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    What is a Pre-Chemotherapy Blood Checkup ?

    A Pre-Chemotherapy Blood Checkup is a set of essential blood tests conducted before starting chemotherapy treatment. These tests help doctors make sure your body is healthy enough to handle chemotherapy and its effects. Chemotherapy can affect various body functions, so it is crucial to assess your overall health beforehand.

    The Pre-Chemotherapy Blood Checkup includes a comprehensive set of tests designed to monitor important organs and functions, such as blood, liver, kidney, and clotting ability. Blood tests checked for the complete blood count include red blood cells (RBCs), white blood cells (WBCs), and platelets along with other blood-related parameters. These parameters are critical because chemotherapy medications can suppress bone marrow production, leading to low counts of RBCs, WBCs, and platelets.

    Additionally, liver and kidney function tests are included, as chemotherapy medications can impact these organs. Kidney function tests, along with electrolytes, and liver function tests (such as SGOT, SGPT, and bilirubin), help doctors ensure your organs are capable of processing and eliminating the medications from the body effectively.

    The checkup also includes blood sugar tests and clotting time tests (prothrombin time), offering a more detailed picture of your overall health. By getting this checkup done before treatment, you help your doctor tailor the chemotherapy plan to your individual needs, minimising risks and ensuring the best possible outcome for your health.

    Pre-Chemotherapy Blood Checkup Parameters

    Liver Function Test (LFT)

    Liver function is also called as liver profile or liver panel that measures different types of enzymes, proteins and other by products that are made by the liver. These tests analyses the levels of overall health of the liver. The liver performing its normal functions of producing protein and clearing bilirubin, a blood waste product.
    The liver panel test consists of:
    • Aspartate aminotransferase (AST): AST is an enzyme in your liver. High blood levels could be a sign of damage or disease.
    • Alanine aminotransferase (ALT): ALT is another enzyme that helps break down proteins and is found mainly in your liver. High levels in your blood could mean you have liver damage.
    • Alkaline phosphatase (ALP): ALP is an enzyme in your liver, bile ducts, and bones. You might have high values if you have liver damage or disease, and a blocked bile duct, or bone disease.
    • Bilirubin Total/Direct/ Indirect: Your body makes bilirubin when it breaks down red blood cells. Usually, your liver cleans up the bilirubin in your body. If you have high levels of a problem called jaundice, you may have liver damage.
    • Albumin: Albumin is a protein made by the liver that prevents the fluid from leaking out of the bloodstream.
    • Gamma-glutamyl transferase (GGT): High levels of the GGT enzyme could point to liver or bile duct damage.
    • Total protein: This analyses the sum of two kinds of protein in the blood known as albumin and globulin. The test may analyse the relative levels of albumin and globulin, which is reported as the A/G ratio.
    • Globulins: Globulins are a class of proteins in the blood.

    • Alkaline Phosphatase

    • SGOT / AST - Aspartate AminoTransferase

    • Alanine AminoTransferase/ ALT (SGPT)

    • Gamma-Glutamyl Transferase (GGT)

    • Total Bilirubin

    • Direct Bilirubin

    • Indirect Bilirubin

    • Total protein

    • ALBUMIN

    • Globulin

    • A:G ratio

    • SGOT/SGPT ratio

    Prothrombin Time (PT/INR)

    Blood clotting, or coagulation, is a necessary process which prevents a person from losing too much of blood if they are injured. However, sometimes clots formation can be dangerous, causing a serious problems like deep vein thrombosis (DVT) or pulmonary (lung) embolism. By evaluating the time, it takes your blood to clot via different methods, the PT tests help detect if you have a bleeding or clotting disorder. As per a pre-surgical test, the PT with INR test is performed that helps a doctor evaluate the likelihood of excessive bleeding or clotting to determine risks during or after surgery. This test is also clinically used to monitor individuals on a Warfarin (Coumadin®) anticoagulant (blood-thinner) therapy.

    Blood Sugar

    A Random blood sugar (RBS) test is one method for analysing the level of glucose or sugar circulating in the blood. This test can be done at any point in time. It is to check how well the blood glucose is been maintained.

