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4848134 tn?1360119666

Splenomegaly and Abnormal Lab Results

Wasn't sure where to put this, but I figured here would make the most sense.

I am a 21 y/o white female, with a hx of Anemia, IgA Deficiency, and Raynaud's Syndrome. Past symptoms that flare from time to time, (usually together), are: intense joint stiffness and pain, photosensitivity, hair loss, migraines, fatigue, sore throats, swollen glands, generalized weakness, and more difficulty focusing and concentrating than usual.

I am currently on weight watchers, and have been maintaining a somewhat healthy diet, avoiding foods that are too greasy/fried/etc, and staying away from junk food except for on rare occasion. I only drink alcohol maybe once or twice a week, and only maybe a glass of wine at the most each time.

For the past week and a half, I have had moderate pain in my right side, starting up under my back ribs, and slowly gravitating towards the right iliac region. It settled there, and intensified to the point I could hardly move without the wind being sucked from my chest.

I had gone to the doctor one week ago about the pain, with mild concern over a few (3) bloody stools. There was obvious blood in the stool, as well as with one wipe. I figured it was enough concern for a visit. (These stools were maybe day 3-4 after the side pain began). They let me know that they wanted to follow up in a few weeks if the pain and bloody stool was still occurring, so they could do a few tests.

But once I couldn't even walk without feeling as if I was going to pass out, I decided to have my father drive me to the ER, in which they ran several tests: Pelvic Exam, Urinalysis, CBC w/diff, CMP, and a CT scan with contrast. Below my question are the results. No appendicitis, no gall bladder issues, but a few out of range values.

I was diagnosed with lower right abdominal pain, and the beginnings of a yeast infection, which the doctor says is just beginning and could not be the cause of my abdominal pain. He said to follow up with my physician for further testing.

Anything 'out of range' has been marked with **. I'm only listing the abnormal findings from the abdominopelvic CT scan.

CT Scan:

"The spleen enlarged at 16 cm in diameter."
"Impression: Splenomegaly. Small amount of free fluid in the pelvis with right ovarian structure likely representing involuting follicle."

Urine Macroscopic:

**LEUKOCYTES: SMALL**
NITRITES: NEGATIVE
URINE PH: 6.0
URINE HEMOGLOBIN: NEGATIVE
PROTEIN: NEGATIVE
URINE GLUCOSE: NEGATIVE
ASCORBIC ACID: NEGATIVE
URINE KETONES: NEGATIVE
URINE UROBILINOGEN: <2.0
BILIRUBIN: NEGATIVE
**COLOR: COLORLESS**
APPEARANCE: CLEAR
**SPECIFIC GRAVITY: 1.005**

Urine Microscopic:

URINE WBC's: 0-5
BACTERIA: RARE
MUCOUS: RARE
SQUAMOUS EP. CELL: 0-5

CBC w/DIFF:

WHITE BLOOD CELL COUNT: 8.0
RED BLOOD CELL COUNT: 4.81
**HEMOGLOBIN: 11.3**
**HEMATOCRIT: 36.2**
**MCV: 75**
**MCH: 23.5**
**MCHC: 31.2**
PLATELET COUNT: 188
**RDW: 16.5**
% GRANULOCYTES: 59.2
% LYMPHOCYTES: 32.5
% MONOCYTES: 7.7
% EOSINOPHILS: 0.3
% BASOPHILS: 0.3
TOTAL GRANULOCYTES: 4.7
TOTAL LYMPHOCYTES: 2.6
TOTAL MONOCYTES: 0.6
TOTAL EOSINOPHILS: 0.0
TOTAL BASOPHILS 0.0

CMP:

SODIUM: 137
POTASSIUM: 3.8
CHLORIDE: 105
CO2: 25
**BUN: 4**
GLUCOSE: 85
CREATININE BLOOD: 0.7
CALCIUM: 8.8
AST (SGOT): 20
ALT (SGPT): 16
TOTAL BILIRUBIN: 0.6
ALKALINE PHOSPHATASE:93
TOTAL PROTEIN: 6.7
**ALBUMIN: 3.6**
ANION GAP: 7
BUN/CREAT RATIO: 5.7
GLOBULIN: 3.1
ALB/GLOB RATIO: 1.2

If you have any idea what may be going on from this information, or if there is anything I need to be tested for additionally, please let me know and I will discuss it with my doctor.
2 Responses
Avatar universal
     I don't see an ANA test on there.  It is possible that you have Lupus or Lyme disease.  
Both have similar symptoms - but I think you should be checked by a Rheumatologist for Lupus.  Lupus flares up and goes away, causes abdominal pain, rib pain, weak ankles and weak wrists (very painful).  Lupus can also attack the organs causing sores on the inside which can bleed.   It can also cause a connective tissue disease - please look it up.

      Wishing you the best
4848134 tn?1360119666
I was given an ANA test about a month ago, just a neg/pos, basic, and it came back negative. I've been told that might be a false negative, or that I might be borderline, but they wouldn't know unless they have the numbers from the lab, (I'm not currently insured for visits and lab work, so I had to pay for the ANA out of pocket.)

I'm in the process of getting insured, since right now only hospital visits and emergencies are covered. I AM seeing a doctor at a volunteer clinic, and he may be able to order one for me. I am going in on Tuesday, because I am only feeling worse, my nausea is unbearable, and I've had low grade temps for the past three weeks.
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