Test results

[Honey1978]

Have anyone no of a platelet clumps it was in my test results what that means

[Akashrajput]

Mine are 301000

[Honey1978]

Huh

[Honey1978]

So that have smth to do with anemia right

[Hidden]

Never heard of platelet clumps. I have a platelet count which counts the number of platelets. Is this what you mean? The platelets clot the blood but it is the red blood cells which show anemia either by being less numerous or being too big and things like that. the platelets are something else I think. Low platelet count would mean your blood doesn't clot well high means it might clot too well. And if other things are raised like pcv platelet count volume that can just indicate dehydration. It all has to be read in context with the other things.

[Honey1978 in reply to Hidden]

Oh ok thanks because that was the first time seeing this thanks

[Honey1978 in reply to Hidden]

Someone said I need to take blood thinners

[Hidden in reply to Honey1978]

Yeah for a start I would say you haven't given a clear question for anyone to give you a clear answer. No blood test I've Howard of uses the word clumps. Were you at a live blood test quack or an actual doctor with a degree in medicine. What exactly do the results say ( in whatever language is your language rather than google translate which makes a lot of crazy mistakes) and what were the numbers for it? Then at least we can establish a clear question and in doing so may be able to give some advice. But not knowing what exactly you're talking about nobody could say you need blood thinners from the info here. If your doctor said it then you need to speak to your doctor and ask them what clumps means. I've never heard of clumps.

[Honey1978 in reply to Hidden]

Ok I took blood test on Friday and it says RBC MORPHOLOGY-WAM -platelet clumps- present

[Honey1978 in reply to Hidden]

My platelets count is 265

[Honey1978 in reply to Hidden]

Mean platelet count is 10.5

[Hidden in reply to Honey1978]

OK my platelets are 216 I had high pcv which is volume and was .453 I don't have a mean count on mine. My doctor didn't say anything about the high PVC which can cause aruthimas that I was having ..my friend when she got her blood done the numbers were crazy and it turned out they hadn't put the right time on her sample so it messed them up. When she had it again it was fine. If your doctor said you need blood thinners based off one test I would want another to be sure someonendidnt mess up ...and if they didn't either to talk to you about the clumps then you should ring and ask them...mine didn't either to tell me about two things high on my results that could have caused my problem and just said its all fine when it wasn't. So you need to go back and discuss the issue. Clumps present may just be a note the lab makes and not something that's a concern. My results had zero lab notes not even the units were written on it or the ranges. So its unfortunately not a perfect system. I also have another set of results for the same things with different numbers ..platelets 223 on that one on the same sheet from the same blood and pcv on that one is different too. They differ by 5 or more whole numbers in places. So that was from one lab one blood collection on one day and every number is different. For the same tests. One is called ESR the other is called fbc diff. They're generally the same. But I wouldn't get worried unless you consistently have the same result from further tests and from the sound of it the count is within range ...what causes platelets to clump i have no idea but it wasn't your red blood cells clumping which is clotting which is what blood thinners prevent. Ill look into it so I don't have to hoover. Lol.

[Honey1978 in reply to Hidden]

Ok thanks

[Honey1978 in reply to Hidden]

Hey I took a hepatitis Panal and hepatitis A cam back positive so u no anything about that

[Honey1978]

USA

[Hidden]

Bam single search top result. Its a note the lap makes that means the sample has issues that makes platelet counting difficult and the result unreliable. or can be caused by anticoagulation medications so the last thing you need is blood thinners. google.com/url?sa=t&source=...

[Honey1978 in reply to Hidden]

Ok

[Honey1978 in reply to Hidden]

Thank you I seen that to

[Honey1978 in reply to Hidden]

I don’t take that medication

[fbirder in reply to Hidden]

OK Honey1978 , I've read through the link provided by Hidden and it says there is nothing at all wrong with you.

When they take a blood sample they normally don't want it to clot. So they put something in the collection vial to prevent clotting. The most common thing is something called EDTA.

It seems that about 1 in 1000 people have blood that responds to EDTA by making the platelets stick together in clumps. That can make it look as if you are low in platelets (thrombocytopenia). So if anybody ever suggests you might have that problem - you don't.

You don't have to worry about your blood clotting more, or less, easily than anybody else's.

[Honey1978 in reply to fbirder]

Ok

[Hidden]

If the next test shows the same result you should look into getting a clotting factor workup. But it seems to also be a thing that happens if a sample gets old. That's what happened my friend so I don't think you can know unless they do a fresh one. If you're on blood thinners already then that can cause it too. A virus can also cause it as can collecting blood from a capillary not a vein... If you have any bruising for no good reason bleeding gums things like that as they can be a sign of a problem. Could be a vitmin k deficiency or a clotting disorder at the worst. So no need to be overly worried. More than likely the lab just wanted to mention it to say that their count wasn't going to be accurate because if the clumping.

[Honey1978 in reply to Hidden]

Where it got your value it says present

[Hidden in reply to Honey1978]

Don't have that ...I'd say you just got the print out for the doctor with all the Lab notes instead of one for a patient. Ive seen it on here before. The doctor needs to talk to you to explain what this means in the context of your issues as a whole . on its own its insignificant in context of your situation it may be significant but only your doctor can explain it because he has the full blood work. Sorry...most of the individual measurements on their own can't tell you a lot without the context of the whole story. I wouldn't worry about it too much just give your doctor a call on Monday and ask him what it means for you. Hope its nothing and that you are well. 👍😄

[Honey1978 in reply to Hidden]

Thanks

[FlipperTD]

Scientist, not medic. Having spent over 40 years doing platelet counts by a number of methods, it's one of my areas of expertise. I apologise for the length of this response.

As ever, fbirder has hit the nail on the head!

Platelets are very sticky little beasts. That's why they're there. It's difficult enough to count them. Blood samples for platelet counts need to be anticoagulated with EDTA, and at the rate of about 1mg EDTA per millilitre of blood. If the sample isn't collected quickly, mixed carefully, throughly and immediately upon collection, then clumping is likely. Mixing, NOT shaking! When I have my blood taken, I pick up the sample with the other hand and invert it a few times. I get 'funny looks' from the phlebotomist, but so what? I explain to them why I'm doing it, but whether the message gets in is hard to tell. If your sample isn't mixed immediately with the EDTA, then clumping is likely. 'Clumped platelets' are generally a sign of poor quality sample collection.

There are some uncommon cases of EDTA-induced clumping, which poses a few problems, but there are other anticoagulants to use in these circumstances, to prove it's an EDTA effect. Citrate or Oxalate anticoagulant can be used to prove this but it requires someone to take notice in advance. If you don't get a 'clumped platelets' flag on another occasion then it's a sample collection issue.

Clumped platelets on a report have no clinical significance, and the platelet count, when flagged as 'clumped' will be incorrect.

If samples are shaken vigorously, then the next problem flagged will be 'raised potassium'. That's another story.

[Honey1978 in reply to FlipperTD]

Ok thanks

[Honey1978 in reply to FlipperTD]

I did not see her go back and forth like they usually do it was a new person

[FlipperTD in reply to Honey1978]

You might have answered the question! Sometimes it's difficult to avoid clumps, but generally, it's 'our' fault, not the patient's.