Hi
Some of my blood results worry me and I want to share it

I done PTT , PT , INR and here are the results

Prothrombin time  (PT) 14.8 High.     Ref.range 11.7-14,2

INR.           1.20  high.     Ref.range   0.87 -1.12


Partial thromboplastin time (PTT)   47.1 high ref.range  24 -40

All in second unit
I also get eosinophils absolute and platelet count show mild thrombocytosis


Help please what you think

What was the platelet count and the Hb?

Based on what you have shown I wouldn't worry. Just get monitored every 3-6 months unless you start to bruise easily etc.

Platelet count   517 high
Unit  x10^9/L
Ref.range 150 - 450

Hemoglobin 13.1  Low
Unit g/dL
Ref.range 13.5 -17.5

Hematocrit 38.1  Low
Unit %
Ref.range 38.8 -50

I'm 25 btw

Thanks


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High PT, PTT and INR values mean your blood is taking longer to clot, hence your blood being thinner and not thicker. This is good as far as thromboembolic risks go but too thin and it may cause internal hemorrhage/bleeding. When people take a blood thinner such as warfarin, it is expected that their values go up and this is indeed desirable. Mine are lower but within normal range at estradiol levels ranging from 1,000-4,000 pg/ml (3,671-14,684 pmol/L).

My platelet count is in the mid to high 200's whereas yours is quite high. This may be due to several reasons of which many are mentioned in this link under "A high platelet count..." near the bottom of the page.
https://labtestsonline.org/understanding/analytes/platelet/tab/test/

As far as hemoglobin and hematocrit values, these fall/drop upon starting HRT and this is perfectly normal. Female values are lower than male values so that I suspect the range indicated on your paper is for males when it should be for females.

http://www.medicinenet.com/hemoglobin/page3.htm

"The normal ranges for hemoglobin depend on the age and, beginning in adolescence, the gender of the person. The normal ranges are:

Newborns: 17 to 22 gm/dL
One (1) week of age: 15 to 20 gm/dL
One (1) month of age: 11 to 15 gm/dL
Children: 11 to 13 gm/dL
Adult males: 14 to 18 gm/dL
Adult women: 12 to 16 gm/dL
Men after middle age: 12.4 to 14.9 gm/dL
Women after middle age: 11.7 to 13.8 gm/dL"

You are within normal female range according to the above.

http://www.medicinenet.com/hematocrit/page2.htm

"The normal ranges for hematocrit are depend on the age and, after adolescence, the sex of the individual. The normal ranges are:

Newborns: 55% to 68%
One (1) week of age: 47% to 65%
One (1) month of age: 37% to 49%
Three (3) months of age: 30% to 36%
One (1) year of age: 29% to 41%
Ten (10) years of age: 36% to 40%
Adult males: 42% to 54%
Adult women: 38% to 46%"

You are within normal female range according to the above.

I'm not a doctor, I am simply passing on information and hope it's useful. Please discuss this with your doctor.

Quote from: rose on December 11, 2016, 07:24:31 PM
Platelet count   517 high
Unit  x10^9/L
Ref.range 150 - 450

Hemoglobin 13.1  Low
Unit g/dL
Ref.range 13.5 -17.5

Hematocrit 38.1  Low
Unit %
Ref.range 38.8 -50

I'm 25 btw

Thanks


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Watch out for anemia.

Your coags are slightly elevated but they are nowhere near critical values so I wouldn't worry too much. However, if they continue to rise and you aren't on meds like coumadin, heparin, lovenox, then you should definitely call your doc asap.

We don't do anything for patients that have moderately elevated platelets in the hospital as far as I know unless there was something severely wrong with your HgB and Hct. 

Anyways, you should really communicate your concerns with your NP or Dr if you aren't already. Communication and being an advocate for yourself is so important especially when it's your health we're talking about.

You are fine.

If you where in my clinic I would be monitoring you every 3 months or so.

I would be aware of any changes in bruising, headaches or pain in the limbs and if it occurs call your medic for a consult.

And most important, don't worry too much and sleep well.

Can I do surgery with this results or it's risky ?

Thanks


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Only a surgeon can tell you.

He was worried about it and asked me if I take medication
I said I take aspirin since I'm in Saudi Arabia and saying that I take female hormones can put me to death
He said I need more lab works to see
Idk should I stop the hormones before my surgery ?
And if yes for how long I should do that In average (weeks , month etc ) ?
I need help and here is the only place I can ask for it safely [emoji174][emoji22][emoji24]

He was worried I end up having internal bleeding or I need more blood in my surgery
Because my blood is thin

That what happened today in his office


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Unfortunately, we cannot make recommendations as we aren't doctors/experts in the matter but aspirin, if you are really taking it, will definitely thin blood out and might perhaps account for results. Who knows?