    Kidney Function Test with Electrolytes (KFT / RFT)

    The Kidney/Renal (KFT/RFT) panel, also known as a kidney profile or kidney function test (KFT), is a group of tests that help in determining the health of the kidneys by evaluating various parameters, like proteins, electrolytes, minerals, and blood glucose.
    The most common components tested in most renal panels include:
    • Blood Urea/Blood Urea Nitrogen (BUN): The blood urea nitrogen test is derived from the blood urea. Sometimes it is also called urea. Blood urea is a waste product of protein activity. Like creatinine, it is removed from the blood by the kidneys and cleared from the body in the form of urine.
    • Creatinine: Creatinine is the by-product that is consistently formed as a result of normal muscle activity. The kidney removes creatinine from the blood so that it can be carried out of the body in the form of urine.
    • Calcium: Calcium is a mineral that is very vital for the bones, muscles, cardiovascular system, and nervous system. An excess of calcium makes the kidneys work harder to filter it.
    • Phosphorus: Phosphorus is a very essential mineral for the bones, teeth, nervous system, and muscles. Phosphorus is also needed to help balance and use other vitamins and minerals, including vitamin D, iodine, magnesium, and zinc. This phosphorus comes primarily from the foods and drinks that we consume.
    • Uric Acid: Uric Acid test is to analyse a nitrogenous compound that is produced by the metabolic breakdown of purine. Uric acid is also formed from the metabolic breakdown of the same types of food, like red meat, seafood, beans, etc.
    • Sodium: Sodium is an electrolyte that comes from the diet, and the levels of sodium (Na) in the body are mainly controlled by the kidneys.
    • Potassium: Potassium plays a key role in a number of bodily processes, including nerve transmission, heart contractility, cellular transport, and normal kidney function. Potassium is a type of electrolyte. Electrolytes are minerals that enable the acid-base balance, healthy fluid levels, and proper functioning of muscles and nerves. Potassium comes from the diet and is found throughout the body.
    • Chloride: Chloride is an electrolyte that works in conjunction with other electrolytes to carry out several functions, including preserving a healthy balance of fluids.

    • Urea

    • Blood Urea Nitrogen (BUN)

    • Uric acid

    • Phosphorus

    • Calcium

    • Creatinine

    • eGFR

    • Sodium

    • Potassium

    • Chloride

    • BUN Creatinine ratio

    Complete Blood Count (CBC) with ESR

    A Complete Blood Count (CBC) is a blood test used to examine your overall health and detect a wide range of disorders, including anemia, infection, and leukemia. Complete blood count test (CBC) measures several components of your blood including:
    • Red blood cells which helps to carry oxygen
    • White blood cells which helps to fight infection
    • Haemoglobin which carries oxygen in the red blood cells
    • Hematocrit (PCV) measures the proportion of red blood cells to the fluid component, or plasma, in your blood
    • Platelets which help with blood clotting
    An abnormal cell count may indicate that you have a medical condition that calls for further evaluation.

    • Red Blood Cell Count (RBC Count)

    • HEMATOCRIT

    • Haemoglobin (Hb)

    • Total WBC Count (TC)

    • MCV

    • MCH

    • MCHC

    • RDW

    • Absolute Neutrophil Count (ANC)

    • Absolute Lymphocyte Count (ALC)

    • Absolute Eosinophil Count (AEC)

    • Absolute monocyte count

    • absolute basophil count

    • platelets

    • neutrophil

    • Monocyte

    • Eosinophils

    • Basophils

    • mentzer index

    • Sehgal Index

    • platelet hematocrit

    • Erythrocyte Sedimentation Rate (ESR)

    • MPV

    • Neutrophil lymphocyte ratio

    • lymphocyte count

    Pre-Chemotherapy Blood Checkup Preparation

    The following points should be considered before doing a Pre-Chemotherapy Blood Checkup at home in Bangalore:

    Prerequisites

    No fasting is required for the Pre-Chemotherapy Blood Checkup.

    Best Time to Get Tested

    The Pre-Chemotherapy Blood Checkup in Bangalore can be conducted at any time of the day.

    Who Should Get a Pre-Chemotherapy Blood Checkup

    This test is essential for anyone starting chemotherapy, to evaluate their blood cells, liver, and kidney function to confirm readiness for chemotherapy and allow for personalised treatment planning for risk reduction.

    Cautions Before Taking a Pre-Chemotherapy Blood Checkup

    No specific preparation is required for a Pre-Chemotherapy Blood Checkup at home.

    Why Take the Pre-Chemotherapy Blood Checkup Checkup?

    A Pre-Chemotherapy Blood Checkup is crucial for ensuring that your body is prepared for the challenges of chemotherapy. Before treatment begins, blood tests are performed to check your red blood cells (RBCs), white blood cells (WBCs), and platelets. Chemotherapy medications can suppress bone marrow, leading to a decrease in blood cell levels. If your RBC count is insufficient, a transfusion may be needed. If WBC or platelet counts are low, proceeding with treatment might be risky.

    In addition to blood cells, the tests evaluate kidney and liver function, as these organs process chemotherapy medications. Since chemotherapy can affect both organs, it is essential to ensure they are working properly before proceeding with treatment. Liver function is monitored through tests like SGOT, SGPT, and bilirubin, while kidney health is checked through tests for urea, creatinine, and electrolytes. These tests help ensure that the chemotherapy medications can be effectively processed and eliminated by your body.

