What Does This Blood Report Indicate?

Posted on Wed, 18 Jan 2017

Question: Dear Sir I have digestion problem from last 2 months & facing hyperacidity & gastric problem. I have done blood test which having the following results

1.AMYLASE 75.3 U/L
LIPASE 71.9 U/L

2.ALKALINE PHOSPHATASE PHOTOMETRY 54.2 U/l
BILIRUBIN TOTAL 0.63 mg/dl
BILIRUBIN - 0.2 mg/dl
BILIRUBIN (INDIRECT) CALCULATED 0.44 mg/dl
ASPARTATE AMINOTRANSFERASE (SGOT ) 20.62 U/l
ALANINE TRANSAMINASE (SGPT)14.64 U/l
GAMMA GLUTAMYL TRANSFERASE (GGT)18.56 U/l
PROTEIN - TOTAL 6.81 gm/dl
ALBUMIN - SERUM 4.39 gm/dl
SERUM GLOBULIN 2.42 gm/dL
SERUM ALBUMIN/GLOBULIN RATIO CALCULATED 1.81

3. IMMATURE GRANULOCYTES(IG) 0.02 X 10³
TOTAL RBC 5.73 X 10^6
HEMOGLOBIN 15.6 g/dL
HEMATOCRIT(PCV) 43.68 %
MEAN CORPUSCULAR VOLUME(MCV) 95.1 fL
Mean Corp HEMOGLOBIN(MCH) 27.2 pq
MEAN CORP.HEMO.CONC(MCHC) 28.6 g/dL
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 50.3 fL
RED CELL DISTRIBUTION WIDTH (RDW-CV) 14.6 %
PLATELET DISTRIBUTION WIDTH(PDW) 15.1 fL
MEAN PLATELET VOLUME(MPV) 11.3 fL
PLATELET COUNT 223 X 10³
PLATELET TO LARGE CELL RATIO(PLCR) 37.3 %
PLATELETCRIT(PCT) 0.25 %
So kindly tell me wheter the results were ok or I need some treatment.

Answered by Dr. Dr. Happykumar Kagathara (6 hours later)

Brief Answer:
Gastritis or pancreatitis

Detailed Answer:
Hello XXXXXXX
I can understand your concern towards your symptoms.
1) Your all blood investigation are within normal range except, Amylase and Lipase which are slightly elevated.
2) Do you have stomach pain? Do you have habit of alcohol consumption?
3) As you mentioned you are experiencing hyperacidity, these slight elevation in these tests might be due to severe gastritis, i.e. inflammation (redness and swelling) of inner layer of stomach.
4) Another possibility for these elevated values is inflammation to pancreas (Pancreatitis). But this produce severe pain which is absent in your case.
5) Thus to reach confirmed diagnosis, I would recommend you to undergo USG abdomen (for pancreas) first and if it comes normal then go ahead with upper GI endoscopy.

Hope I answered your query. If you have any further doubt then I would be happy to help.
Have a nice day!

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Dr. Happykumar Kagathara (15 hours later)

Dear Sir,
Thanks for your valuable response. I have gas & acidity problem but I don't have any stomach pain. But this thing becomes severe when I take alcohol. But I am occasionally drinker once or twice in a month. Sir currently I am taking drug from last 4 days which named as Rifagut 400 with pentocid DSR. These medication suggested by my doctor. & from last 1 days I feel good enough. But I noticed that if I completed my then after few days again the same problem will started. My body weight is absolutely normal 71Kg & height is also 5.10 feet. Sir please let me know what is the right checkup for me. Is there any problem of GERD or Spleen?

Answered by Dr. Dr. Happykumar Kagathara (27 hours later)

Brief Answer:
Possible to have GERD

Detailed Answer:
Hello,
I apologize for late reply.
If you have habit of alcohol drinking then you might have alcohol related gastritis, which is responsible for hyperacidity symptoms.
Absence of pain initially rule out alcohol related pancreatitis but on safe side and to rule out pancreatitis as differential diagnosis, I would suggest you to undergo USG abdomen.
You can discontinue Tab Rifagut in absence of symptoms related to indigestion (abdominal heaviness after food intake, loose stool).
If you have not done endoscopy in past then it is advisable to do upper GI endoscopy once to confirm findings related to GERD or gastritis as both have same symptoms.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy