I have recent onset anemia for which my doctor has
Patient :I have recent onset anemia for which my doctor has ordered a spate of follow up labs. My mother has a history of lymphoma with paraproteinemia, so I worry about blood cancers. My question is whether there is anything in the results so far that suggests I should consult a hematologist.
My only concern is that although my serum kappa FLC and lambda FLC were within reference ranges, the kappa-lambda ratio is very slightly high at 1.69 (upper limit of reference range is 1.65). IgG, IgA, and IgM were normal, as was total protein and albumin. No protein in my urine. Urinalysis entirely normal. Also, no other abnormal results other than the data I list or provide in the uploaded image; specifically, kidney and liver function are normal.
Other data are as follows:
Ferritin = 7
Iron = 65
TIBC = 366
Other data per uploaded lab results.
Symptoms: No symptoms except constipation. I feel well and have good exercise tolerance.
Thanks for your query.
Read and understood your concerns.
Noted your history of healthy except for recent onset anemia, no symptoms except constipation and have good exercise tolerance. Mother had lymphoma with paraproteinemia, hence worry about cancer.
Your reports that you have written:
Ferritin is below normal.
Iron is just above the lower limit of the normal range.
TIBC is within normal limits.
kappa-lambda ratio is very slightly high at 1.69 (upper limit of reference range is 1.65).
These investigations indicate for consultation with a Hematologist for proper clinical evaluation, examination and further tests to decide the proper diagnosis and plan a proper treatment
The lab report upload is not seen, please post again.
Please tell about constipation to your hematologist so that he can choose the right Iron component that does not increase constipation.
Pomegranate is the best iron source in natural food.
Equally important is to see for any cause that has caused anemia.
I hope this answers your query and helps you further decision making.
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