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Can you read my DS blood test result before I Google it and freak out? Please??

(33 Posts)
Andromaca Wed 20-Feb-13 15:35:07

Hello,

I really hope there is someone who can help me. My DS is a lovely little 11m old boy and he is not putting on a lot of weight, so the paediatrician did some blood test.

Today his secretary sent me the results but the doctor is not available until tomorrow and I DON'T WANT TO GOOGLE IT because I know I will scare myself shitless...

So, here are the results (the one with the star are the one not in the normal range) :

HAEMOGLOBIN * 9.5 normal between 11.5-13.5
RED CELLS * 5.30 5 normal between 3.6-5.2
HCT * 28.9 5 normal between 34-44
MCV * 54.5 5 normal between 70-86
MCH * 17.9 normal between 23-31
MCHC 32.9 normal between 32-36
RDW * 20.4 normal between 11.0-15.0
WHITE CELLS 11.20 normal between 6.0-18.0
Neutrophils 3.49 normal between 2.0-5.6
Lymphocytes 5.84 normal between 3.6-11.0
Monocytes * 1.64 normal between 0.00-1.5
Eosinophils 0.19 normal between 0.00-0.4
Basophils 0.04 normal between 0.00-0.2
Platelets * 499 normal between 140-440
ESR * 29 normal between 1-7
IRON * 6 normal between 10.6-28.3
T.I.B.C 60 normal between 41-77
IRON SATURATION * 10 normal between 20-55

Thanks you

cestlavielife Wed 20-Feb-13 15:48:27

err they are all "normal" .
so why would you freak out ???

cestlavielife Wed 20-Feb-13 15:49:23

ah soprry might be misreading --

the nromal range is given - when tables are lsot it isnt clear..
so his iron is low.

that is easily treated..

cestlavielife Wed 20-Feb-13 15:51:30

low iron can be easily treated but you need to know why he not absorbing iron.

what are his symptoms apart from the weight ?

MrSlant Wed 20-Feb-13 15:52:10

Looks like he needs a bit of iron, nothing too spectacular. <not an expert> How come you have the printout, those things are terrifying if you don't understand them.

cestlavielife Wed 20-Feb-13 15:54:10

Increased ESR
Increased ESR has many causes, including pregnancy, menstruation, infection or anemia

so if his iron is low he is anemic and that is why esr is higher

but the next quesiton is why is he anemic? what is his diet? is it low in iron? if not, why isnt he absorbing iron?

MrSlant Wed 20-Feb-13 15:54:51

If he's not getting enough calories (slim for his age) then he probably isn't getting all of everything else (although this is from ancient experience now, my skinnny boy is still skinny as anything but nearly 11 so all the tests we had are in the distant past) I can't believe the secretary has given you the results without seeing the dr, you could make anything up in your head from that list.

VivaLeBeaver Wed 20-Feb-13 15:55:22

He may need another blood test - a ferritin/folate assay to see what his iron stores are like.

TheAccidentalExhibitionist Wed 20-Feb-13 15:56:10

Not very sympathetic cestlavielife
I can't help sorry but I can advise you to step away from Dr Google. Wait until you can speak to the Dr tomorrow. I'm sure it will all be fine.

VivaLeBeaver Wed 20-Feb-13 15:56:18

Whats his ethnic background?

callow Wed 20-Feb-13 15:58:11

It looks like an iron deficiency anaemia.

Together with the weight loss it could be he has coeliac disease.

I don't know about children but adults who have iron deficiency anaemia are all tested for coeliac disease (as well as other things).

LackaDAISYcal Wed 20-Feb-13 15:59:22

if he's not putting on weight or absorbing iron, it could be down to coeliac disease. Has he been tested for that?

DeWe Wed 20-Feb-13 15:59:52

I don't know most of them, but it looks like he's low on iron.
He, Red Cells, HCT, MCV, MCH, ESR Iron, Iron Satuation are all low, all of which are red blood cell, which is often iron related. So it may be he's not getting in enough iron, or something is stopping him absorbing it. Most likely the former.

