Blood test results help please

[Biscuitmonster2318]

I haven’t been feeling well for a while and over the last few weeks had to have a few tests.
I was sent for a repeat blood test by my GP on Friday. On Sunday the GP called me to say from the results of Friday’s results and comparing them to the previous other two, taken in the past 3-4 weeks there is a pattern developing in some results. He said that comparing them to results over the last few years, where my results roughly stay the same, the last few tests haven’t fit what is normal for me.
He was quick to reassure me that all the levels were still in range and are ok. But I have been flagged by the haematologist doing the results. They want to carry out further testing. The GP said it was better to check and treat anything that might become an issue earlier.

I don’t understand why I need more testing if my results are all still normal.

I will attach my old results from 2021 which for the last few years have roughly been the same. Very little movement in years.
Then I have got the results from the 1st of this month and Friday’s results as well.

I’m really confused and would appreciate any one’s advice.
Sorry if it’s a garbled message.

I also have Crohn’s disease if that matters.

I couldn’t add the other set of results from Friday. I will attach below

Can you elaborate on what you are worried about? Everything looks like it is in normal range to me (note I am not medically trained, but I have been reading quite a few of my own lately).

You would need to tell us more than just the results. What is the reason for having them initially? Symptoms?

There's a difference between blood being 'normal' and 'satisfactory'

Yes that’s my issue, they are in normal range but the GP said on Sunday that you don’t always take one look at a test as a stand-alone. But, to compare to previous ones. I was told I have to have more blood tests taken to see if the levels were still changing as quickly as they have or if everything has returned to what my normal range is.

He said for example my Hb has always been in the range of 144-152 for years and never lower. But my results on the first of March had dropped slightly, but then 12 days later they had dropped again.
All still in normal range but hitting low-normal. I suggested iron tablets but was told no until they know what has caused it

So I have to have more blood tests, a 48hour bp monitor, an ecg tracing.

I’m just confused about it all and is it not better to wait to see if my results then go outside reference range?

I haven’t been well just extremely tired, breathless and sweaty, I get a racing heart and suffer terrible migraines at the moment that I’ve never had before. Im losing weight with out trying but find it hard to eat as im always full or because I feel so sick all the time. Which can lead to waves of feeling like im going to be sick. Then I will just be sick everywhere, no warning and often no time to get to the bathroom. It’s got to the point where I carry a bowl with me around the house or in the car for when it happens.

There has been times recently, when the hospital have recorded my heart rate as going from 110 to 135 and then I felt really dizzy and when it was rechecked it was 170. It stayed that way for ages. But they checked my heart and they said it was fine and just beating very fast. My bp can fluctuate but on times it’s been 150/110. But again no cause
Though I have decided this only happens when my Crohn’s is unbearable

Not sure if it’s relevant but I was checked for the nausea and vomiting when it first started in the summer. Was only occasionally though and was scanned, in case it was gallstones but didn’t have any just a gallbladder’polyp’ (whatever that is) I get them in my bowel a lot so don’t really think it’s the cause of my increased sickness. But I don’t normally get given the size when they find them in my bowel but this they said was over 1cm. So only tiny.

I had this a few years ago, including the 24 hour monitor.
If yo have concerns, your GP is the best person to speak to, as he/she is instigating the tests - make a list of questions before you next speak with them so you don't forget anything.

Personally, I haven't experienced any difficulties with access to my GP over the last year, but from other posts on here, lots of people have, so be thankful that your GP is being proactive and taking your health seriously.

I’m just confused about it all and is it not better to wait to see if my results then go outside reference range?

I haven’t looked in detail at the results as they’re difficult to read and I’m currently unwell myself, however your doctor has explained that after years of being stable, there is now a trend downwards. He isn’t looking at that in isolation, he’s looking at it in combination with new symptoms.

If your haemoglobin is dropping, it might mean that you are losing blood somewhere, rather than that you’re not getting enough iron. So having noticed this trend, and knowing you are already unwell, then waiting until the results are actually abnormal might mean your clinical signs would be worse, before starting to investigate.

