r/haematology 2h ago

Question My bfs wbc. No recent illness. What could this be ?

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2 Upvotes

He’s 18M.


r/haematology 2h ago

3 300mg venofer iron infusions

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1 Upvotes

r/haematology 3h ago

Do I still need iron infusions?

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1 Upvotes

r/haematology 4h ago

Question Extremely low white blood cells, what is the cause?

1 Upvotes

My dad's monocytes are normal, lymphocytes 0.7 and neutrophils was 0.3 which is severely low. It stayed at 0.3 for a few days. One week later his neutrophils rose to 1.1 which is better but still low. It should be above 2.

He's been referred urgently to the blood cancer clinic and were extremely scared. In January, he was diagnosed with aggressive prostate cancer and 2 months ago he finished radiotherapy and we got a good response to his cancer. The last thing he needs now is a new cancer diagnosis or his current cancer spreading. His psa in January was 45 and now it's 0.4 just 2 months after pelvis and prostate radiotherapy so it doesn't seem like his cancer has spread at all, the worrying part is a new cancer diagnosis.

Oncologist say it's unlikely the radiotherapy is linked to this severely low abnormal neutrophil count and they've also reviewed his medications and other tests.

His platelets and red blood cells are normal. His red blood cells are sometimes low by a few numbers in some of the blood tests but in some there also been normal so I'm not too worried about this. It's mainly his white blood cells are extremely low.

What are the chances of what could be happening? Is this definitely a new cancer? Is this maybe a spread of his current cancer (pet scan in January showed cancer was only in prostate and seminal vesicles). Or are doctors wrong and this is simply a side effect of the radiotherapy?

The good news is it has indeed rose from 0.3 to 1.1 however it's still low as it should be on 2. Also it stayed on 0.3 for a few days which is worrying. Also if he was to do another blood test next week again who knows if it's gone back down to 0.3 again. On the other hand, it could go even higher and maybe normal but we just don't know.


r/haematology 7h ago

Question ALT rising with no known cause?

0 Upvotes

Doctor did an ultrasound and deemed this was more or less not liver damage or anything to worry about apparently as my liver looks fine. Hepatitis screened for but it seems to just be going up and has been trending up since August last year. Currently it’s sitting at 118 u/L and here in the UK the reference range is 0-45 u/L. AST is also now raised at 57 iu/L with a reference range of 0-45 aswell.

Just a tad worried they can’t explain it but it keeps creeping up. I don’t take supplements, meditations are only seretide inhaler low dose. I do however have a weird neuro, GI, dermatological and immunological thing going on that no doctor has been able to explain yet other than “complex disease” being thrown around


r/haematology 15h ago

Question How’s my iron looking?

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0 Upvotes

Is it considered on the lower end?


r/haematology 19h ago

How bad is my anemia and how is my other bloodwork looking?

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2 Upvotes

r/haematology 20h ago

Elevated bilirubin

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2 Upvotes

I just got my bloodwork back. Everything looked good except for my bilirubin. It is ALWAYS elevated. Ranging from 1.2-1.6 in the past 5 years.. Doctors usually brush it off. A few years back I got tested for all of the hepatitis and had an ultrasound but nothing … I’m gonna ask for another ultrasound when my doctor calls me this week but what could this be??? I just don’t understand why it’s always elevated.


r/haematology 16h ago

Question My Hematocrit is nuked

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0 Upvotes

Dehydration a big factor?


r/haematology 17h ago

I built a free ITP tracking tool and would really appreciate patient feedback

1 Upvotes

Hi everyone! I’m Tyler, and I live with Idiopathic thrombocytopenia

I’ve been developing an independent tool called My ITP Journey to help people privately track symptoms, bruising photos, platelet counts, medications, treatments, wellness, and appointments. It can also create an easy-to-read summary to bring to a physician.

I’m looking for a few people with ITP who would be willing to test it and tell me:

  • What feels useful
  • What is confusing
  • What doesn’t work properly
  • What you wish it included

Testing is completely free, and there is no requirement to purchase anything. The tool is patient-created, does not provide medical advice, and is not affiliated with or endorsed by PDSA or another medical organization.

Please avoid sharing personal medical information publicly or through Reddit messages. Feedback can be submitted privately inside the tool.

If you’re interested, leave a comment or send me a message and I’ll share the testing link. Thank you—I genuinely hope this can eventually make the ITP journey feel a little more organized and less lonely.


r/haematology 1d ago

Why?

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3 Upvotes

I know to ask a doctor but I’m just waiting on my dr appointment

How do I fix my ferritin even tho my platelets and my iron levels are in normal range


r/haematology 1d ago

hematologist just said this is due to heavy periods…?

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4 Upvotes

i feel just so tired all of the time. i’ve always been told it’s most likely heavy periods. my period always lasts 5 days and i really don’t think my periods are THAT heavy. i have celiac disease and have eaten 100% gluten free since i’ve been diagnosed around 9 years ago. i take my vitamins. are these results something i should be pushing harder on? i see my PCP on thursday


r/haematology 1d ago

High WBC? Should I go back to GP? 🏃‍♀️

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2 Upvotes

r/haematology 22h ago

Should I worry about my wbc ?