RDW high means the red blood cells are different sizes, again can be iron deficiency

I've done that by googling the ones I didn't know, and am not a doctor or medical, so don't take this as absolute. The other two ones are to do with white blood cells and that can be just a temporary virus like a cold that causes blips. Again I don't know exactly, my ds had out of the normal range on those when he developed strange bruising at a similar age, due to a virus as far as they could tell.

Hope he's okay.

LackaDAISYcal Wed 20-Feb-13 16:00:53

cross posts callow smile

larrygrylls Wed 20-Feb-13 16:01:21

Not a doc but quite good at googling.

The overall pic seems to be slightly anaemic. The different measures which are abnormal describe what kind of anaemia. I think those tests mean the cells are smaller than normal and they are each carrying too little iron. Some of the other measures seem to indicate that it is iron deficiency anaemia rather than vit B12 deficiency.

ESR (erythrocyte sedimentation rate) is a test of generalised inflamation and indicates that he may be fighting some sort of illness, as would the raised monocyte level. However, I am unsure whether the anaemia would influence these (don't think so).

So I suspect he may have had a mild infection on the day he was tested. He does also have mild to moderate anaemia. I am sure all these are addressable, though, and certainly no need to panic.

Someone better qualified will be along soon, I am sure!

Andromaca Wed 20-Feb-13 16:04:10

Thank a lot you all, he does not have any other symptoms apart from the fact that he eats like a wolf but his weight gain is poor. He is a very active boy, he stands up by himself, can say mummy and (probably) daddy and have a lot of chatting - in his own language - with his sister. He is formula fed. What scares me is that he already had iron supplements for the last 3 months and it seems that the iron is not increasing, even if the ferretin is normal. Could he be microcytemic (my DH is from the south of Italy)?

lunar1 Wed 20-Feb-13 16:05:27

Don't google, it needs someone with medical knowledge to interpret plus more info on your ds. Dh will be home in 10 mons I'll ask him to look.

lunar1 Wed 20-Feb-13 16:06:10

Mins I meant

Andromaca Wed 20-Feb-13 16:06:19

Yes, being tested and he does not have coeliac disease (both IgG and IgA are fine) The Thyroid has been tested and is fine too

MrsMushroom Wed 20-Feb-13 16:09:23

I agree DONT google...I have a skin condition which before I saw the doc I googled and was convinced I had a terrible disease which would disfigure me...turned out to be plain old mild acne.

LittleMissNorty Wed 20-Feb-13 16:13:32

Is he fully weaned? This happened to a neice of mine that was a fussy eater and preferred milk over anything else. Once solid food was the priority and milk a supplement (rather than vice versa) the anaemia sorted itself out.

larrygrylls Wed 20-Feb-13 16:14:18

Andro,

Well the fact that his MCV is below normal means he is microcytic. The overwhelming cause of this, though, is iron deficiency anaemia. I think you are thinking of thalassaemia. I also think (way above my pay grade now) that it is a disease carried by a recessive gene, so you would both have to be carriers for your son to inherit it.

Andromaca Wed 20-Feb-13 16:30:42

Thanks again you all. To answer some of your questions:

yes, he is fully weaned and eats really well, it was a little bit fussy at the beginning but now he eats load.

The blood was taken on Monday and he had a little bit of temperature Saturday and Sunday morning, but was fine by Monday, so that can explain the withe cell result

both me and my husband are italian, we bopth have been tested for Thalassemia, I'm fine my husband is a carrier but does not have the disease

larrygrylls Wed 20-Feb-13 16:35:33

Iron supplements are not always easy to absorb. Would he eat a nice rare roast beef (cut up very small)? Red meat really is the best way to get accessible iron into the system. Does he get enough vitamin C? That helps iron absorption?

VivaLeBeaver Wed 20-Feb-13 16:38:54

If your dp has thalassemia minor then your ds has a 50% chance of been a carrier as well. Been a carrier can for some people mean that they're prone to anaemia.

lunar1 Wed 20-Feb-13 16:40:11

It's either iron deficiency anaemia due to some reason, sickle cell, spherocytosis etc micro cytic anaemia due to reason like Thalassaemia ... Or haemolysis- check reticulocyte and Lever function test to rule out lysis and proper microscopy to check morphology of RBC. Electrophoresis test and may be bone marrow later on

Andromaca Wed 20-Feb-13 16:41:13

larrygrylls, he has red meat at least 4 times a week, lentils 3 to 4 times a week, but i can for sure give him roast beef every day if it will help....

lunar1 Wed 20-Feb-13 16:57:05

Sorry, that was dh's explanation, about as clear as mud as he usually is.

