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Doctors Lounge - Hematology Answers

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Forum Name: Hematology Topics

Question: Abnormal lab results


 fulave - Fri May 18, 2007 8:27 pm

I am a 42 year old male with no medical problems that I know of as I have always been healthy and I don't take any medicines except a multi-vitamin every day. My family is also very healthy except my father died of a sudden heart attack at 64. I recently went to my doctor for a routine check-up even though I am not sick. He said I was OK and should come back in 3-6 months to recheck some abnormal lab work that I had. All my tests were normal except the following: RBC 4.31, Mch 32.7, RDW 15.0, Glucose 137, Total bilirubin 3.4. My urine showed urobilinogen 4+. I looked up Bilirubin and the articles said I might have obstruction in gallbladder or common bile duct but I don't feel sick. Should I be worried or go to another doctor?
 Dr. Chan Lowe - Mon May 28, 2007 3:04 pm

User avatar I would recommend that you follow up with your doctor to have the bilirubin issue better evaluated. It is generally elevated for only a few reasons. One would be obstruction of the outflow tract by stones as you have mentioned. This would generally present with pain.

Given some evidence of mild anemia I would be a little suspicious that there is something breaking down your red cells some. Hemoglobin is converted into bilirubin and increased release of hemoglobin causes increased production of bilirubin.

If the liver is having trouble processing the bilirubin it can go up as well.

Essentially all of these can be tested for with some simple blood tests. I would recommend you talk with your doctor about this. If the screening tests have already been done and nothing was concerning it is reasonable to just check it again in a few months. If they haven't been done I would suggest they be done sooner rather than later to be sure nothing more serious is going on.

Best wishes.

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