Need Suggestions - high platelets, ALP and Creatinine

[javedsiddiqui]

I have just had my latest blood tests and my platelets are 505, Alkaline Phosphatase 143U/L and Serum Creatinine 1.29 mg/dl, What you will suggest for me, Should I be worried?

[AussieNeil Administrator]

Hi and welcome to our community.

Firstly, do you have a CLL/SLL diagnosis? Secondly, whether or not you do, your blood test results aren't much out of the normal range but you should discuss them with your doctor, who will probably refer you to a specialist if they stay above the normal range. If you have older test results which show these concerning results in the normal range, then there's even more reason to follow up potential causes.

Bear in mind that the upper and lower ranges vary somewhat with the testing laboratory. Also, statistically five percent of the population can be quite healthy with results above or below the upper and lower normal limits. With CLL, trends are what's important.

Normal ranges are roughly as follows:

Platelets 150 - 450 (so you are higher than upper normal and it needs to be checked out)

ALP 38 - 126 (High levels can indicate blocked bile ducts or liver disease, but can also be from bone and other sources)

Creatinine 50 - 120 (A level of greater than 1.2 for women and greater than 1.4 for men may be an early sign that the kidneys are not working properly.)

You can find more about the relevance of different blood counts via the tracking spreadsheets available here, bearing in mind that they are specifically developed for CLL patients: healthunlocked.com/cllsuppo...

Note that I am not medically trained. Only your doctor/specialist can tell you whether these are a matter of concern or not, based on your medical history, what drugs you are taking and so on.

Neil

PS I've taken the liberty of deleting your duplicate posts

[MsLockYourPosts Passed Volunteer in reply to AussieNeil]

Are you only reporting numbers that are marked as out of range? The machines at your lab may be calibrated slightly differently, so, for example, your creatinine would be in range at my lab, but might not be at yours. There is also always the chance of lab error, so, as Neil suggests, it is important to discuss your results with your doctor, look at the pattern for those counts over time if you have past results, and discuss whether this is a one time issue and whether the labs should be redone or if your doctor has other suggestions. Don't waste energy worrying unless your doctor tells you that there is something concerning! Let us know what your doctor has to say.