Blood and Urine Tests Part 1

Announcement:

I’ve decided to start an FREE ezine (this is an e-mail  newsletter), which will contain all the Fibro Tips and Fibro facts I had posted daily during the week. Also the blogs.

This is because I realize many of you are not on the Facebook page every day and might miss the day’s tips and facts or miss the blog which is published every Monday, Wednesday and Friday.

All you have to do is send me your e-mail address to fibro@drgenemartin.com and write ezine in the description (also your full name) and I’ll send them out every Friday afternoon. Remember this is free!

I can’t accept your request by Facebook message as it gets too complicated, just e-mail me, again fibro@drgenemartin.com and write ezine in the description.

__________________________________________________________

Blood and Urine Tests Part 1

I’ve said again and again that for a person with Fibromyalgia, it is important and vital to have your blood and urine checked at least every three months, due to the strong medications are possibly are taking. Today, I thought I list these tests and let you know what each one is for.

The Basic Metabolic Panel (BMP)

Also called a basic chem panel is a frequently ordered panel of tests that gives your doctor important information about the current status of your kidneys, blood sugar, and electrolyte and acid/alkaline balance. Abnormal results, and especially combinations of abnormal results, can indicate a problem that needs to be addressed. The BMP is a group of 8 specific tests that have been approved, named, and assigned a CPT code (a Current Procedural Terminology number) as a panel by Medicare. Since the majority of insurance companies also use these names and CPT codes in their claim processing, this grouping of tests has become standardized throughout the United States.

The BMP includes:

  • Glucose
  • Calcium

Both increased and decreased levels can be significant.

Electrolytes

  • Sodium
  • Potassium
  • Carbon Dioxide
  • Chloride

The concentrations of sodium and potassium are tightly regulated by the body as is the balance between the four molecules. Electrolyte (and acid-base) imbalances can be present with a wide variety of acute and chronic illnesses. Chloride and CO2 tests are rarely ordered by themselves.

Kidney Tests

  • BUN (blood urea nitrogen)
  • Creatinine

BUN and creatinine are waste products filtered out of the blood by the kidneys. Increased concentrations in the blood may indicate a temporary or chronic decrease in kidney function. When not ordered as part of the BMP, they are still usually ordered together.

Comprehensive Metabolic Panel

The Comprehensive Metabolic Panel (CMP) is a frequently ordered panel of tests that gives your doctor important information about the current status of your kidneys, liver, and electrolyte and acid/base balance as well as of your blood sugar and blood proteins. Abnormal results, and especially combinations of abnormal results, can indicate a problem that needs to be addressed. The CMP is typically a group of 14 specific tests that have been approved, named, and assigned a CPT code (a Current Procedural Terminology number) as a panel by Medicare, although labs may adjust the number of tests up or down. Since the majority of insurance companies also use these names and CPT codes in their claim processing, this grouping of tests has become standardized throughout the United States.

The CMP includes:

  • Glucose
  • Calcium

Both increased and decreased levels can be significant.

Proteins

  • Albumin
  • Total Protein

Albumin, a small protein produced in the liver, is the major protein in serum. Total protein measures albumin as well as all other proteins in serum. Both increases and decreases in these test results can be significant.

Electrolytes

  • Sodium
  • Potassium
  • Carbon dioxide
  • Chloride

The concentrations of sodium and potassium are tightly regulated by the body as is the balance between the four molecules. Electrolyte (and acid-base) imbalances can be present with a wide variety of acute and chronic illnesses. Chloride and CO2 tests are rarely ordered by themselves.

Kidney Tests

  • BUN Blood Urea Nitrogen
  • Creatinine

BUN and Creatinine are waste products filtered out of the blood by the kidneys. Increased concentrations in the blood may indicate a temporary or chronic decrease in kidney function. When not ordered as part of the CMP, they are still usually ordered together.

Liver Tests

  • ALP Alkaline Phosphotase
  • ALT (alanine amino transferase) also called SGPT
  • AST (aspartate amino transferase) also called SGOT
  • Bilirubin

ALP, ALT, and AST are enzymes found in the liver and other tissues. Bilirubin is a waste product produced by the liver as it breaks down and recycles aged red blood cells. All can be found in elevated concentrations in the blood with liver disease or dysfunction.

Lipid Panel

The lipid profile is a group of tests that are often ordered together to determine risk of coronary heart disease. They are tests that have been shown to be good indicators of whether someone is likely to have a heart attack or stroke caused by blockage of blood vessels or hardening of the arteries (artherosclerosis). The lipid profile typically includes:

  • Total Cholesterol
  • High Density Lipoprotein Cholestero(HDL-C) — often called good cholesterol
  • Low Density Lipoprotein Cholestero(LDL-C) —often called bad cholesterol
  • Triglycerides

An extended profile may also include:

  • Very low density Lipoprotein Cholesterol (VLDL-C)
  • Non-HDL-C

Sometimes the report will include additional calculated values such as the Cholesterol/HDL ratio or a risk score based on lipid profile results, age, sex, and other risk factors. Talk to your doctor about what these other reported values may mean for you.

Thyroid Panel

A thyroid panel is used to screen for or help diagnose hypo- and hyperthyroidism due to various thyroid problems

The preferred test to screen for thyroid disorders is a TSH tests. If your TSH level is abnormal, it will usually be followed up with a test for total T4 or free T4. Sometimes a total T3 or free T3 will also be performed. Often, the laboratory will do this follow-up testing automatically and this is known as reflex testing. This saves your doctor time from having to wait for the results of the initial test and then requesting the additional testing to confirm or clarify a diagnosis. Follow-up tests are often performed on the original sample that was submitted when the initial test was requested. A thyroid panel may be requested by your doctor to have all three tests performed at the same time to get a more complete picture.

Fibromyalgia Relief Center of the Bay Area

520 South El Camino Real, Suite 520

San Mateo California, 94402

650-558-1010

e-mail: fibro@drgenemartin.com

web: http://www.drgenemartin.com

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