Blood test results. Any concern

[bbabythai]

My wife had to go for a checkup at the hospital to facilitate the MRTA insurance attached to our loan.

 

Does any of the results below indicate major problem?

 -Alkaline phospatase  27L  (range 49-150)

- Hemoglobin hb 11.9L

- Hematocrit HCT 34.5L

- Mean cell volume 77.4L

- Mean cell Hemoglobin 26.7L

urine

- Erythrocytes (blood): Positive 1+ (10 ery/ul)

-RBC 2-3 cells/ HPF

 

They tested heaps of stuff and that was the only issue above. Her only health issue is low blood pressure but shes always had that.

 

Should she go back and check anything do you think?

 

thanks from a husband who has no idea

 

[samuttodd]

 

 

 

Her MD should go over any labs that look out of spec with her.   Keep in mind that if she is on any meds,  they can impact her labs.

 

If her urine is sweet,  better go back.

 

 

Edited January 6, 2020 by samuttodd

[Sheryl]

The low alk phosph is nothing. Most places consider down to 20 normal. At most she might have a slught zinc deficiency.

 

She is borderline anemic. It is a mild microcytic anemia which usually results from iron deficiency and that is common in women of reproductive age. If she has no known blood disorder (like thalassemia) taking an iron/folic acid supplement (or a good multivitamin supplement  that contains iron) may help and can repeat the CBC (blood count) after a couple of months.

 

Re the blood in the urine: if she was near her menstrual period at the time or had sex in the 24 hours prior to the ecam it likely means nothing. If neither was the case a repeat urinalysis in a few weeks and if still showing RBCs that can't be attributed to sex or menstruation then see a urologist.

 

This is all assuming she is completely asymptomatic and this was a routine check up. If the tests were done for a reason you need to give that information. Likewise this assumes she has no significant medical history. If ahe does, you need to give that information as well (and her age and height/weight while you are at it).

 

 

[bbabythai]

10 hours ago, Sheryl said:

The low alk phosph is nothing. Most places consider down to 20 normal. At most she might have a slught zinc deficiency.

 

She is borderline anemic. It is a mild microcytic anemia which usually results from iron deficiency and that is common in women of reproductive age. If she has no known blood disorder (like thalassemia) taking an iron/folic acid supplement (or a good multivitamin supplement  that contains iron) may help and can repeat the CBC (blood count) after a couple of months.

 

Re the blood in the urine: if she was near her menstrual period at the time or had sex in the 24 hours prior to the ecam it likely means nothing. If neither was the case a repeat urinalysis in a few weeks and if still showing RBCs that can't be attributed to sex or menstruation then see a urologist.

 

This is all assuming she is completely asymptomatic and this was a routine check up. If the tests were done for a reason you need to give that information. Likewise this assumes she has no significant medical history. If ahe does, you need to give that information as well (and her age and height/weight while you are at it).

 

 

Actually she told me she has thalssemia as confirmed by blood test 5 yrs ago. Shes been taking daily iron tabs for a while

[PPMMUU]

thalassemia patients without other medical conditions don't need iron tabs

 

there might be some misunderstanding

[gk10002000]

2 hours ago, bbabythai said:

Actually she told me she has thalssemia as confirmed by blood test 5 yrs ago. Shes been taking daily iron tabs for a while

I am of greek ancestry.  I have a  very mild case of beta thalasemia that is typically not detected by standard routine blood work when I get my physicals.  But a more detailed some sort of electrophoresis thing does detect it and they show me some sort of little graph with a spick in the middle.  I have never had an issue, now 63.  I just eat a varied diet and keep reasonably fit,  knock on wood.