The point he was trying to make is that he needs more blood tests before they would be able to make any diagnosis. Have you got an appointment to go back

dikkertjedap Wed 20-Feb-13 16:57:35

OP - Don't Google. Mumsnet is good in many situations, but not in this situation.

Have you got an appointment with the paediatrician for tomorrow? Will you be meeting up or have a phone consultation?

These are things you really have to talk through with an expert.

sallysparrow157 Wed 20-Feb-13 16:58:31

The platelets, white cells and ESR all fit in with him having had a recent illness (none are high enough that I would be at all concerned or want to repeat them)

The rest all fit in with iron deficiency anaemia. This is really really common in kids and actually the haemoglobin isn't all that low - not low enough to cause any symptoms or problems really.

The most common cause in kids is diet and one of the most frequent things I see is kids that drink a lot of cow's milk, fill their tummies with that so don't eat much else - but as he is a formula drinker and that does contain some iron that's probably not the case here. Red meats and green leafy veg contain lots of iron and iron stores do take a while to build up so I would stick with the iron supplements and a good healthy diet.

Other causes include not absorbing things properly (and seeing as he's being investigated for coeliac disease it looks like the doctors are looking into this, he is also at an age where his weight gain will naturally slow down and if he's very active his calorie use will have also increased from when he was younger) or any cause of chronic bleeding which is very unlikely to happen un-noticed in a toddler!

People who are thalassaemia carriers often have a bit of low-grade chronic anaemia which is entirely normal for a thal carrier and not harmful (his dad will probably have a slightly lower blood count than usual) so it may be worth looking at this (apart from anything else, it'll be useful to know for when he's grown up and having his own babies)

So basically, if he was my patient, I had never seen him before and had those blood results I would tell you not to worry too much, have an in-depth look at his diet to make sure he was eating plenty and not filling up on milk or juice, tell you to carry on with the iron for now and see you again in a couple of months where I would look at his weight gain, repeat the bloods and check his thal status. I would not be thinking of checking bone marrow with those results or I would spend my life doing bone marrow aspirates, I see blood results like that so frequently!

MrSlant Wed 20-Feb-13 17:04:27

I like sallysparrow, I could have saved a fortune in Dr's bills if I'd had mumsnet 10 years ago!

Skinny kids are lovely anyway and as your DH is Italian you can go and buy lots of lovely clothes for him there, I find the waist band on French/Italian clothes fits my boy much better.

My DS also turned out to be slightly anaemic at similar age. He had blood tests because of allergic reaction. Had no symptoms of iron deficiency. We were advised to try iron supplements (liquid sytron). They disagreed with him and we ended up feeding him lots and lots of beef. Due to my Dp being coeliac he was investigated pretty thoroughly for this , he also had a few funny igg results (he isn't, no antibodies and he has had the genetic test I know this is not absolute or in the NICE guidance that they reckon 95% of coeliacs have this gene and he doesn't).

We had six monthly appointments for a while and his iron gradually sorted itself out. When they checked his ferritin / iron stores they were also pretty low. The paed seemed to suggest that it is quite typical in a lot of toddlers its just that most don't get tested!I had low hb in pregnancy so he maybe wasn't born with great stores to start with (thats my personal theory never advanced by docs)

Andromaca Wed 20-Feb-13 18:51:12

Thank you all spoke to the doctor (no way i could have waited till tomorrow) and he says what sallysparrow is saying: iron deficency anemia is the most likely thing, we are going to pump him with syrton for one month and we will do the blood test again. The ferritin is right so he is not really concerned.

He is happily jumping in his jamparoo now, i love him so much... Thanks again you all, i'm so glad there is mumsnet, google would have probably sent me on the verge of a breakdown and i don't have family around so you spared me a horrible horrible night...

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