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    What is a Pre-Chemotherapy Blood Checkup ?

    A Pre-Chemotherapy Blood Checkup is a critical step before starting chemotherapy treatment. It ensures your body is in a suitable state to cope with the treatment, which can influence multiple body systems.

    The checkup evaluates key aspects such as blood health, liver and kidney function, and clotting ability. A complete blood count is performed to check red blood cells (RBCs), white blood cells (WBCs), and platelets, as chemotherapy can suppress bone marrow, leading to reduced levels of these cells.

    Liver and kidney function tests, including SGOT, SGPT, bilirubin, and electrolytes, are conducted to confirm that these organs can effectively process and eliminate the chemotherapy medications.

    Other tests, such as blood sugar and clotting time (prothrombin time), provide additional health insights. By conducting these tests beforehand, your doctor can adjust the treatment plan to suit your specific health requirements, minimising complications and optimising results.

    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

    When planning a Pre-Chemotherapy Blood Checkup at home in Gurgaon, consider the following details:

    Prerequisites

    Fasting is not required before performing this test.

    Best Time to Get Tested

    A Pre-Chemotherapy Blood Checkup in Gurgaon can be scheduled for any time of the day.

    Who Should Get a Pre-Chemotherapy Blood Checkup

    This test is important for individuals preparing to start chemotherapy. It assesses blood cells, liver, and kidney function to confirm the body’s readiness for treatment and allows for a personalised approach to reduce potential risks.

    Cautions Before Taking a Pre-Chemotherapy Blood Checkup

    No specific preparations are necessary to take this test at home.

    Why Take the Pre-Chemotherapy Blood Checkup Checkup?

    A Pre-Chemotherapy Blood Checkup is an important step to ensure your body is prepared for chemotherapy. The tests focus on red blood cells (RBCs), white blood cells (WBCs), and platelets, as chemotherapy drugs can suppress bone marrow, lowering these cell counts. Low RBC levels may require transfusions, and low WBC or platelet counts could make treatment unsafe to proceed.

    The checkup also evaluates kidney and liver function, which are essential for processing chemotherapy medications. Tests like SGOT, SGPT, and bilirubin check liver health, while urea, creatinine, and electrolytes assess kidney performance. These tests confirm that your body can metabolise and eliminate the drugs effectively.

    Blood sugar and clotting time tests are part of the package, giving your doctor a full view of your health.

    Taking this checkup allows potential issues to be addressed in advance. The results create a baseline for your health, helping doctors monitor changes during treatment. If abnormalities are found, your chemotherapy plan can be delayed or adjusted to reduce risks. Regular evaluations ensure that your treatment is both safe and tailored to your specific needs.

    FAQs on Pre-Chemotherapy Blood Checkup in Gurgaon

    The price for the Pre-Chemotherapy Blood Checkup is ₹ 1999. This cost includes the convenience of home sample collection within 60 minutes of booking.

    Yes, Orange Health Labs offers home sample collection for the checkup. An eMedic will arrive within 60 minutes of booking, subject to slot availability, or at your preferred time.

    This test checks your general health, including blood cell levels and liver and kidney function, to ensure readiness for chemotherapy.

    No fasting is required for this test when performed at home.

    To book the test:

    • Search for the Test: Look up the Pre-Chemotherapy Blood Checkup and select Orange Health.

    • Test Booking: Verify test details, provide your address, and confirm your sample collection time.

    • Sample Collection: Our professional eMedic will collect the sample at your preferred time slot from your home.

    • Laboratory Processing: The sample will be processed at our NABL-accredited, ICMR-approved laboratory.

    • Receive Results: Reports are delivered via email or WhatsApp within 21 hours, and can also be accessed through our app.

    Normal levels depend on the individual tests included. For more information, refer to our website.

    The sample collection process is quick, and reports are usually ready within 21 hours.

    The recommended frequency of this checkup will depend on your doctor’s advice and your specific health requirements.

    This checkup includes five tests: CBC, Liver Function Tests, Kidney Function Tests, Blood Sugar, and Prothrombin Time, covering 50 key parameters.

    Orange Health offers the fastest Pre-Chemotherapy Blood Checkup services in Gurgaon, conducted conveniently at your home without needing a physical laboratory visit. Localities served include but are not restricted to DLF Phase 1, DLF Phase 2, DLF Phase 3, DLF Phase 4, DLF Phase 5, Sector 14, Sector 15, Sector 21, Sector 22, Sector 23, Sector 24, Sector 29, Sector 31, Sector 40, Sector 42, Sector 43, Sector 45, Sector 46, Sector 50, Sector 51, Sector 52, Sector 53, Sector 54, Sector 55, Sector 56.

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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