Abnormal Blood Test Results: Liver Function and Health Tips

Q: Abnormal Blood Test Results: Liver Function and Health Tips

Hello, there are many factors that can lead to elevated bilirubin levels, and further examinations are needed. <br>However, based on your LDL and total cholesterol levels, you are likely at high risk for hypercholesterolemia. <br>It is advisable to consume a sufficient and balanc

Blood test report

Hello! I regularly undergo comprehensive health check-ups.
In the past, I had liver function blood test reports that, although fluctuating, were within the normal range, averaging once every two years before 2014.
This year, my blood test report showed some concerning red flags: Total WBC (white blood cells) at 3.1 (normal range: 4-11) and Polymorphs at 1.6 (normal range: 2.0-7.5).
More concerning are the liver function results, which were previously normal (I also had an ultrasound).
This year, my total protein level is 89 (normal range: 64-83), bilirubin is 23.9 (normal range: 3.4-20.5), total cholesterol is 5.7 (normal range: <5.18), and LDL is 3.3 (normal range: <2.6).
My liver ultrasound was normal, so why is my bilirubin elevated? I consider my diet to be light, my routine normal, and I exercise daily.
However, I have noticed that I have been in menopause for two years and often feel fatigued; others have commented that my complexion looks sallow.
Doctor, are the red flags in my blood tests this year related? What are some ways to improve this? (A friend suggested I take liver health and antioxidant supplements; would that be helpful?) Thank you for your guidance!

Janice, 50~59 year old female. Ask Date: 2018/10/10

Dr. Cai Dongqi reply Family Medicine

Hello, there are many factors that can lead to elevated bilirubin levels, and further examinations are needed.
However, based on your LDL and total cholesterol levels, you are likely at high risk for hypercholesterolemia.
It is advisable to consume a sufficient and balanced diet, maintain an ideal weight, and limit foods high in saturated fatty acids (such as animal products and foods containing trans fats), while cooking with low oil and low salt.
I strongly recommend that you follow up with a gastroenterologist or family medicine specialist for further evaluation and treatment.

Reply Date: 2018/10/10

More Info

Hello! Thank you for sharing your health concerns and blood test results. It’s great that you are proactive about your health and regularly undergo check-ups. Let’s break down your blood test results and discuss their implications, particularly focusing on your liver function and overall health.

Blood Test Results Overview
1. White Blood Cell Count (WBC): Your WBC count is 3.1, which is below the normal range (4-11). A low WBC count can indicate several conditions, including bone marrow issues, autoimmune diseases, or infections. It’s essential to monitor this, especially if you experience symptoms like frequent infections or fatigue.

2. Polymorphs: Your polymorph count is 1.6, which is also below the normal range (2.0-7.5). Polymorphs, or neutrophils, are crucial for fighting infections. A low count can further suggest a compromised immune response.

3. Liver Function Tests:
- Total Protein: Your level is 89, which is above the normal range (64-83). Elevated total protein can indicate dehydration, chronic inflammation, or liver disease.

- Bilirubin: Your total bilirubin is 23.9, exceeding the normal range (3.4-20.5). Elevated bilirubin can lead to jaundice (yellowing of the skin and eyes) and may suggest liver dysfunction, bile duct obstruction, or hemolysis (breakdown of red blood cells).

- Total Cholesterol: Your cholesterol level is 5.7, which is above the recommended level (<5.18). High cholesterol can increase the risk of cardiovascular diseases and may be linked to liver health.

- LDL (Low-Density Lipoprotein): Your LDL is 3.3, which is also above the normal range (<2.6). High levels of LDL cholesterol can contribute to atherosclerosis and other cardiovascular issues.

Possible Connections and Symptoms
You mentioned feeling fatigued and having a yellowish complexion, which could be related to your elevated bilirubin levels. The fatigue could also be attributed to hormonal changes associated with menopause, which can affect energy levels and overall well-being. However, the combination of low WBC, low polymorphs, and elevated liver function markers suggests that there may be underlying issues that need to be addressed.

Recommendations for Improvement
1. Diet and Nutrition: Since you mentioned that you maintain a light diet, consider incorporating foods rich in antioxidants, such as fruits and vegetables, which can help combat oxidative stress. Foods high in fiber can also aid in cholesterol management. Omega-3 fatty acids (found in fish) and whole grains may support liver health.

2. Hydration: Ensure you are well-hydrated, as dehydration can affect protein levels and overall health.

3. Regular Exercise: Continue your exercise routine, as physical activity can help improve overall health, support liver function, and manage cholesterol levels.

4. Supplements: While some health supplements claim to support liver health and provide antioxidants, it’s crucial to consult with a healthcare provider before starting any new supplements. They can help determine if these are appropriate for your specific situation.

5. Follow-Up Testing: Given your abnormal results, it would be wise to follow up with your healthcare provider for further testing and evaluation. They may recommend additional blood tests, imaging studies, or referrals to specialists, such as a gastroenterologist or hematologist.

6. Monitor Symptoms: Keep track of any new symptoms or changes in your health, and report these to your doctor. This information can help in diagnosing any underlying conditions.

Conclusion
In summary, your blood test results indicate some areas of concern, particularly regarding liver function and immune response. It’s essential to work closely with your healthcare provider to investigate these abnormalities further and develop a tailored plan to improve your health. Lifestyle modifications, regular monitoring, and open communication with your healthcare team will be key to managing your health effectively. Thank you for reaching out, and I wish you the best on your health journey!

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