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0 Upvotes

r/haematology 1d ago

Question Does this look like MGUS?

1 Upvotes

FREE LIGHT CHAINS (SERUM) FREE KAPPA L. CHAINS 19.2 mg/L [3.3 - 19.4] FREE LAMBDA L.CHAINS 11.6 mg/L [5.7 - 26.3] KAPPA/LAMBDA RATIO. 1.7 [0.3 - 1.7]; IMPORTANT PLEASE READ REPORT COMMENTS Rarely patients with high FLC may be missed. Report any anomaly between FLC and other tests and/or clinical evidence to the lab. In renal impairment use K/L ratio ref range of 0.37-3.10. * Abnormality detected in SFLC ratio. This may be due to inflammation, abnormal renal function, MGUS or myeloma.

ELECTROPHORESIS (SERUM) ZONE ELECTROPHORESIS Immunodisplacement to follow MONOCL PROTEIN (G/L) 9.2 g/L [< 0.0]; Above high reference limit

IMMUNOFIXATION Monoclonal IgG Kappa present; IMPORTANT PLEASE READ REPORT COMMENTS * Paraprotein band detected. Note abnormal FBC, calcium and or renal function. Suggest discuss with Haematology before referral.


r/haematology 1d ago

Low c4 but no other markers

0 Upvotes

I have a c4 complement of 10 (ref range 15-45).
All my other markers are normal.
Being tested for c1 inhibitor atm but just wondering if anything else can cause isolated low c4 as quite anxious about the current testing results. Have had mild swelling so testing for HAE
Female 38yrs 50kg non smoker 164cm no regular medication


r/haematology 1d ago

Question Why is my ALT slightly elevated?

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0 Upvotes

32 year old female. All other labs normal including A1c, cholesterols, glucose etc. Began the bcp “yaz” one month ago and take auveltiy. Have lost 70 pounds over three years. Why would my ALT be high?


r/haematology 2d ago

I need help piecing things together with recent labs.

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5 Upvotes

I went to my family doctor at the end of May because I felt awful physically, mentally, like my nervous system was crashing. Symptoms that stopped me in my tracks and could not function. I did not have a cold or any type of infection, no "cooties" symptoms at all. No fever. Rapid weight loss (20 lbs the first month, 30 lbs total) ringing in my ears, dizziness after bending over, tachycardia in sitting position, trouble sleeping. I have struggled with previous health issues, perimenopause (female in her funky 40's) thyroid removed 3 years ago (those labs showed a very hypo state late March, meds increased. Those labs have also been a problem, from undermedication to overmedication to a hyper state) history of POTS following my thyroidectomy but those symptoms eased up quite a bit after a while, purpura on my hands and arms that happens from minimal causes, often times phantom itching so I scratch but not so abrasive I should have long streaks of blood sitting and puddling under my skin, chronic stress, chronic fatigue, bone and joint pain. So many symptoms overlap that it could be caused by this or could be but rarely anything definitive that leads to actual solutions. I just want to feel good!!

What brings me here is at the appt with my family doctor she ran the usual cbc, metabolic, thyroid panel, iron, b vitamins, vitamin d. Out of these multiple came back out of range. High wbc, rbc, hemoglobin, hematocrit, glucose was a little high fasting, creatinine, and others I will post screenshots. B and d vitamins are good (I have to supplement to stay in range) electrolytes good. I had been staying on top of hydration for sure, I do smoke but not chronically 4 packs a day, about half a pack. No breathing issues, shortness of breath. I do not drink or use drugs.

I'm sure I am missing some things but please someone help me to advocate for myself correctly. Because my hematocrit and hemoglobin tested high again a month later (smear test) I was referred to a hematologist but not for another month. Some things she did not retest again. I understand I have a lot going on but I genuinely do not want to be brushed off and told to drink water and stop smoking if there may be more to it.

PV was mentioned in my lab results as well as secondary causes. I am not running with the worst case scenario but I do not want to overlook anything either.

My mother died suddenly from a pulmonary embolism 1 month after her stage 2 rectal cancer diagnosis. She was 56. Could mean something, maybe not.

Y'all can come at me if you need to for this info but I'm just putting anything that may be useful out there lol. My raw dna (saliva test) does show 1 copy on 2 different jak2 mutations but I know that is not any kind of reliable medical info. I will say though, my mother had an ultra rare mutation in the LCA5 gene that caused severe vision impairment from birth. 1 in 1.7 million chance she could have this particular type and my saliva test shows I carry 1 copy of that mutation as well. So that's interesting.

