Blood test out of range and some symptoms

[ineverwantedtoknow]

Almost a few months ago I started having fatigue, feeling a bit strange and a bit sheaky and dizzy that would just strike me any time and then go away. On top my left abdominal area felt really full and my stomach was bloated. I had a ultrasound and my spleen is a little enlarged and had a blood test. My PCP says I'm perfectly healthy and the sligh spleen enlargement is maybe something from the childhood. And I did have mononucleosis (EBV) a few years ago so can't be related.  My blood test showed.

Glucose        (out of range) Units Reference Range
                     61       MG/DL     74-118
Protein Total        8.4      G/DL      6.1-7.9
Hemoglobin           17.8     G/DL      13.2-17.1
Hematocrit           50.6     %         38.0-50.0

Hepatitis B Surface AG: Negative
Hepatitis B Surface ABS: Positive
Hepatitis B Core ABS: Negative

My questions are does my out of range blood test show something is wrong with me? And about the hepatitis B, am I infected or immune?

[Kevin Pho, MD]

The positive hep B surface antibody suggests immunity or previous exposure to hepatitis.  This is not suggestive of active infection.

Regarding the blood tests, the hemoglobin and hematocrit are elevated.  Smoking can cause this picture.  There are also uncommon hematologic diseases like polycythemia vera that can be considered.  If suspected, a bone marrow biopsy can be discussed.  

Regarding the elevated serum protein, infection, malignancy, rheumatologic disease, and even dehydration can lead to this finding.  A protein electrophoresis can be considered to further investigate this finding.  

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

[ineverwantedtoknow]

Also I'm a non smoker, 20 year old male and generally healthy except persistent laryngolpharyngol reflux that I'm treating now. And you didn't say anything about my low glucose.

[ineverwantedtoknow]

As if now my symptoms got about 70-80% better, and about a week or two before those symptoms begain, I had a pretty bad flu and prior to that flu several weeks before I received unprotected oral sex from a girl (I know this can't be acute HIV) my mom and dad also got the flu from me although not as bad. So that relieved me and I know from insertive oral sex chances are very low anyhow for HIV.

[ineverwantedtoknow]

And let me revise my blood test again...

Glucose
(out of range): 61
Units: MG/DL
Reference Range: 74-118

Protein Total
(out of range): 8.4  
Units: G/DL
Reference Range: 6.1-7.9

Hemoglobin
(out of range) 17.8
Units: G/DL
Reference Range: 13.2-17.1

Hematocrit
(out of range) 50.6
Units: %
Reference Range: 38.0-50.0