    The pre-chemo checkup also includes blood sugar and clotting time tests, giving your doctor a full picture of your health.

    By taking this checkup before starting treatment, you ensure that any potential issues are addressed early. Blood tests provide a baseline for your health, allowing doctors to monitor changes throughout your treatment course. If your test results show abnormalities, your treatment may be delayed or adjusted to reduce risks. Regular monitoring helps personalise treatment, ensuring that chemotherapy is safe and effective for your unique health condition.

    FAQs on Pre-Chemotherapy Blood Checkup in Bangalore

    The Pre-Chemotherapy Blood Checkup price is ₹ 1999. This price covers the quickest home sample collection within 60 minutes of booking the test.

    Yes, Orange Health Labs provides the convenience of home sample collection for the Pre-Chemotherapy Blood Checkup, ensuring a hassle-free experience. An eMedic will arrive at your doorstep within 60 minutes of booking (based on slot availability) or at your chosen time.

    A Pre-Chemotherapy Blood Checkup evaluates your general health, including liver and kidney function, blood cell counts, and checks whether you can be given chemotherapy.

    No, fasting is not necessary for the Pre-Chemotherapy Blood Checkup at home.

    Follow these steps to book any blood test or health checkup on our platform:

    • Search for the Test : Look for the Pre-Chemotherapy Blood Checkup in Bangalore and select Orange Health's listing.

    • Test Booking : Review the test details, confirm the prerequisites, input your address, and finalise your booking by choosing a convenient sample collection time slot.

    • Sample Collection : Our experienced eMedic will arrive at your chosen time slot to collect the sample from your home.

    • Laboratory Processing : The collected sample will be transported to our NABL-accredited and ICMR-approved laboratory for analysis.

    • Receive Results : Your reports will be delivered via email or WhatsApp within 3 hours and will also be accessible through our app.

    The normal levels for a Pre-Chemotherapy Blood Checkup can vary depending on the specific tests included. Please refer to our website for detailed information.

    The Pre-Chemotherapy Blood Checkup at home is quick and simple, with the sample collection taking only a few minutes. Results are usually ready within 3 hours of the sample being collected.

    Your doctor will advise on the recommended frequency of the Pre-Chemotherapy Blood Checkup, tailored to your symptoms and health history.

    The Pre-Chemotherapy Blood Checkup includes 5 tests: CBC, Liver Function Tests, Kidney Function Tests, Blood Sugar, and Prothrombin Time, covering 50 health parameters.

    Orange Health offers the fastest Pre-Chemotherapy Blood Checkup services in Bangalore, conducted conveniently at your home without needing a physical laboratory visit. Localities served include but are not restricted to Adugodi, Banashankari, Bannerghatta, Basavanagudi, Bellandur, Bidrahalli, BTM Layout, Chamrajpet, Cottonpet, CV Raman Nagar, Domlur, Electronic City, Frazer Town, Giri Nagar, Hebbal, Hennur, Hosur, HSR Layout, Jakkur, Jalahalli, Jaya Nagar, Kadugodi, Kammanahalli, Kengeri, Koramangala, Madiwala, Magadi Road, Mahalakshmi Layout, Malleshwaram, Marathahalli, Mathikere, Mysore Road, Nagarbhavi, Nandhini Layout, Old Airport Road, Peenya, Rajaji Nagar, Rajarajeshwari Nagar, RT Nagar, Sadashivnagar, Sahakara Nagar, Sanjay Nagar, Sarjapur, Seshadripuram, Shanthi Nagar, Shivaji Nagar, Sri Nagar, Tyagarajnagar, Uttarahalli, Vasanth Nagar, Vidyaranyapura, Vijaya Nagar, Whitefield, Yelahanka, and Yeshwantpur.

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    References

    1. Chambers P, Wei L, Forster MD, Kipps E, Wong ICK, Jani Y. Evidence to guide the optimal timing for pre‐chemotherapy blood tests for early breast, colorectal cancer and diffuse large B‐cell lymphoma. Cancer Medicine. 2021 Sep 28  Available from:  https://pmc.ncbi.nlm.nih.gov/articles/PMC8607255/
    2. Cancer Research UK. Chemotherapy tests | Cancer in general | Cancer Research UK [Internet].  Available from:  https://www.cancerresearchuk.org/about-cancer/treatment/chemotherapy/planning/chemotherapy-tests
    3. Warr J, Hird AE, DeAngelis C, Giotis A, Ko YJ. Baseline blood work before initiation of chemotherapy: what is safe in the real world? J Oncol Pract. 2013 Sep.  Available from:  https://ascopubs.org/doi/abs/10.1200/JOP.2012.000719