
What Does My Blood Test Report Indicate?

Posted on
Sat, 25 Feb 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team


Question : Good morning Dr. Ryne,
My name is Heri Rakouth. We reside in XXXXXXX Hills, MI.
My wife is suffering from muscle spasms in her legs and thighs since November 2015. She is 60 years old (Birth month November). She stands 5'4" and and weighs 120 lbs (from 128 lbs before the pains) and feels frequently tired or in chronic pain. She used to be a very active person (swimming, walking, house-making, working out with exerciser bike and stairs), but now she spends most of her time laying down on recliner. She has been taking Amlodipine (Norvasc) 5 MG PO TAB daily since the loss of her younger brother 6-7 years ago. In addition to the muscle spasms, she has been suffering with neck and back pains. According to a CT scan run on 1/31/2017, she has an advanced disc decease and arthritic changes at C5-C6 and C6-C7. However, the report says, there is no compression, subluxation or displaced fracture.
Her last Complete Blood Count shows everything is OK except for the following:
(1) Creatine Kinase found at about 400 U/L (Ref. range is 30-150 U/L) back in December and last measured at 290 U/L on 1/31/2017.
(2) Sodium found at 133 mmol/L (Ref.range 135 - 145 mml/L)
(3) Chloride found at 97 mmol/L (Ref.range 98 - 110 mml/L)
In addition to frequent visit to the family doctors, she has been seeing a chiropractor 2 to 3 times a week since mid-January.
3 weeks ago, her morale was low (admitted twice in ER (1/29 and 1/31 + frequent crying). Now, she seemed to have a better handle for the mental side. However, the pain and fatigue are still there. Neither the family doctor, nor the rheumatologist seem to have any clue on what's going on. To be fair, there seems to be a slow progress, but none of the doctors seem to be able to identify the root cause. The doctor in the ER seems to e the only one to make a connection to myalgias. However, neither the family doctor nor the rheumatologist has tried to explore the myaligias route (e.g. no tests ordered for myography or equivalent). They have not run any thyroid test, nor a full MRI for a thorough body probing. She can longer work out, and she has to spend her time resting (still a big impact on her morale). My fear is, if we we do not fix the issue, then in the long run, this may result in complete loss of mobility. Please help us! Can you recommend a good specialist either in the U.S. or Canada? Other clue that may help: before November, she has had several sessions of massage to clean up her body fluid. Other: we are church goers. She stops going to church for fear of falling or being able to stand up for conventional duration.
I look forward to receiving your help.
Thank you,
Heri Rakouth
1-248-568-2245
My name is Heri Rakouth. We reside in XXXXXXX Hills, MI.
My wife is suffering from muscle spasms in her legs and thighs since November 2015. She is 60 years old (Birth month November). She stands 5'4" and and weighs 120 lbs (from 128 lbs before the pains) and feels frequently tired or in chronic pain. She used to be a very active person (swimming, walking, house-making, working out with exerciser bike and stairs), but now she spends most of her time laying down on recliner. She has been taking Amlodipine (Norvasc) 5 MG PO TAB daily since the loss of her younger brother 6-7 years ago. In addition to the muscle spasms, she has been suffering with neck and back pains. According to a CT scan run on 1/31/2017, she has an advanced disc decease and arthritic changes at C5-C6 and C6-C7. However, the report says, there is no compression, subluxation or displaced fracture.
Her last Complete Blood Count shows everything is OK except for the following:
(1) Creatine Kinase found at about 400 U/L (Ref. range is 30-150 U/L) back in December and last measured at 290 U/L on 1/31/2017.
(2) Sodium found at 133 mmol/L (Ref.range 135 - 145 mml/L)
(3) Chloride found at 97 mmol/L (Ref.range 98 - 110 mml/L)
In addition to frequent visit to the family doctors, she has been seeing a chiropractor 2 to 3 times a week since mid-January.
3 weeks ago, her morale was low (admitted twice in ER (1/29 and 1/31 + frequent crying). Now, she seemed to have a better handle for the mental side. However, the pain and fatigue are still there. Neither the family doctor, nor the rheumatologist seem to have any clue on what's going on. To be fair, there seems to be a slow progress, but none of the doctors seem to be able to identify the root cause. The doctor in the ER seems to e the only one to make a connection to myalgias. However, neither the family doctor nor the rheumatologist has tried to explore the myaligias route (e.g. no tests ordered for myography or equivalent). They have not run any thyroid test, nor a full MRI for a thorough body probing. She can longer work out, and she has to spend her time resting (still a big impact on her morale). My fear is, if we we do not fix the issue, then in the long run, this may result in complete loss of mobility. Please help us! Can you recommend a good specialist either in the U.S. or Canada? Other clue that may help: before November, she has had several sessions of massage to clean up her body fluid. Other: we are church goers. She stops going to church for fear of falling or being able to stand up for conventional duration.
I look forward to receiving your help.
Thank you,
Heri Rakouth
1-248-568-2245
Brief Answer:
John's XXXXXXX
Detailed Answer:
Hi Heri
Thanks for the query
I have read your query and understood your problem.
I do share the opinion of possible myalgia as well. I believe a few more blood tests as well as EMG are required. Steroid treatment may benefit.
You can consult the Head of the Department of Rheumatology at John's XXXXXXX Hospital at XXXXXXX USA.
This department has been known for the best services in treating such autoimmune rheumatologic myalgias.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
John's XXXXXXX
Detailed Answer:
Hi Heri
Thanks for the query
I have read your query and understood your problem.
I do share the opinion of possible myalgia as well. I believe a few more blood tests as well as EMG are required. Steroid treatment may benefit.
You can consult the Head of the Department of Rheumatology at John's XXXXXXX Hospital at XXXXXXX USA.
This department has been known for the best services in treating such autoimmune rheumatologic myalgias.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
Above answer was peer-reviewed by :
Dr. Arnab Banerjee

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