I will suggest that the oncologist should review your symptoms and weight in on these.

Your immune system should normally return to normal after remission. However, the symptoms you have reported are not in favor of a complete remission. This is why it is necessary for your doctor to say what has changed over this time to allow for better understanding and more information.

Also, your platelets are higher than normal. Why the bleeding remains a concern. Is this to suggest the platelets do not function normally? Please ask the doctors to evaluate the functioning of the platelets by assessing your bleeding time.

I hope this guides and helps. Keep me updated.

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. Chakravarthy Mazumdar