Seeking Insight on My CBC and EKG Results
Greetings! I’m a 24-year-old male preparing for an endoscopy on Tuesday, alongside a potential colonoscopy. My recent hospitalization for vomiting blood and noticing blood in my stools has prompted these procedures. Over the last year, I’ve experienced various troubling symptoms, including severe diarrhea that has led me to visit the emergency room multiple times. I received my complete blood count (CBC) results, and I'm eager to understand what they might imply. Additionally, my electrocardiogram (EKG) revealed abnormalities. It's worth mentioning that I have a past diagnosis of pericarditis, and heart issues are prevalent in my family. The reasons behind my inquiry are pressing, as I have been juggling several health challenges over the past year, forcing me to take Family Medical Leave Act (FMLA) from my job. Here are the results from my CBC: - **WBC:** 11.4 (Elevated) - **RBC:** 5.83 - **Hemoglobin:** 17.6 (Elevated) - **Hematocrit:** 53.1 (Elevated) - **MCV:** 91.1 - **MCH:** 30.2 - **MCHC:** 33.1 - **RDW:** 12.5 - **Platelets (noted few giant platelets):** 220 - **MPV:** 10.1 - **Neutrophils Percentage:** 61 (Elevated) - **Lymphocytes Percentage:** 15 (Reduced) - **Monocytes Percentage:** 16 (Elevated) - **Eosinophils Percentage:** 2 - **Basophils Percentage:** 0 (Reduced) - **Neutrophils Absolute Count:** 7.1 - **Lymphocytes Absolute Count:** 2.3 - **Monocytes Absolute Count:** 1.8 (Elevated) - **Eosinophils Absolute Count:** 0.2 - **Basophils Absolute Count:** 0 - **Bands Relative:** 1 - **Atypical Lymphocytes Relative:** 5 - **Anisocytosis:** 1+ (Abnormal) - **Polychromasia:** Occasional (Abnormal) - **Stomatocytes:** 1+ (Abnormal) The blood smear examination showed mild leukocytosis, including mild monocytosis with varying lymphocyte types. Regarding the EKG, the findings include: - Sinus tachycardia - Nonspecific T-Wave abnormality - Abnormal ECG
Answers (1)
6/20/2025, 5:30:57 PM
OpenHealth AI
Thank you for sharing your detailed CBC and EKG results, along with your health history. It’s understandable to feel concerned given your recent experiences with vomiting blood, blood in your stools, and past health issues. Here’s a summary of your key lab findings and actionable steps you can take.
Main Points:
- CBC Results: Indicate elevated white blood cell count (WBC), elevated hemoglobin and hematocrit, and signs of variation in lymphocyte types.
- EKG Findings: Show sinus tachycardia and nonspecific T-wave abnormalities, which require careful monitoring.
- Health Context: Prioritize addressing the hemorrhagic symptoms alongside these findings, especially with your upcoming endoscopy and potential colonoscopy.
Explanation:
- Elevated WBC: This often suggests an ongoing infection or inflammation. Your body might be responding to internal stress, possibly from gastrointestinal issues, especially with your history of severe diarrhea and hematemesis (vomiting blood).
- High Hemoglobin and Hematocrit: Can occur due to dehydration or a response to various health stressors. It's essential to ensure you're adequately hydrated, especially leading up to your procedures.
- Lymphocyte and Monocyte Variations: These changes can give insights into how your immune system is reacting. Elevated monocytes may suggest chronic inflammation or infection.
- EKG Findings: Sinus tachycardia can be caused by stress, pain, dehydration, or other underlying issues, while T-wave abnormalities may require additional context but may not be immediately concerning without symptoms.
Next Steps:
- Hydration: Make sure you’re sipping fluids (preferably water or electrolyte solutions) to stay hydrated, especially before your procedures.
- Monitor Symptoms: Keep a detailed log of any new or worsening symptoms, especially related to gastrointestinal upset like vomiting, diarrhea, or any new heart symptoms such as chest pain.
- Prepare Questions for Endoscopy: Write down any questions or concerns about your endoscopy and colonoscopy to discuss with your healthcare provider. Ensure they are aware of your complete medical history, including your pericarditis and family history of heart disease.
- Rest and Protect Your Health: Given your health challenges, prioritize rest and limit stress wherever possible.
- After the Procedures: Once you have the results from your endoscopy and colonoscopy, follow up with your healthcare provider to discuss findings and what they indicate for your overall health.
