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What Does My Blood Test Report Indicate?

Posted on Tue, 25 Apr 2017

Question: Hi my blood test shows erythrocyte sedimentation rate 2, and my red blood cell count is 5.99 while normal range is (4.40-5.65), also my mean cell volume is 79.6 while normal ragne is indicated to be (81.8-96.3), my mean cell haemoglobin is 25.9 while normal range is (27.0-33.0) and mean cell haemoglobin conc. is 325 which is also lower than normal range (335-370) . The rest of blood counts are in normal range. Also ALT is higher than normal 57 while normal is (0-41). I was wondering what would possibly be the cause?

Answered by Dr. Shailja Puri (24 minutes later)

Brief Answer:
Low MCV, MCH and MCHC suggest anemia, post Hb level for confirmation.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
Erythrocyte sedimentation rate (ESR) of 2 mm is within normal range.
The mean cell volume (MCV), mean cell hemoglobin (MCH) and mean cell hemoglobin conc. (MCHC) are slightly low as compared to normal range.
Low values indicate a microcytic blood picture with decreased hemoglobinization.
Increase in red blood cell count is possibly a compensatory mechanism.
Please mention your hemoglobin (Hb) level to determine whether you are suffering from anemia.
In addition, peripheral blood smear examination should also be done to look at the morphology of red blood cells.
ALT value is marginally raised.
If all other liver function tests are normal, there is nothing to worry.

Thanks
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Shailja Puri (1 hour later)

Hi, many thanks for your reply. Below are some more details:

The Hb: 155, the white cell: 6.4, platelets: 304, haematocrit: 0.477, neutrophils: 3.34, lymphocytes: 2.32, monocytes:2.32, Monocytes: 0.57, Eosinophils: 0.11, Basophils: 0.04

Urine microscopy: white blood cells +, Red blood cells Nil, epithelial cells +, urine culture: no significant growth

Ferritin: 294, TSH: 1.8, Glucose: 5.0

UE: Sodium: 139, Potassium: 4.6, Urea: 6.8, Creatinine: 62

LFT: Total protein: 79, Albumin: 53, Globulin: 26, Total Bilirubin: 6, Alkaline phosphatase: 66, ALT: 57, eGFR EPI > 90,

Is there a problem?

Many thanks,

Raheleh

Answered by Dr. Shailja Puri (14 hours later)

Brief Answer:
All investigations within range, nothing to worry.

Detailed Answer:
Hello and welcome again,
All the blood reports- hemoglobin, WBC count, platelet count are within normal range.
Ferritin level is normal.
Urine examination is normal.
Liver function tests are also normal. I think there is error in total bilirubin value. It should have been 0.6 and not 6.

All investigations are within range.
There is nothing to worry.

Thanks and take care
Dr Shailja Puri

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Above answer was peer-reviewed by : Dr. Kampana