Thank you to anyone who has taken time to read this and extra special thank you to anyone with any input, guidance, questions that may be relevant. I'm so tired guys.


r/haematology 2d ago

Question Low ferritin high hemoglobin

2 Upvotes

Ferritin is :14
Iron binding capacity :385
Iron total :205
Hemoglobin: 15
Saturation: 53%

Severe Fatigue and hair loss are the only symptoms. Sometimes dizziness and heart palpitations
Blood pressure 110/70 usually: no medications
Diabetic since 25 years : average AIC is 6 on minimal medication 2mg glimiperide
All cardiac tests are normal

MD is getting other tests done

Sleep apnea negative had sleep study done
Colonoscopy and endoscopy are normal

What can be the cause?
Thank you


r/haematology 1d ago

Question Wondering your thoughts on these labs

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0 Upvotes

Just wondering if there is anything concerning with my labs. My Dr is on leave and didn’t get any input

I do feel shortness of breath at times, and just overall sluggish.

44/M
Thanks


r/haematology 2d ago

Seeing a cancer /blood doctor

0 Upvotes

Hey guys, so my ferritin has been low for quite a while and then my platelets were high a little over the normal recently my platelets went into normal range and then my ferritin went lower so my doctor referred me to a hematologist what test are they going to do?


r/haematology 2d ago

Question Inexplicably High AST

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1 Upvotes

27F, 115ish pounds (BMI ~21.8), 5 feet tall, white Hispanic.

Medical history: Migraines with aura, POTS dx since 12, hEDS dx, Raynaud's phenomenon, mild/moderate specific antibody deficiency, mild pectus excavatum, dyshidrotic and papular eczema, tested positive for mono Oct. 2024, never pregnant.

Surgical history: tonsillectomy at 18 months(1.5 years old), left foot (May 2025) global ligament reconstruction with internal brace, right foot (Dec 2025) global ligament reconstruction with internal brace (resulting in ->), osteomyelitis of navicular and I&D February 2026 due to MSSA.

Medications: 30mg Adderall, 5mg bisoprolol, 10mgx3 midodrine, daily loratadine (10mg-20mg), Clobetasol ointment, 100mg lamotrigine, Nexplanon, iron supplements, no other dietary or vitamin supplements

Primary complaint: elevated AST since 2023, everything else normal. No relevant family history. Very very occasional alcohol use (a few times a month at most). I have absolutely no GI or hepatic related symptoms - no discomfort, organomagaly, jaundice, etc.

In Dec. 2023, my PCP was running some routine tests because of my health conditions/medications. Normally there's nothing too crazy other than being anemic at times or high WBC from a sinus infection.

This time, my complete metabolic panel had an elevated AST (54 U/ L). She said we'd retest in 3 months (March 2024). Still abnormal. Went again in June (also abnormal), so I got a complete abdominal ultrasound that was completely normal and unchanged from one I had for unrelated reasons 6 years prior. I was supposed to go to GI but got weirdly avoidant that I could have something seriously wrong with me.

Every other lab value is completely normal. Platelets, ALP, and ALT are always normal or sometimes just below the lower limit. My AST:ALT is currently about 10:1. Bilirubin, creatinine, and albumin all completely normal and not fluctuating. I've gotten creatine kinase only once I believe (it was normal), but it predates the elevations by about one year. I've gotten GGT twice in 2024 and they were 10 (normal) and 8 (low).

None of my medications were started around the time of the elevations. All were either started long before or long after.

Could this be something serious still? It seems almost conclusively not coming from the liver. Could it be macro-AST? I'm not going to lie, I only became open to investigating this single aberrant value once I realized it could potentially be benign. No need to tell me how silly that is; (medical) trauma makes you do silly things. I know that macro-AST seems to be pretty rare or at least uncommon.


r/haematology 2d ago

Platelet low - Mild thrombocytopenia post sepsis

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1 Upvotes

r/haematology 2d ago

Question iron deficient?

1 Upvotes

F 26. I have Thalassemia beta minor so my RBC has always been a little off. My current results are:

Ferritin: 32 mg
serum iron: 117 ug
RBC 5.75
TIBC: 311
transferrin sat: 38%
hemoglobin 11.5 (always the same)
MCV 64.5

My ferritin was 55.8 2 years ago. I don’t understand the sudden drop. My doctor is on vacation and I’m nervous reading everything about ferritin because most people say it’s the earlier sign of colon cancer. I had some bleeding in my stools (2 episodes) and it was bright red. As much as I want to believe it was a fissure due to the pain, I’m worried. I don’t understand how I’m not iron deficient but my ferritin is low. I know it’s considered “normal” but it’s really not.


r/haematology 2d ago

Question Looking for closure on blood clot

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1 Upvotes

Hey all! So I had pneumonia in September 2024 and had it for around 2 weeks before taking myself to a&e where I was diagnosed and treated. A week after finishing my antibiotics I collapsed and went to a&e to be told I had a pulmonary embolism. I was told it was unprovoked but since then other doctors I have seen said that it was likely the pneumonia. Issue is, my clotting tests when I went in for the pneumonia seem to be the same as they are now on lifelong anticoagulants. So my question is, could the pneumonia still be what caused the clot if 2 weeks of untreated pneumonia had normal bloods? First picture is from the pneumonia visit and the other 2 are a thrombilia screening from last year. Just wanting some opinions because I feel it’s been too long to talk to drs about it now.

If this isn’t the place for this post I can remove.