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My A/G Ratio is 0.8 what does this mean? I have only one…

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My A/G Ratio is...

My A/G Ratio is 0.8 what does this mean?

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

I have only one kidney and they have found blood in my urine on several test

Doctor's Assistant: Is this a time sensitive issue? What type of specimen are they testing?

Blood and Urine

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have also had trouble with being anemic

Submitted: 4 months ago.Category: Medical
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Answered in 3 minutes by:
12/8/2017
Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 37,814
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

A blood in urine would require following to ascertain the cause, if not already done;

1) MR urography

2) Urine culture

3) Cystoscopy.

A lowering of A/ G ratio alone may not be considered clinically significant if all the liver function tests and medical imaging are normal. Low A/G ratio can occur due to kidney diseases, intestinal absorption issues, celiac disease, crohn's disease.

An anemia too can occur due to kidney diseases.

The most common causes of anemia are;

1) iron deficiency (with or without blood loss),

2) chronic disease/inflammation

3) chronic kidney disease

4) deficiencies of folate or vitamin B-12,

5) diseases of the bone marrow

6) hypothyroidism, hypersplenism, and hemolytic anemia

So investigations entail;

1) Complete blood count (CBC)

2) Peripheral blood film

3) Vitamin B-12

4) Folate

5) Reticulocyte count

6) LDH

7) Thyroid-stimulating hormone

8) Serum creatinine and estimated glomerular filtration rate

9) Serum ferritin

10) Serum iron

11) Total iron-binding capacity

So these investigations need to be done for the exact assessment and long term management.

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Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

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