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I am an 18 year old male. I have not been feeling good since the beginning of October. I started getting this on and off feeling of lightheadedness - at its worst it can come and go every few seconds - and even my arms sometimes get the same feeling in them. I got a complete blood count on the ninth of October, but I didn't get to see the results until today when I went to the doctor. I have high cholesterol, and now I am on a diet and exercise plan to bring that down - I will start taking medicine for it when insurance clears it. But I am more worried about the other things from the blood test. While my cholesterol is high, some of the other things are low, below or just barely within the reference range for them. I think I might have some kind of blood disorder such as anemia. I have been tired, pale, depressed, and my hair has been falling out. I got non-ulcer dyspepsia suddenly in May and I had to start taking PPIs, which I know can block the absorption of B-12 and give you anemia. I don't think I have been taking PPIs long enough for that to happen though. My doctor didn't say anything about these results ... I wonder what he thinks. Anyway, here are the irregular results:

CBC W/DIFF,W/PLT
WBC 7.2 k/mm3
RBC 5.18 m/mm3
HEMOGLOBIN 13.9 g/dL (Reference Range 13.0-18.0 g/dL)
HEMATOCRIT 41.1 (Reference Range 40.0-50.0 %)
MCV 79 fL (Reference Range 78-100 fL)
MCH 26.9 pg (Reference Range 27.0-34.0 pg)
MCHC 33.9 g/dL (Reference Range 31.0-37.0 g/dL)
RDW 13.9 % (Reference Range 12.1-18.2 %)
PLATELET COUNT 176 k/mm3 (Reference Range 130-450 k/mm3)
MPV 9.9 fL
SEGMENTED NEUTROPHILS 54 %
LYMPHOCYTES 38 %
MONOCYTES 7 %
EOSINOPHILS 1 %
BASOPHILS 1 %
ABSOLUTE NEUTROPHIL 3.9 k/uL
ABSOLUTE LYMPHOCYTE 2.7 k/uL
ABSOLUTE MONOCYTE 0.5 k/uL
ABSOLUTE EOSINOPHIL 0.1 k/uL
ABSOLUTE BASOPIL 0.0 k/uL
DIFFERENTIAL TYPE Automated

COMPREHENSIVE METABOLIC PANEL
GLUCOSE 89 mg/dL
UREA NITROGEN 10 mg/dL (Reference Range 8-25 mg/dL)
CREATINE 0.87 mg/dL
BUN/CREAT RATIO 11.5 (Reference Range 10.0-28.0)
SODIUM 146 mmol/L
POTASSIUM 4.2 mmol/L
CHLORIDE 106 mmol/L
CARBON DIOXIDE 23 mmol/L
ANION GAP 17 (Reference Range 4-18)
PROTEIN,TOTAL 7.0 g/dL
ALBUMIN 4.6 g/dL (Reference Range 3.2-4.5 g/dL)
GLOBULIN 2.4 g/dL
ALB/GLOB RATIO 1.9
CALCIUM 9.8 mg/dL
ALKALINE PHOSPHATASE 64 IU/L
ALT 17 IU/L (Reference Range 10-50 IU/L)
BILIRUBIN, TOTAL 0.3 mg/dL (Reference Range 0.2-1.3 mg/dL)

TSH, HIGH SENSITIVITY
TSH 2.27 mU/L

This was three weeks ago, so some of the levels are probably even lower by now. Does it look like I have some kind of blood disorder or will develop one? How can I get some of these levels to a healthier place? Thank you.
fig177--I can speak to the anemia related portion of your labs. No, I am not a doctor, (only in my home:)), but I have 2 years of experience with anemia/low ferritin and would be glad to share some of my own experience if it would be helpful to you.

Regarding your Hgb-L normal, Hct-L normal and RBC's (RBC's look good), you are NOT considered to be anemic at this point. To explain it; when one or more of those numbers are below range you are considered anemic, so you see you are not right now.

Ferritin is the iron stores in the organs and bone marrow. You should request that your doctor test you to see if yours is low or being lowered, if anything it is a good number to know for future reference. Also, I would request an iron panel that will show if you are low in iron that is in circulation for use and much more. It does provide more information about your iron stats/anemia, although the Ferritin is a more reliable, telling test of iron stored. At least insist on the Ferritin being tested, this will give you a good idea if you are using up too much iron. I would also ask for a B-12, folate testing while you are at it. Although by your MCV you don't look like you have anything to worry about concerning B-12. A B-12 deficiency will make this number go up higher. In the presence of anemia from B-12 and iron this number can be skewed and look more normal which fools some people. This is why testing is important. Your MCV is on the low end of normal. If you were to fall below range then the cells would be smaller and carry less oxygen throughout your body which is all a part of anemia. So on your labs in the case of iron deficiency anemia the H & H, RBC (RBC sometimes) MCV, MCH, MCHC go low, while the platelets and RDW go high on the Hematology lab reference range, if that helps at all.

IMO, I don't think that you have been on PPI's long enough to be the problem. However, if you have a low stomach acid already and took PPI's then that may very well be an issue. I would think that your lowered numbers are a result of your stomach since you are having problems there, it would make sense. Have you been checked for H-pylori yet? Hope that you are feeling better soon. FLFLOWERGIRL:)





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