Blood Test Results: Signs of Tumors and Next Steps - Oncology

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Two weeks ago, I went to the hospital for an examination because I have been experiencing loose stools for over a year, widespread body aches (especially in the lower back), and foamy urine (which previously did not show any abnormalities in tests).
The blood test results from two weeks ago are as follows: 1.
TG level 1792, seg.
level 50.53, lymphocyte level 42.34, and HBsAB is positive.
These values are abnormal, and I am concerned that I might have a tumor or some other condition causing my persistent discomfort (I also experience palpitations and my blood pressure is relatively high, around 160).
Could you please advise me on which specialty I should consult or what aspects I should consider for further evaluation, as I have already visited the hospital numerous times? Thank you.

Ouyang'r, 30~39 year old female. Ask Date: 2007/03/28

Dr. Chen Sirong reply Oncology


1.
If you have had loose stools for a year, you may consult a colorectal surgeon or a gastroenterologist.

2.
For lower back pain and foamy urine, you can see a nephrologist or an orthopedic specialist.

3.
If there is suspicion of a tumor, you may consider self-paying for a full-body MRI (at Taipei Veterans General Hospital or Chung Shan Medical University Hospital) or a PET scan (at Linkou Chang Gung Memorial Hospital or Shin Kong Wu Ho-Su Memorial Hospital), but based on your description, the likelihood of suspicion seems low.

4.
For palpitations or blood pressure issues, you should see a cardiologist.
If your blood pressure has been consistently at 160, you should follow your physician's instructions regarding medication and have them evaluate your condition.
It is concerning that a 38-year-old has a blood pressure of 160.

In summary: It is common for people to experience discomfort in various areas occasionally.
However, if the problem persists, it is necessary to consult a physician.
Sometimes, consistently seeing the same doctor can help them understand that the issue is ongoing, and they may arrange for more detailed examinations to identify the problem.

Reply Date: 2007/03/28

More Info


Based on your blood test results and the symptoms you've been experiencing, it's understandable to feel concerned about your health. Let's break down the findings and discuss the next steps.

1. Understanding Your Blood Test Results:
- Triglycerides (TG): Your TG level of 1792 mg/dL is significantly elevated. Normal levels are generally below 150 mg/dL. High triglycerides can be associated with various health issues, including metabolic syndrome, pancreatitis, and cardiovascular diseases. They can also indicate poor dietary habits, obesity, or uncontrolled diabetes.

- Segmentation (Seg.): A value of 50.53% suggests a high percentage of segmented neutrophils, which can indicate an ongoing infection or inflammation in the body.

- Lymphocytes: A lymphocyte count of 42.34% is elevated. Lymphocytes are a type of white blood cell that plays a crucial role in the immune response. High levels can suggest a viral infection, chronic inflammatory conditions, or, in some cases, lymphoproliferative disorders.

- HBsAB Positive: This indicates that you have immunity to hepatitis B, either from vaccination or previous infection. This is a positive finding, as it suggests that your liver is protected against hepatitis B virus.

2. Symptoms:
- The symptoms you mentioned, such as persistent diarrhea, body aches, back pain, foamy urine, heart palpitations, and elevated blood pressure (160 mmHg), warrant further investigation. Foamy urine can indicate proteinuria, which may suggest kidney issues. The combination of these symptoms can be indicative of a systemic condition that needs to be addressed.

3. Next Steps:
- Consult a Specialist: Given the complexity of your symptoms and blood test results, it would be advisable to consult with a primary care physician or an internist first. They can perform a comprehensive evaluation and may refer you to specialists such as a nephrologist (for kidney issues), an endocrinologist (for metabolic concerns), or a hematologist (if there are concerns about blood cell counts).

- Further Testing: Your doctor may recommend additional tests, such as:
- A comprehensive metabolic panel to assess kidney and liver function.

- A lipid panel to further evaluate your cholesterol and triglyceride levels.

- Urinalysis to check for protein, glucose, or other abnormalities in your urine.

- Imaging studies (like an ultrasound or CT scan) if there are concerns about organ health or potential tumors.

- Lifestyle Modifications: In the meantime, consider making lifestyle changes that can help improve your overall health:
- Adopt a heart-healthy diet low in saturated fats and sugars.

- Increase physical activity as tolerated.

- Stay hydrated and monitor your blood pressure regularly.

- Avoid alcohol and tobacco, as they can exacerbate many health issues.

4. Monitoring and Follow-Up: Keep a close watch on your symptoms and maintain regular follow-ups with your healthcare provider. If you experience worsening symptoms, such as severe pain, significant changes in bowel or urinary habits, or new symptoms, seek medical attention promptly.

In conclusion, while your blood test results show some concerning values, they do not definitively indicate the presence of a tumor. However, they do suggest that further investigation is necessary to determine the underlying cause of your symptoms. Working closely with your healthcare team will be essential in addressing your health concerns and ensuring appropriate management.

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