OpenHealth Q&A

Get answered by medical professionals

Seeking a Second Opinion on My Son's Lab Results

7/21/2025, 10:01:26 PMMale25-34

I'm seeking advice regarding my 17-year-old son's recent lab tests. During his annual check-up, his Complete Blood Count (CBC) and bilirubin levels were abnormal. Our primary care physician suggested we wait two months before repeating the tests. A bit of background on my son: He was born at 30 weeks as part of a set of twins (twin B) and has a history of benign focal epilepsy, for which he is not currently on medication. He also has a small patent foramen ovale (PFO). While he reached many developmental milestones later than expected, they were in line with his adjusted age. He stands 6’2” tall and weighs 180 lbs. He experienced RSV at the age of one and had surgery at thirteen for an undescended testicle. Currently, he isn't on any medication and maintains a healthy diet while actively engaging in sports. However, he has been experiencing significant fatigue, often sleeping between 12 to 15 hours a day and occasionally feeling dizzy after seizure episodes. Here are the lab results: - Bilirubin: 2.1 (Elevated) - Neutrophil Absolute: 2.1 (Low) - Lymphocytes Absolute: 2.7 (Elevated) - Complete Red Blood Cells: 5.55 (Elevated) - Hemoglobin: 16.0 (Elevated) - Hematocrit: 47.8 (Elevated) - Platelet Count: 308 (Elevated) Given these numbers, I feel that further investigation might be warranted, which is why I'm reaching out for a second opinion. Am I overreacting as a worried mother?

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

7/21/2025, 10:02:07 PM

OpenHealth AI

It's completely understandable to be concerned about your son's lab results and his health, especially given his medical history. Let's take a closer look at the information you've shared and clarify the most important points.

Main Points

  1. Your son's lab results indicate some abnormalities, but further context is needed.
  2. His significant fatigue and dizziness are concerning and should be addressed.
  3. Seeking a second opinion is a sensible decision given the circumstances.

Explanation

Your son's lab results show several elevated levels, including bilirubin and components of his blood (like red blood cells, hemoglobin, and hematocrit), along with a low neutrophil count and elevated lymphocytes. Here’s a brief overview of what some of these terms mean:

  • Bilirubin: Elevated bilirubin can indicate liver or hematological issues.
  • Neutrophils and Lymphocytes: These are types of white blood cells; a low neutrophil count can suggest a weakened immune response, while elevated lymphocytes may indicate an ongoing viral infection or a chronic inflammatory response.
  • Red Blood Cells, Hemoglobin, and Hematocrit: These values being elevated can occur due to dehydration, living at high altitude, or other medical conditions.

The combination of fatigue, the history of seizures, and these lab results warrant a thorough examination to ensure that there is not an underlying condition that needs treatment.

Next Steps

  1. Document Symptoms: Keep a detailed diary of your son's fatigue, dizziness, and any other symptoms he experiences, noting their frequency, duration, and any possible triggers.

  2. Request a Follow-Up Consultation: Before the two-month period your primary physician suggested, consider requesting another visit to discuss your concerns regarding the lab results and symptoms. You can ask for further testing or specialist referrals if necessary.

  3. Seek a Second Opinion: If you still feel uneasy, don’t hesitate to seek a second opinion from a pediatrician or a hematologist, who can provide additional insight into the lab results and any relevant investigations.

  4. Healthy Lifestyle: Encourage him to maintain a balanced diet and stay hydrated, as this can help support overall health while you monitor his symptoms.

  5. Consider Specialists: Given his history of benign focal epilepsy and the recent dizziness, having a neurologist evaluate him may also be beneficial, especially to assess any potential connections between symptoms and neurological health.

As a concerned parent, seeking clarity and ensuring your son receives appropriate care shows diligence and love. Follow your instincts, and continue advocating for his health.

Related Questions

Understanding My Strange Sensation

From a young age, I’ve experienced an unusual sensation in my left glute whenever there’s even a slight physical interaction. This odd twinge can be triggered no matter where someone touches me, sending an intense, sharp pain right to that specific area. It’s a sensation I can only describe as akin to placing a finger very closely to the bridge of my nose, but significantly more pronounced and uncomfortable. What could be causing this? How might I address it? It complicates experiences like petting animals or getting cozy with friends, making them quite unpleasant for me. For context, I am 5’6” tall, weigh approximately 130 pounds, and I’ve never smoked. Additionally, I’m on Ritalin for ADHD, although I doubt that plays a role in this issue. This sensation has been present since birth and remains unchanged over the years.

AgingFamily MedicineInternal Medicine
Male25-34
51 minutes ago

Inadvertent Consumption of Levothyroxine

I have been prescribed 88mg of Levothyroxine to manage my hypothyroidism, which I take each morning. Additionally, I take 75mg of amitriptyline before bed. Both medications come in similar-looking bottles and are small, blue tablets. This evening, I mistakenly consumed three Levothyroxine pills instead of my usual amitriptyline. Should I be worried about this mix-up?

WellnessFamily MedicineInternal Medicine
Male25-34
2 hours ago

Understanding the Severity of Nitrous Oxide Inhalation

Approximately 22 to 26 hours have passed since I directly inhaled nitrous oxide from a whip cream canister, and I'm feeling uncertain about the situation. I'm pondering whether I should be concerned and what steps to take next. Visiting a physician is my last option at this point. I'm an 18-year-old male, stand at 6 feet tall, and weigh 166 pounds. I've been smoking for about three years but generally, my health is stable. Additionally, I am currently utilizing a fluticasone inhaler to manage my asthma.

AgingLifestyle ChangesFamily Medicine
Male25-34
2 hours ago

Unexplained Illness

For more than two months now, my husband (54M) has been grappling with an unexplained illness. Despite undergoing a myriad of medical examinations, the doctors remain baffled and have yet to determine the underlying cause. He is currently experiencing several troubling symptoms, including: - Numbness affecting the left side of his face, particularly his chin and part of his lip. - Generalized body aches. - Discomfort at the base of his spine. - Persistent fatigue coupled with difficulties in achieving restful sleep. - Recurrent fevers, which tend to intensify during the night. The extensive tests he has undergone have ruled out various conditions, including: - Shingles - Epstein-Barr Virus - Antinuclear Antibody (ANA) levels - Rheumatoid factor tests - COVID-19 - Thyroid issues - Hepatitis B and C However, certain results have raised red flags: - Abnormal red blood cell counts - High erythrocyte sedimentation rate, indicating inflammation - Elevated ferritin levels - Increased C-reactive protein levels - Elevated aspartate transaminase My anxiety about his condition is growing, and I'm feeling increasingly uncertain about the next steps to take regarding his health.

AgingFamily MedicineInternal Medicine
Male25-34
2 hours ago

Concerns About Grey Peptides

I'm curious if any healthcare experts have insight on grey peptides. My healthcare provider acquired them from a supplier called Peptide Crafters, specifically GLP-2. She assures me of their safety, and a few nurses I’ve chatted with have also indicated that I shouldn’t worry too much. As a 26-year-old woman, I find myself feeling anxious about my health. Am I making a mistake by considering these?

SupplementsInternal MedicinePreventive Medicine
Male25-34
3 hours ago