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Raised ESR and neutrophil counts during pregnancy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Am a pregnant lady running on 7th month. Doctor suggested to take a OGCT test and the results are showing abnormal values such as PCV/ESR/Leukocyte count etc. We need guidance and advice.
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
ok
User :   Hiello..
User :   We have done a test for OGCT as advised by our doctor..
User :   It was showing the below results.
User :   PCV - 32.2%
User :   ESR - 75 mm/1st hour
Doctor :  
ok
User :   Total Leukocyte count 0000
Doctor :   ok

User :   Neutophil - 76%
Doctor :  
ok
User :   Lymphocyte 19%
User :   Monocyte 1%
Doctor :  
ok
User :   Thats the result and when we compared it with the std referneces, it shows not within limits
Doctor :  
yes, the results are abnormal
User :   i have completed 7th montyh
Doctor :  
the lymphocytes are on lower side
Doctor :  
whereas the neutrophils are raised
Doctor :  
ESR is also raised
Doctor :  
what did the OGCT report say?
Doctor :  
could tell the values of that too?
User :   Glucosze challenge test is 104 mg/dl for 50 gm glucose after 1 hr interval
Doctor :  
ok
Doctor :  
when was your last menstrual period?
User :   July 13th,2009
Doctor :  
ok
Doctor :  
so you have started the eighth month
User :   yes
Doctor :  
was the VDRL and HIV testing done for you?
User :   Yes...
User :   But that was done in September
Doctor :  
ok
Doctor :  
what did they suggest? were they negative?
User :   yes..Observed value is "Non reactive" (0.01) for HBs Ag
User :   Nonrecative OD 0.041 for Anti HIV 1 & 2
Doctor :  
ok
User :   My husband had jaundice sometime back. Is the values has something to do with any infections???
Doctor :  
the values of your investigations do suggest some infection
Doctor :  
more on the chronic side
User :   We were not aware of that and came to know that only after a routine checkup done yesterday
Doctor :  
ok
User :   means?
Doctor :  
when did you suffer from jaundice?
Doctor :  
was it before you got pregnant or after?
User :   My husband had it 2 months back...But he was not with me..He came last week only
User :   Routine chsks showed he had jaundice and it got self cured, but still the values are not completely normal for his Liver Function test
Doctor :  
the raised ESR and the neutrophils suggest some chronic infection, meaning to say that there is some ongoing infection in body since a long time even though you may not be having any obvious symptoms.
Doctor :   i suggest you to do a liver function test now to see if you too have any liver dysfunction due to jaundice
User :   ok.We will do that..
Doctor :  
and continue to follow up with your gyne
User :   ok.
User :   We will do that..
Doctor :  
get a scan done in middle of 8th month to see how the baby is doing
User :   ok
Doctor :   was any scan done in 5th month or anytime before since the time you became pregnant?
User :   yes
Doctor :  
how was it? baby was fine?
User :   And the gyne said everythng is normal
User :   and the baby is healthy
Doctor :  
ok
Doctor :  
have you dicussed your reports with your gyne?
Doctor :  
are you having any symptoms now?
User :   No..Not yet, We booked an appointment tomorrow..But when we gone thru the values, was showing abnormal with respect to the references
User :   No..Am perfectly fine
Doctor :  
ok
Doctor :  
then dicuss the reports with your gyne, and ask for the above said tests
User :   Ok..sure
Doctor :  
we will see wht the liver function tests and scan show now.
Doctor :   and then decide what to be done
User :   ok
Doctor :  
have you followed what i have said?
User :   yes
Doctor :  
Is there any thing else I can help you with?
User :   No..Its fine.Thank you
Doctor :   Please fill the feedback form say done when done.
User :   ok
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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