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Help With Lab Results (Anemia And Metabolic Panels)


Gardening

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Gardening Apprentice

I received my youngest daughter's results from some bloodwork earlier this week. I'm trying to sort through what could be relavent to Celiac/Crohn's/other Inflammatory Bowel Disease vs what is something I should just bring up with my ped. I'm taking both girls to a pediatric GI next week, and I want to keep the appointments as focused as possible.

Her CBC was completely normal.

Anemia panel showed normal Serum iron, TIBC, UIBC, B12 and folate.

BUT

Iron Saturation 14% (L) (range 15-55)

Serum Ferritin 10 (L) (range 13-150)

The on the metabolic panel, most was normal, including BUN and creatinine

BUT

BUN/Creatinine ratio 55 (H) (range 8-27)

Serum Albumin 4.4 (H) (range 3.4 - 4.2)

Alkaline Phosphatase 444 (H) (range 100-400)

I've read references to dehydration for a couple of these. It is possible she asked me for water on the way there and I told her she needed to wait until we got there, and she didn't drink any prior to the blood draw. But she was certainly peeing enough - it's not like she only had two wet diapers that day or anything.

So is she anemic? If so what type of anemia? Do the other numbers mean anything for the GI or are they unrelated?

TIA.


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You need to bring all these results to both your ped and GI doc. They will probably want to repeat the tests for starters.

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      Iron loss and potential celiac.

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      Iron loss and potential celiac.

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    • trents
      Yes, it does. And joint pain is another celiac symptom that is now well-recognized. 
    • ThomasA55
      Does my iron loss sound like celiac to you?
    • trents
      Being as how you are largely asymptomatic, I would certainly advise undertaking a gluten challenge in order to get formal testing for celiac disease. We have many forum participants who become violently ill when they undertake a gluten challenge and they therefore can't carry through with it. That doesn't seem to be the case with you. The reason I think it is important for you to get tested is that many or most people who don't have a formal diagnosis find it difficult to be consistent with the gluten-free diet. They find ways to rationalize that their symptoms are due to something other than celiac disease . . . especially when it becomes socially limiting.  The other factor here is by being inconsistent with the gluten free diet, assuming you do have celiac disease, you are likely causing slow, incremental damage to your gut, even though you are largely asymptomatic. It can take years for that damage to get to the point where it results in spinoff health problems. Concerning genetic testing, it can't be used for diagnosis, at least not definitively. Somewhere between 30 and 40% of the general population will have one or both of the two genes known to be associated with the development of active celiac disease. Yet, only about 1% of the general population will develop active celiac disease. But the genetic testing can be used as a rule out for celiac disease if you don't have either gene. But even so, that doesn't eliminate the possibility of having NCGS (Non Celiac Gluten Sensitivity).
    • ThomasA55
    • trents
      Welcome to the celiac.com community, @ThomasA55! Before I give my opinion on your question about whether or not you should undergo a gluten challenge, I would like to know how you react when you get a good dose of gluten? Are you largely asymptomatic or do you experience significant illness such as nausea and diarrhea? You mentioned intermittent joint pain before you began experimenting with a low gluten diet. Anything else?
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