So it looks to me as if you have a careful and thorough doctor, who is trying to keep you as well as possible, and get ahead of the game with testing, rather than taking a wait and see approach.

If he tests and finds nothing wrong, that is probably reassuring. If he tests and finds something serious, then intervention will be earlier than if he’d taken a more cautious approach.

Good luck, OP. Hope it turns out to be something that’s easily dealt with.

That makes more sense now the way you have explained it. I’m a let’s wait and wait and it will get better kind of person.

I really just want to start to feel normal and was hoping it could just be a simple increase of Iron that would be suggested. To help with the tiredness, finding everything just so hard work as I just have no energy and fed up of being scared to eat or worrying that I’m going to throw up some where embarrassing.

I teach and it’s getting harder. I was hoping it was just the start of a Crohn’s flare but I was told that my crp was 5, two weeks ago and still only 7 now. So not a flare.

It sounds rotten and being unwell over a long period, without knowing what’s causing it, is horribly frustrating. I’m with you on the waiting and hoping to get better. The human body can have remarkable healing powers on its own, but sometimes it does need nudging in the right direction. I hope you get some answers soon and that you can start to feel better.

Thank you and my weight on the 7th of March was 149.5lb as I had to send my weight into the dietitian, as it helps monitor any flare. I weighed myself last night, again this morning as I had to recheck, and both readings were 127.5-127.0lb!

But I’m told my CRP is below ten so I’m not in a flare and the hospital say nothing wrong with me. Though I’m in so much pain. Saturday and Sunday the pain was in waves and it got to the point and it was making me scream out, with each wave. But find the hospital only look at my crp and try fob me off.
So it took me by surprise the GP calling me on a Sunday with my blood results and then saying he was going to be investigating the results. Rather than the hospital acknowledging the have changed but saying they are still normal range so we won’t do anything until that changes

You've lost over a stone in just over a week, and along with all your other symptoms (rapid heart rate, violent vomiting). Are you really wondering why you might need more tests? Which bit are you confused about?

Yes, there is a normal range for blood tests, but (as your GP has picked up) - any unusual pattern should be looked into.

Im confused that the hospital are telling me because my bloods are in range and that ‘previous results don’t matter as everyone has natural fluctuations in blood levels and it all depends on where I am in the cycle of making blood when the tests are done, that lots of people have results which can show an upward/downward trend and the hospital are satisfied with my results and wouldn’t act on them as are still in range and only if they become out of range will it become a matter for further investigation’ (sorry but had to quote what I was told Monday, yesterday and again at lunchtime when I updated the dietitian with my new weight)

So I’m left feeling like it’s actually not a problem and there isn’t anything wrong with me by a&e as I was in so much last week that I had to go in, my IBD nurse, colo-rectal surgeon and my gastroenterologist as I had luckily already got pre-arranged appointments for 6 monthly check ups.

So I’m being told all this by one group of medical staff and have started to believe that it’s in my head and can’t be anything wrong and it’s just how I have to get on with life now to having another medical professional saying he wants it investigated and has taken this downward trend in my results compared to years of stable results, with minor fluctuations, and says that even though it’s in range it needs to be checked out.

Also I was hoping someone with haematology experience or understanding might be able to explain what some of the results mean.

Oh, I'd missed that you'd been to A&E and received conflicting information from them.

All that aside, you clearly have quite concerning symptoms so it's good that they are being investigated. I wish you all the best.

I am an ex blood scientist, those results look completely normal, only thing that would concern me slightly is the drop in Hb over a short space of time, but not enough for me to flag it to be honest.

That is exactly what I have been told by the hospital but my gp is concerned. Especially as last week I weighed 149.5 pounds and last night, and rechecked this morning, I’m now 127.0-127.5 pounds.
I even had my husband weigh himself to see if it was his correct weight in case the scales were broken.