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Ultrasound / Bloodwork Results

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I was diagnosed with Celiac's Disease last Novemeber and have since been gluten free. On my checkup in January I had an enlarged spleen found during examination. I recently had some blood work done and had an ultrasound of my abdomen to check for an enlarged spleen. Here are the results of my tests:

BLOODWORK (low in red, high in blue)

WBC - 5.6 (ref: 4.0 - 11)

RBC - 4.45 (ref: 4.5-6.5)

Hemoglobin - 133 (ref: 140 -180)

hematocrit - .39 (ref: .40 - .54)Platlets: 182 (ref; 155-400)

MCV: 88.1 (ref: 80-95)

MCH: 30.1 (ref: 27 - 32)

MCHC: 342 (ref: 320-370)

RDW: 11.8 (ref 11.5-14.8)

Absolute Lymphocytes: 1.2 (ref range 1.5 - 4.0)Absolute Neutrophil: 3.5 (ref: 2.0 - 7.5)

Absolute Baso: 0.0 (ref < .2)

Absolute Mon: 0.6 (ref range 0.2 - 0.8)

Absolute EOS: 0.3 (ref range 0.0 - 0.4)

C02 - 32 (ref range 23-29)

Total Protein: 82 (ref: 65-80)

Albumin: 49 (ref 38-50)

Amylase: 86 (ref: <116)

Alk Phos: 49 (ref: 35-125)

Alt: 24 (ref: 21 - 72)

AST: 32 (ref 17-60)

Ultrasound findings


Spleen size : 12.5cm (ref range 11-20 moderate enlargement, >20 severe)

Slightly prominent mesenteric lymph nodes in lower right quadrant.

I thought my mild anemia would resolve with a gluten free diet. Also I'm unsure as to why my CO2 and Total protein are high.

My spleen has been bothering me, so I was surprised it was only 12.5cm in size, which I guess is not that large. I thought Celiac's would reduce spleen size?

The Mesenteric lymph nodes bother me a bit, as I had an ultrasound/ct in january and they were normal size. Any advice on these results would be appreciated. Do you think this warrants a follow up with my family doctor and splecialists?

Thanks in advance.

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