Hi all, I haven't been diagnosed with PA so I hope you don't mind me posting. I've just moved to a different GP practice after several years of struggling to get help at my last practice. Going to see my new doctor next week and was hoping I could have some advice on my blood results as I'm at my wits end and just want an answer to the years of symptoms I've had. I've provided the blood results that appear to be linked to one another and lie close to being 'abnormal'.
I'm an 18 year old female if that helps. Looking at my local NHS website all the reference ranges I'll quote here and are on my results are adult ranges- I cannot find child/adolescent ranges- not sure if this makes a difference?
Blood results Dec 2012 (aged 14)
Serum folate 10.6 (>4)
B12 180 (180-1000)
Serum ferritin 22 (10-300)
Haematocrit 0.401 (0.37-0.47)
MCH 32 (27-32)
Haemoglobin 134 (given adult range of 115-165, but NHS child reference range 12-18 should be 120-160)
RBC 4.2 (3.8-5.8- adult range given, children's range (12-18yo) from own research should be 4.1-5.1)
Normal ser tiss transglutaminase lev result.
Blood results August 2015 (aged 17)
Serum folate 7 (>4)
B12 192 (180-1000)
Haematocrit 0.383 (0.37-0.47)
MCH 32 (27-32)
Haemoglobin 131 (again given 115-165 adult reference range, NHS resources state the child reference range for 12-18 year olds is 120-160)
RBC 4.09 (3.8-5.8- children's range (12-18 is 4.1-5.1)
Blood results October 2016 (aged 18)
Haematocrit 0.388 (0.37-0.47)
MCH 30.9 (27-32)
Haemoglobin 129 (115-165, same as above re given adult references when perhaps child should be used as it states 12-18 years)
RBC 4.16 (3.8-5.8, same again with child/adult range differences)
These are the only blood tests I've had done by my last GP. From what I can tell, this is what I've concluded:
- My B12 readings have both been at the low end of normal, especially considering from what I've read that children should have higher B12 readings as 18yo's and under have a higher average B12 than adults.
- My ferritin level was at the low end of normal at 22 ug/L aged 14. Doctors have not retested this since.
- My folate has also been at the low end of normal, at 10.6 ug/L aged 14, and decreasing to 7 ug/L aged 17.
-Haematocrit has remained pretty consistent around the low end of normal.
- MCH has constantly been at 32, the upper number of the 'normal range'. Bar one result at 30.9.
- Haemoglobin has been in the lower half of the reference range, would be quite low if children's range had been used instead of adult's. Has been decreasing since 2012.
- RBC has also been decreasing since 2012, at the low end of normal. Would have been just below normal range in 2015 if children's reference values used.
My symptoms have been as follows:
Abdominal pain- location varies and can go periods of days or weeks without any pain. Pain can be extremely painful and debilitating- even waking me up whilst I'm asleep. Feels like I've been stabbed. Intense overwhelming cramping. Usually in the lower abdomen.
Persistent tiredness- sleep doesn't help.
Constantly feeling cold, even when others are boiling hot.
Occasional chest pain- unable to burp.
Passing blood when pooing/blood streaks in mucus when pooing.
Varying constipation and diarrhoea.
Sorry for the really long post. If anyone could help with what I should say to the doctor it would be so appreciated. Are there any tests I should be asking to have done, do my results or symptoms indicate any possible condition? Obviously I don't expect anyone to make some kind of diagnosis- just personal experience and to be pointed in the right direction would be so helpful. My last GP was at the point of telling me that I could be referred to the pain clinic, I was being overinvestigated and some people just never find a cause for their problems. I'm only 18 and I cannot imagine continuing to live like this and I really want things to get off to a good start with this new doctor!
Thanks very much,
EDIT: I don't know how to remove the tags healthunlocked automatically added to the post. They're not relevant. Sorry!