Remember, your upcoming procedures are essential for understanding the causes behind your symptoms. Stay positive, and don't hesitate to seek clarity from your doctor during this process. Your health is paramount, and addressing these issues will hopefully lead to better management and recovery. Let me know if you need further assistance!
Related Questions
Worries About Laboratory Results
Hello all. I'm a 32-year-old male weighing approximately 210 pounds and standing at 5 feet 11 inches with a muscular physique. Lately, I've been experiencing severe constipation. On the same day I performed a colon cleanse, I also underwent some blood tests. The results were mostly normal, but my AST level was reported at 38, and my Ferritin level was at 391. In addition to the constipation issues, I’ve been dealing with migraines, nausea, and a lightheaded sensation. Does anyone have insights on what might be causing this or what I should do next?
Inquiry About Childhood Chiropractic Experience
Hello Reddit! I’m reaching out to share something that occurred during my early teenage years, specifically when I was approximately 12 to 14 years old. I’m currently 25. (Female) To give you a brief overview, there was an incident when I was leaning down at my locker, and all of a sudden, my neck locked to one side. I was completely unable to move it back into its normal position, which caused me significant discomfort. My father decided it would be best to take me to a chiropractor, and while that did help somewhat, the pain was still quite severe. Additionally, I noticed a peculiar smell lingering for about a week post-visit. This episode repeated itself a few months later, with the same painful experience and that odd smell following the chiropractic adjustment. Since those occurrences, I've only encountered similar issues twice. On those occasions, instead of seeing a chiropractor, I opted for hospital treatment, where I received muscle relaxants that didn’t leave me with the strange odor or intense pain. However, I’ve been dealing with ongoing soreness in my right shoulder, and it seems to easily get strained. My head also tends to lean to one side quite noticeably. I’m curious to know what might have caused the neck stiffening, the severe pain, and that unusual smell following my chiropractic visits as a child. Could choosing chiropractic care over medical attention have led to any long-term repercussions?
Are Comprehensive Physical Examinations on the Decline?
Recently, I visited my primary care physician for my annual check-up. Upon arrival, the doctor briefly inquired about my health and conducted a quick assessment by listening to my heart and breathing. To my surprise, he concluded with a simple, "Everything looks good, see you next year!" What happened to the thorough physical examinations that once included a complete assessment, like the traditional checks of reflexes and other vital signs? This experience left me questioning the purpose of my primary care doctor. At 37 years of age, standing at 6 feet tall and residing in the United States, I find myself wondering if such brief consultations are becoming the norm. Why do we even maintain relationships with primary care physicians if such abbreviated visits are standard?
Should I Get a Second Opinion About This Lump?
**Breast Ultrasound Report:** **Findings for the Right Breast:** The breast consists of typical fibro-fatty glandular tissue. A distinct hypoechoic mass has been identified at the 7 o’clock position, measuring 1.6 cm by 0.5 cm. This lesion does not show any signs of disrupting nearby structures or causing ductal dilation. Additionally, a color Doppler assessment reveals no notable blood flow within this area. There are no indications of calcifications or distortions within the architecture of the breast. The skin appears normal without signs of thickening or nipple inversion, and there is no duct dilation present. Several lymph nodes within the axillary region appear normal, with the largest measuring 1.7 cm by 0.6 cm. **Findings for the Left Breast:** The glandular tissue in the left breast is also normal. There are no abnormal masses, calcifications, or architectural irregularities detected. Similar to the right breast, there is no skin thickening or inversion of the nipple, nor any duct dilation. A few axillary lymph nodes are evident, with one measuring 1.6 cm by 0.5 cm, all appearing benign. **Conclusion:** The findings in the right breast point towards benign characteristics, likely indicating a fibroadenoma (BIRADS-II classification). The left breast shows a normal scan, while benign-appearing lymph nodes are noted bilaterally in the axillary regions. It is recommended to correlate clinically and consider follow-up sonography for more comprehensive evaluation.
An Extended Nosebleed Incident
I experienced a nosebleed that lasted approximately half an hour and was considering a trip to the emergency room. Fortunately, it ceased just prior to my decision, and I have not encountered any further bleeding in the last twenty minutes. I am a 36-year-old female with a medical history that includes asthma, Neurofibromatosis type 1 (NF1), and Hashimoto's disease. Currently, I am on a regimen that includes an estradiol patch, progesterone, Armour thyroid, and ProAir. Given that the bleeding has stopped completely, I wonder what actions medical professionals might have taken if I had sought their help. Additionally, I’m unsure how to upload any images related to this incident.