My Mother's Lab Results: Key Health Concerns Explained - Pulmonology

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Please provide the details of your mother's test report so I can help explain its meaning?


Hello, I am the person who asked about my mother's long-term cough issue a few days ago.
A few days ago, my mother had blood and urine tests done at a medical laboratory (but did not have an X-ray).
The report came out today, and I would like to ask you about some of the items that showed elevated levels in the tests.
Firstly, regarding tumor markers, my mother’s result for "Beta-HCG" (human chorionic gonadotropin) was 1.63 mIU/ml, which is higher than the reference value.
I have never heard of this cancer before; could you please explain what this means and how we should care for her given this level?
In the liver function tests, the "Anti-HCV" (Hepatitis C antibody) level was significantly elevated at 34.6+.
The physician at the lab advised my mother to reduce her medication intake.
Besides this, what other aspects should we pay attention to in order to lower this level?
Regarding lipid profile tests, my mother’s triglycerides were elevated at 155.
What dietary adjustments should be made to manage this?
In the blood tests, my mother had two abnormal results: "RCT" (Red Cell Distribution Width) was 0.09, which seems significantly low compared to the reference range (0.0-1.0).
Since platelets are related to blood clotting, what should we do about this low value? Additionally, "PDW" (Platelet Distribution Width) was 20.6, slightly above the reference range of 12-20.
What does this distribution width indicate, and is it a significant concern for her health?
In the diabetes screening, her fasting blood sugar was not above the reference value, but the current test results are approaching the threshold.
What should we monitor in this regard?
In the urine tests, no elevated levels were detected at this time.
Thank you for your assistance with these questions!

Qiu, 20~29 year old female. Ask Date: 2004/11/02

Dr. Yang Wenda reply Pulmonology


Hello Mr.
Chiu: Thank you for your detailed explanation, which makes the questions easier to address! TG: 155, the blood sugar level is at the upper limit, and the platelet issue can be temporarily disregarded as it is still within the normal variation range.
For the hepatitis C issue, you may consult a hepatobiliary specialist and arrange for an ultrasound examination.
The elevated Beta-HCG should be evaluated by an obstetrician-gynecologist, who will determine whether to arrange for an ultrasound examination and recommend the next follow-up time!

Reply Date: 2004/11/02

More Info


Hello! Thank you for reaching out with your mother's lab results. I understand that navigating medical reports can be overwhelming, especially when there are multiple areas of concern. Let's break down the key findings from her tests and discuss what they might mean for her health.

1. Beta-HCG (1.63 mIU/ml): Beta-HCG is a hormone typically associated with pregnancy, but it can also be a marker for certain types of tumors, including gestational trophoblastic disease. While your mother's level is elevated, it is still relatively low. It is essential to consult with a gynecologist or oncologist who can evaluate this result in the context of her overall health and possibly recommend further imaging studies or follow-up tests to rule out any serious conditions.

2. Anti-HCV (34.6+): This indicates a positive result for Hepatitis C virus antibodies, suggesting that your mother may have been exposed to the virus. It is crucial to follow up with a hepatologist or a specialist in liver diseases. They may recommend a viral load test to determine if the virus is active and if treatment is necessary. In terms of lifestyle, it is advisable for her to avoid alcohol, maintain a healthy diet, and stay hydrated to support liver health.

3. Triglycerides (155 mg/dL): This level is slightly elevated, as normal triglyceride levels are generally below 150 mg/dL. To manage this, dietary changes can be beneficial. Encourage your mother to reduce her intake of saturated fats, trans fats, and sugars. Incorporating more omega-3 fatty acids (found in fish like salmon and walnuts), fiber-rich foods (like fruits, vegetables, and whole grains), and regular physical activity can help lower triglyceride levels.

4. Platelet Volume Ratio (0.09): This value is indeed low, which could indicate a condition affecting platelet production or a response to certain medications. It is important to monitor this with a healthcare provider, as low platelet counts can affect blood clotting. The Platelet Distribution Width (PDW) of 20.6 is slightly elevated, suggesting variability in platelet size, which can be associated with various conditions, including inflammation or bone marrow disorders. A hematologist may provide more insight into these findings.

5. Blood Sugar Levels: If her fasting blood sugar is approaching the upper limit of normal, it is essential to monitor her diet closely. Encourage her to limit refined carbohydrates and sugars, increase her intake of whole grains, and include regular physical activity in her routine. Regular monitoring of her blood sugar levels will help track any changes.

6. Urinalysis: It is reassuring that there were no significant abnormalities found in her urine tests. This suggests that her kidney function is likely normal, but it is still important to maintain hydration and monitor any changes in urinary habits.

In summary, your mother's lab results indicate several areas that require attention, particularly regarding her liver health and potential viral infection. It is crucial to follow up with the appropriate specialists for further evaluation and management. Additionally, lifestyle modifications, particularly in diet and exercise, can significantly impact her overall health and help manage the elevated levels noted in her tests. Regular follow-ups and monitoring will be key in ensuring her health remains stable. Thank you for your concern for your mother's health, and I wish her the best in her recovery and management of these conditions.

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