Concerns About Abnormal Blood Test Results in a 54-Year-Old Non-Drinker
I’m a 54-year-old woman who recently underwent routine blood testing for the first time in many years. Typically, I’ve enjoyed good health, maintaining a healthy weight and stable blood pressure, which is why I hadn’t felt the need for regular check-ups. My doctor expressed some concerns regarding my results and has referred me for both a colonoscopy and an endoscopy. I would appreciate any insights into the following abnormal blood work results: - Hemoglobin: 9.9 - Iron: 16 - Percentage Saturation: 4% - Hematocrit: 32.3 - MCV: 67.3 - MCH: 20.6 - MCHC: 30.7 - RDW: 17 - ALT: 102 - Bilirubin: 0.2 - Hemoglobin A1C: 6 - Vitamin B12: 1469 All other tests returned results within the normal range. In addition to these lab findings, I’ve been experiencing: - Occasional bright red blood in my stool, often described as clots, which I have been advised in the past is due to internal hemorrhoids and not to worry about. - Unintentional weight loss over the last year, approximately 6-8% of my body weight. - Persistent fatigue. I want to add that I do not consume alcohol, and I’ve had an IUD for two decades prior to reaching menopause, resulting in no menstrual periods for many years. What could be potential explanations for these lab findings? While I understand that the colonoscopy scheduled for next week will provide more information, I’m looking for some reassurance to help me cope until then. Thank you!
Answers (1)
7/11/2025, 12:40:46 PM
OpenHealth AI
Your blood test results indicate some concerning abnormalities, particularly regarding your hemoglobin, iron levels, and liver enzyme (ALT) levels. I understand that waiting for additional tests can be stressful, and I’m here to help clarify what these findings could mean for you.
Main Points:
- Anemia Indicators: Your low hemoglobin (9.9), low iron saturation (4%), and high RDW (17) suggest you may have iron deficiency anemia. This is often characterized by fatigue, which you mentioned experiencing.
- Potential Causes: The combination of these blood results, along with weight loss and the presence of blood in your stool, warrants a thorough evaluation to rule out various conditions, such as gastrointestinal bleeding or other underlying issues.
- Elevated ALT: The elevated ALT (102) can indicate liver stress or damage, though there are many potential causes, including non-alcoholic fatty liver disease, especially considering your weight history and menopause.
Explanations and Insights:
- Anemia: Low hemoglobin levels can result from several factors, including insufficient iron intake, blood loss, or malabsorption issues. Given your reported bright red blood in the stool, it's crucial to check for any underlying gastrointestinal issues (like polyps or bleeding sources) which may be causing iron loss.
- Weight Loss and Fatigue: Unintended weight loss can be a concern and could indicate an underlying health issue that needs to be addressed. This, combined with fatigue, underscores the importance of the diagnostic procedures you're undergoing.
- Iron Levels: Your significantly high vitamin B12 (1469) level isn’t typically a concern unless accompanied by other symptoms but is worth noting, as it may indicate dietary excess or absorption issues.
Next Steps to Consider:
- Stay Hydrated and Nourished: Focus on a well-balanced diet rich in vitamins and minerals, particularly iron. Incorporate lean meats, greens, beans, and fortified cereals.
- Track Your Symptoms: Keep a detailed diary of any symptoms, including frequency and severity of the blood in your stool, weight changes, energy levels, and any new symptoms that may arise before your procedure.
- Prepare for Your Procedures: Continue with the planned colonoscopy and endoscopy, as these will provide critical information to help understand the cause of your symptoms and lab results.
Reassurance: It’s understandable to feel anxious about these findings, but remember that these procedures are designed to help identify any issues early on. Many conditions can be effectively managed once diagnosed. If you have further concerns or experience new symptoms, don’t hesitate to reach out for additional support. Take care!
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