How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 35717
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Type Your Medical Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

I am bob bigham and just got blood tests results back, it

Customer Question

hi, i am bob bigham and just got blood tests results back
JA: Is this a time sensitive issue? What type of specimen are they testing?
Customer: it was a blood test b y ultra test, an oline group. time ,,, i dont know
JA: Anything else in your medical history you think the doctor should know?
Customer: left hip replaqced 2 years ago. i havent felt good since
Submitted: 2 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 2 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 2 months ago.

Hello Bob,

Could you please post your blood tests result here.

Customer: replied 2 months ago.
Users/kimsey/Desktop/Order 23492 - Results By Category - Cumulative - Ulta Lab Tests-3.pdf
Expert:  Dr. Arun Phophalia replied 2 months ago.


I am sorry, I cannot phone you but we can continue the chat here.

I cannot access the document link.

Which tests are abnormal?

Customer: replied 2 months ago.
there are other test results on this report out of range, hemocrit, hemoglobin, RDW all high. monocytes, neutrophills high. white blood cell count high.
Expert:  Dr. Arun Phophalia replied 2 months ago.

What are your symptoms for which these tests were done?

Customer: replied 2 months ago.
i am worried. i dont feel inflqmmation going on. well, maybe in my very sore joints. i dont want live call now. symptoms are fatigue, weight gain [270 lb up from 230. cant burn fat, muscle atrophy
Customer: replied 2 months ago.
i cant talk on phone ... please no ophone call
Customer: replied 2 months ago.
i will get back to you tomorrow
Expert:  Dr. Arun Phophalia replied 2 months ago.

These investigations point to some infection going on. The other possibility is autoimmune disease.

You may get the following investigations, if not done;

Liver function tests

Thyroid function tests

Erythrocyte sedimentation rate (ESR)

Serum electrolyte level measurement

Immunoglobulin M (IgM)/immunoglobulin G (IgG) coxsackievirus B titer

IgM/IgG human herpesvirus 6 (HHV-6) titer

IgM/IgG C pneumoniae titer

Autoimmune panel

Anemia panel.

You symptoms can be due to:

Thyroid disease

Connective tissue diseases

Chronic anemia

Neoplastic disease

Chronic infections like Epstein Barr virus

Endocrine diseases (Addison disease).

Chronic fatigue syndrome

Myasthenia Gravis.

Apologies for any intrusion of those automatic offers for phone calls. These are produced by the website automatically and outside of my control.

Expert:  Dr. Arun Phophalia replied 2 months ago.

Hi Bob,

Let me if this was helpful to you and if you have any follow up questions.

Expert:  Dr. Arun Phophalia replied 2 months ago.

Was this information helpful to you? I would be glad to answer any further questions.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

The rating button is on the left upper side of this thread.

Thank you.

Wishing you all the very best in life.