Blood work results- need the gurus to look at numbers please!

TEST NAME	IN RANGE	OUT OF RANGE	UNITS	REFERENCE RANGE
Basic Metabolic Panel
Glucose	78		mg/dL	70-115
BUN		4	mg/dL	7-22
Creatinine	0.8		mg/dL	0.6-1.4
Bun/Creatinine		5	ratio	6.0-25.0
Sodium		147	mEq/L	135-145
Potassium	4.5		mEq/L	3.4-5.5
Chloride	101		mEq/L	98-107
CO2	25		mEq/L	22-32
Anion Gap		21	ratio	6.0-15.0
OSMO	299.2		mOsm/kg	280.0-301.0
Calcium	9.7		mg/dL	8.2-10.5
Phosphorus	3.5		mg/dL	2.5-4.5
Uric Acid		13.5	mg/dL	2.2-8.0
MAG-2	1.6		mg/dL	1.6-2.9
IRON 2	71		ug/dL	50.0-212.0
Pancreate Panel
Amylase		20	U/L	24-125
Lipase	9		U/L	7-59
CBC-D3
WBC	5.4		K/uL	4.8-10.8
LYM#	1.9		K/uL	1.0-5.0
MID#	0.3		K/uL	0.1-1.0
GRA#	3.3		K/uL	2.0-8.0
LYM%	34.5		%	25.0-50.
MID%	5.5		%	2.0-10.
GRA%	60		%	50.-80.0
RBC	4.41		M/uL	4.00-6.20
HGB	14.1		g/dL	11.0-17.0
HCT	41.4		%	35.0-55.
MCV	93.9		fL	80.0-100.0
MCH	32		pg	26.0-34.0
MCHC	34.1		g/dL	31.0-35.5
RDW	12.5		%	10.0-16.0
PLT	216		K/uL	150.0-400.0
MPV	9.3		fL	7.0-11.0

Most of this looks OK to me.

How much iron do you take?  Your iron is OK at the moment, but it's toward the lower end of the normal range and it can drop pretty fast.  I didn't see a ferritin level, which would tell you more about your iron.

I didn't see protein or albumin, which are usually included in the CMP.  Or is a basic metabolic panel different than a CMP?  I'm not sure.

Are these all the labs they did?  If so, they missed a ton of stuff and I would call the office and ask them to order the rest.

Kelly

You need to drink more.  Increase your fluids.  Not flood-like proportions.. just some.

These labs are a bit thin (aka they didn't do that many).  Ask for more next time.

But what you have look fine.

Yep more fluids......uric acid elevated. You need to flush that out. May predispose you to build up which could possibly result in gout or kidney stones over time.

Your low BUN is a bit concerning - how much protein are you getting in?  low BUN can mean several things but one is a low protein diet and since you dont' have a total protein or albumin level on your labs (these are usually pretty standard in metabolic panel) - it is hard to tell how your protein levels are.  By 3 months out, you should be getting around 80 grams per day.

Definitely increase your fluids - your uric acid is very high.  Have you ever been told that you have gout?  Do you have any pain in your big toe?  This can also cause a high uric acid level.  You need to watch this.

Your magnesium is low too - you might want to add some magnesium citrate tablets to your calcium dosing - 250mg for every dose of calcium = not only increases your magnesium levels but also helps you absorb your calcium better.

You are missing all the vitamins and minerals which are very important and should be done everytime you get your labs done -

vitamin B12, vitamin B1, vitamin A, vitamin D25hydroxy, PTH, folate,  ferritin, TIBC, iron Sat %, selenium, zinc,

Thanks for looking at it and commenting. My protein is low because I haven't had food (other than occasional baby carrot) or protein drink for a bit over a month. Lots of problems going on that I've already posted about about and don't want to bore anyone by repeating.

Those were the only labs the surgeon ordered to attempt to find out what is wrong with me.

Uric acid being high... could that be from dehydration? I don't have gout and no pains in my toes. Although having a hard time getting water in right now due to always being queasy.

http://en.wikipedia.org/wiki/Hyperuricemia (high blood uric acid)