Please advise on the exceeded values of the blood report.

Question

Hello doctor,

I have attached the PFA and the blood test report of my wife who is 29 years of age. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? She has got the blood test profile checked just as a general checkup and not specific to any illness. We get it checked once every two years.

Answer 1

Hello,

Welcome to icliniq.com.

I have thoroughly gone through the reports (attachment removed to protect patient identity), and I understand that she did not have any symptoms, but you got the tests done just for the regular checkup. Out of these, there are some red flags which need to be further evaluated like the low iron and low values indicating an iron deficiency anemia. Also, the stimulating thyroid hormone is raised, but T3 and T4 are normal which could be subclinical hypothyroidism. For this, we need to see if there are any thyroid antibodies present. Please get the tests that I mention below done.

Thyroid antibodies.
Anti-TPO (thyroid peroxidase) antibodies.
Anti-thyroglobulin antibodies.
Ultrasound biliary tree.

Also, the raised ALP (Alkaline Phosphatase) needs to be looked at. Given that CRP (C-Reactive Protein Test) is raised it means there is an underlying disease process. It could be the subclinical hypothyroidism, or it could be something else. Sometimes autoimmune hypothyroidism can be associated with other conditions that can cause both anemia and a raised ALP. Please get the tests done so that we can promptly get to the bottom of this. Also, tell me if she has other symptoms like itching or fatigue, etc. Hope this helps.