Medical Examination Report
Today, I went to the hospital to pick up my school health examination report and found three items marked in red! 1.
The white blood cell count (WBC) is 4.9, while the normal range indicated is 5.0 to 10.0.
All other blood test results are within normal limits (for example, red blood cells, hemoglobin, etc.).
2.
The pH value in the urine test is 5.5, with the normal range indicated as 6.0 to 8.0, and the uric acid level is 9.0, with the normal range being 2.4 to 7.6.
Note: I had not consumed any food or water for over 10 hours prior to the test.
I had a normal health examination about three months ago during my military service, but these issues appeared in the school examination.
I would like to ask the doctor if further testing is necessary.
Thank you!
Cheng, 20~29 year old female. Ask Date: 2011/08/26
Dr. Wu Fangcan reply Family Medicine
1.
The standard range for WBC measurement is 5.0 to 10.0.
There is no significant health difference between 4.9 and 5.0; however, they do not fall into the normal or abnormal categories.
It is recommended to exercise more and follow up later.
2.
Urine pH can vary with diet.
A pH of 5.5 is slightly acidic.
It is advised to reduce meat consumption and increase intake of foods like kelp and plums, and to follow up later.
3.
Uric acid levels are slightly elevated.
It is important to avoid dehydration and high-purine foods (such as seafood: shrimp, crab, oysters, squid; organ meats: liver, heart, kidneys; legumes: peanuts, soy products; alcoholic beverages, especially beer which has the highest purine content; foods containing yeast such as yogurt and buttermilk; and meat broths and gravies) to prevent gout.
4.
It is recommended to schedule a follow-up visit with a family medicine or internal medicine specialist.
Thank you.
Reply Date: 2011/08/26
More Info
When interpreting health check reports, it's essential to understand the significance of abnormal results and their potential implications for your health. Based on the information you've provided, let's break down the abnormal findings in your report and discuss what they might mean.
1. White Blood Cell Count (WBC): Your WBC count is reported as 4.9, which is slightly below the normal range of 5.0 to 10.0. White blood cells are crucial components of the immune system, helping the body fight infections. A low WBC count, known as leukopenia, can be caused by various factors, including viral infections, bone marrow disorders, autoimmune diseases, or the effects of certain medications. However, a slight decrease like yours may not be clinically significant, especially if other blood parameters are normal and you are not experiencing any symptoms such as frequent infections or fatigue. It would be advisable to monitor this value over time, especially if you have any underlying health conditions.
2. Urine pH: Your urine pH is reported as 5.5, which is below the normal range of 6.0 to 8.0. A lower urine pH indicates more acidic urine, which can occur due to various factors, including diet (high protein intake), dehydration, or metabolic conditions. While a single low pH reading may not indicate a serious problem, consistently acidic urine can lead to the formation of kidney stones or indicate underlying metabolic issues. Given that you mentioned not drinking water for over 10 hours before the test, this could have influenced your urine pH. It might be beneficial to repeat the urine test after proper hydration to see if the pH normalizes.
3. Uric Acid Level: Your uric acid level is reported as 9.0, which exceeds the normal range of 2.4 to 7.6. Elevated uric acid levels can lead to conditions such as gout, a type of arthritis characterized by sudden and severe pain, redness, and swelling in the joints. High uric acid levels can also indicate kidney dysfunction or a diet high in purines (found in red meat, shellfish, and certain alcoholic beverages). Since you mentioned that you had not eaten or drunk water for an extended period before the test, this could also affect your uric acid levels. It would be prudent to follow up with a healthcare provider for further evaluation, especially if you have a family history of gout or kidney issues.
Recommendations:
- Follow-Up Testing: Given the abnormalities in your report, it would be wise to schedule a follow-up appointment with your healthcare provider. They may recommend repeating the tests after ensuring proper hydration and possibly conducting additional tests to rule out any underlying conditions.
- Hydration and Diet: Ensure you are adequately hydrated before tests, as dehydration can skew results. Additionally, consider reviewing your diet, particularly if you have high uric acid levels. Reducing intake of purine-rich foods and increasing hydration can help manage uric acid levels.
- Monitor Symptoms: Pay attention to any symptoms you may experience, such as joint pain, swelling, or signs of infection. If you notice any concerning symptoms, seek medical advice promptly.
In summary, while your report shows some abnormalities, they may not necessarily indicate a serious health issue, especially if you are asymptomatic. However, it is crucial to follow up with your healthcare provider for a comprehensive evaluation and to discuss any necessary lifestyle changes or further testing. Regular monitoring and proactive management can help maintain your health and address any potential issues early on.
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