My cat's blood tests are confusing. What do her abnormal results mean?

GGT can be a liver indicator, but does not mean anything when it is the only liver enzyme elevated. It means that the sample was likely hemolyzed, giving a false reading. Mildly elevated HCT and HGB mean that your pet may have had mild dehydration when the sample was taken. The elevated RETIC means that your pet was regenerating his red blood cells which can be due to an underlying immune mediated disorder, blood loss, or decreased blood cell production. However there are no other markers seen (RBCs are normal) to corroborate any of these situations, so a blood smear evaluation can be done to try and find more clues about what the high RETIC count means, or if it is also a false reading. The mildly low EOS is not a significant finding when this is low, only when this value is high, which can indicate a parasitic problem. I hope this helps! Best wishes and take care.

Thank you for sending over the copies of Gonzie's blood work! Looking at the provided results, I see that his creatinine is a tiny bit elevated. This value increases with kidney damage or dehydration. I'd certainly recommend talking to his vet about rechecking his kidney function in a month or two, as well as running a urinalysis to see how well his kidneys are working to concentration his urine. The monocyte increase is extremely mild. I don't worry when this type of white blood cell increases a tiny bit while other white blood cell lines (especially the neutrophils and lymphocytes) are normal. Stress alone can trigger this minor elevation. The RDW helps to give the proportions of the red blood cells' size and volume. Again, this minor elevation does not seem to be significant. A 50% hematocrit is slightly elevated, which means that Gonzie has some extra red blood cells. I would much rather see too many red blood cells than too few! His blood volume could also be more concentrated if he's a bit dehydrated. Platelets can be challenging to read on CBCs since they can clump together, so the machine may read a clump of several platelets as just one single cell. In these cases, it's always useful to manually examine a blood smear under the microscope to determine if adequate numbers of platelets are present. Nothing on the provided lab work makes me terribly concerned at this moment, but I do think it's worth tracking his kidney values and confirming an accurate platelet count. I hope that everything goes well for Gonzie!

It's difficult to interpret lab work without some information on what symptoms the pet is having, why the test was run, etc. Without more information, all I can really say is that this CBC shows an elevated red blood cell count, which may indicate that the pet is dehydrated or can be a variation of normal in some pets. The white blood cell counts are mildly decreased, which can indicate some type of infection or, again, may not have any particular clinical significance. Feel free to post again with more information about what your pet is doing that concerns you, if you wish.

I can understand your concern when seeing abnormal blood findings for your pet. But no worries these are considered to be insignificant findings in and of themselves. You don't need to do any treatment for your pet whatsoever. The slightly elevated HCT means that your pet was had hemoconcentration, which means mildly concentrated red blood cells. Nothing significant. And the MCHC is a measure of how much hemoglobin your pets red blood cells are carrying. A mild decrease in this is also insignificant. I hope this helps and best wishes moving forward with your pet Snowball! Take care.

Poor guy. I see elevate liver enzymes (ALT,AST) and kidney values on the paperwork you have attached here. Low hgb means that the red blood cells are not oxygenating well, but if the RBC count is also low (anemic) then that is a sign of chronic kidney failure. Cats can recover from kidney disease depending on the underlying cause. An abdominal ultrasound is needed to determine the cause of the kidney failure exactly, or a positive response to bloodwork is used as a means of determining a positive outcome. In most situations we treat the pet with fluid therapy to help idurese (flush out) the harmful toxins (BUN, CREA), get the pet started on a prescription kidney diet (ie. Hill's K/D, Royal Canin Renal) and also a supplement (Azodyl- which helps to remove toxins from the gut) can be given as well. The most concerning values for me on this bloodwork are the liver values (AST, ALT). It is not common for a cat to be in both kidney failure and to have abnormal liver values concurrently. THis raises suspicions for infectious diseases such as any number of tick diseases. I would recommend discussing with your vet about possibly doing a tick panel, if the history indicates tick exposure is probable. Also a FeLV/FIV test may also be indicated, depending on the complete CBC results, which you didn't post here. At the very least a liver protectant medication should be started, which is typically a medicine called Denamarin. Additional treatment may be needed depending on the underlying cause for the liver abnormalities. If you would like to discuss Toby's case further, then please feel free to request a consultatoin with either myself or another expert here. Toby's case is definitely a more complicated case where it is best to have a complete dialogue back and forth to get all the information you need to make the best decision moving forward with his care. I wish you all the best moving forward with Toby's care and I hope that he makes a full and speedy recovery. Take care.

Hi there. To answer your question, we would need quite a bit more information - such as the specific condition that caused the anemia originally, and copies of his lab results and dates of testing so that we can see what kind of "up and down" values you're talking about. Feel free to post again with more details - we would be happy to try and help.

Hello, and thank you for your question. It is difficult to interpret the results accurately without a medical history, however, in general: - white cell count is within normal range, indicating no sign of infection or inflammation - hemoglobin and PCV are slightly high, which usually indicates mild dehydration. This can be due to not drinking much water for a few hours prior to the blood sample, or from fluid losses through vomiting or diarrhea - MCV is an indicator of red cell size, which is only relevant if the pet is anemic (which Coco is not). I hope this helps, and that Coco is doing okay!