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Have Back Pain. Normal Renal Function Tests. Reason For Decreased MCH And MCHC?
I am suffering from pain on my back, at left side flank.. When I consulted doctor he said that it doesn't seem like kidney pain but still it better to go for some tests, which were Renal function test, Clood CP and ESR and X-rays.. Renal Function tests are normal.. result is as follows.
Normal Ranges
Serum Urea 3.9 mmol/l 3.3- 6.7
Serum Creatinine 93 umol/l 70-115
Serum Sodium 141 mmol/l 136-149
Serum Potassium 4.1 mmol/l 3.5-5.0
Result of Blood CP and ESR
Blood count
TLC 8.0 4.0- 10.0 X 10 9/L
RBC 5.59 4.5-6.50
Hemoglobin 13.7 13.0- 17.0
PCV 0.45 0.40-0.54 I/L
MCV 81.0 76.0-96.0 fL
MCH 24.5 27.0-32.0 pg
MCHC 30.2 31.5-34.5 g/dl
Palatelet count 170 150-400 X 10 9/L
Differential Leucocytes Count
Neutrophilis 47 40-80%
Lymphocytes 43 20-40%
Monocytes 04 2-10%
Eosinophils 06 1-6%
Erythrocyte Sedimentation 04 0-9 mm at 1st hour
URINE RE
Color Pale Yellow
SP Gravity 1.015
pH 6.5
Reaction Acidic
Protein Nil
Glucose Nil
RBC's Nil
WBC/HPF 2-4/HPF
PLease guide about the decreased MCH and MCHC adn increased Lymphocytes. though these are disturbed by little margin but still what could be the possible reason for that and which test should I go for next...
Normal Ranges
Serum Urea 3.9 mmol/l 3.3- 6.7
Serum Creatinine 93 umol/l 70-115
Serum Sodium 141 mmol/l 136-149
Serum Potassium 4.1 mmol/l 3.5-5.0
Result of Blood CP and ESR
Blood count
TLC 8.0 4.0- 10.0 X 10 9/L
RBC 5.59 4.5-6.50
Hemoglobin 13.7 13.0- 17.0
PCV 0.45 0.40-0.54 I/L
MCV 81.0 76.0-96.0 fL
MCH 24.5 27.0-32.0 pg
MCHC 30.2 31.5-34.5 g/dl
Palatelet count 170 150-400 X 10 9/L
Differential Leucocytes Count
Neutrophilis 47 40-80%
Lymphocytes 43 20-40%
Monocytes 04 2-10%
Eosinophils 06 1-6%
Erythrocyte Sedimentation 04 0-9 mm at 1st hour
URINE RE
Color Pale Yellow
SP Gravity 1.015
pH 6.5
Reaction Acidic
Protein Nil
Glucose Nil
RBC's Nil
WBC/HPF 2-4/HPF
PLease guide about the decreased MCH and MCHC adn increased Lymphocytes. though these are disturbed by little margin but still what could be the possible reason for that and which test should I go for next...
Wed, 4 Sep 2013
Hello and welcome to HCM,
All blood parameters - hemoglobin, hematocrit, MCV and RBC count are all within normal limits.
The total leukocyte count and differential leukocytes are also within normal limits.
The decrease in level of MCH and MCHC are not explainable as the hemoglobin hematocrit and red cell counts are all within normal limits.
This decrease could be due to instrumental error.
However, there is nothing to worry.
Small errors can occur due to a small change in the calibration of the machine.
If you are very much concerned and worried, you can get the tests repeated.
The differential count shows slight increase in lymphocytes.
The range which is given by a particular laboratory is based on values obtained in majority of patients.
A small variation can be expected and it is normal.
There is no major change in the differential counts and thus, it does not indicate any disease process.
Thanks and take care
Dr Shailja P Wahal
All blood parameters - hemoglobin, hematocrit, MCV and RBC count are all within normal limits.
The total leukocyte count and differential leukocytes are also within normal limits.
The decrease in level of MCH and MCHC are not explainable as the hemoglobin hematocrit and red cell counts are all within normal limits.
This decrease could be due to instrumental error.
However, there is nothing to worry.
Small errors can occur due to a small change in the calibration of the machine.
If you are very much concerned and worried, you can get the tests repeated.
The differential count shows slight increase in lymphocytes.
The range which is given by a particular laboratory is based on values obtained in majority of patients.
A small variation can be expected and it is normal.
There is no major change in the differential counts and thus, it does not indicate any disease process.
Thanks and take care
Dr Shailja P Wahal
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Low MCH may be due to Hypochromic anemia (or hemoglobin deficiency),lead poisoning, iron deficiency anaemia and thalassemia.
Low MCHC could be due to Hypochromic anemia (hemoglobin deficiency) and microcytic anaemia.
Increase in lymphocytes may be due to tuberculosis and viral infection.
Ultrasonography of kidney,ureter and bladder can be done.
Low MCHC could be due to Hypochromic anemia (hemoglobin deficiency) and microcytic anaemia.
Increase in lymphocytes may be due to tuberculosis and viral infection.
Ultrasonography of kidney,ureter and bladder can be done.
I find this answer helpful
1 Doctor agrees with this answer
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