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What causes high WBC count? - Online Doctor Chats

Date : 26-Mar-2014
User rating for this question
Very Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1506 Questions
User:my name is XXXXXXX and Ive had three blood tests this week due to not feeling good for over a month with a bad cough. My white blood count keeps going up from 11 and yesterday it was 14. The doctors Ive seen don't know where its coming from, since the other numbers on the test show normal levels. My primary doctor wants me to see a Hemotologist , my appointment isn't until Tuesday. Im worried that I shouldn't wait that long to check this out, I haven't been on any antibiotics since my doctor doesn't know what to treat. Chest xrays are normal too. Im not eating right, drinking as much as I can. And Im worried that if Im not treated soon, I'll have more symptoms. I started an antidepressant on Monday since my doctor thought I was depressed too.
Doctor:Could you please give me a couple of minutes to read your query?
Doctor:thank you
Doctor:all right
Doctor:I have read your query
Doctor:Could you please upload the report here on the chat page?
Doctor:there is a feature to upload the report
Doctor:could you do it?
User:what report?
User:please answer me
Doctor:your blood tests report
Doctor:the report that says white blood count keeps going up from 11 and yesterday it was 14.
User:I have the paper here that shows the numbers you mean that report?
User:how do I do that?
Doctor:You have to scan the report and upload it on the chat window
User:I don't know how to scan sir
Doctor:do you have a soft copy of the report or in your mail?
Doctor:If not, please type the test report and the numbers here
Doctor:WBC count going up to 14 is still fine
Doctor:it does not suggest anything serious
Doctor:You can wait till you see the hematologist on tuesday
Doctor:Your symptoms would not worsen by then
Doctor:sure you can get that
Doctor:let me help you in first place
User:ok I was afraid that having some virus or bacteria in my body would cause more problems
Doctor:it is not like that
Doctor:It could be high WBC count that is transiently increased
User:Ive been wondering if I should go to the ER
Doctor:Even if there is virus or bacteria, it would not cause serious problems
Doctor:Are you running continuous fever?
Doctor:Apart from the test report that you know, are you having any symptoms at all right now?
Doctor:please relax
Doctor:if you have no symptoms, you need not worry about the WBC report
Doctor:it may not require treatment too
User:my right ear has been clicking a lot, I took a decongestive and it helped,
User:I had been shaking, not eating, lack of energy
User:I get hot and cold
Doctor:these are mild symptoms and need not be related to high WBC count
User:my doctor looked into my ears a month ago and saw yellow, she didn't put me on any antibiotics then
Doctor:I do not see any sign or symptom of infection in you right now
Doctor:So, you can safely wait for your appointment on tuesday
Doctor:Try to rest well in the meantime
User:see that was my big concern, I needed another opinion
Doctor:have you got your answer now?
User:I probably wont get any results until Wednesday, and I thought by that time I don't know how high my WBC could get
Doctor:It cannot get more than 14 to 18
Doctor:do not worry about that
Doctor:for both values, treatment would remain the same with antibiotics
Doctor:Try to understand that it is not going to lead to any serious complication
Doctor:I can assure you this
Doctor:It cannot happen that way
Doctor:especially when you are not showing any signs or symptoms of infection clinically
User:I just can't seem to understand where its coming from
Doctor:I understand
Doctor:it could be a calculation error too
Doctor:I could have helped you better if I had seen the entire report
User:my urine showed a little blood trace too, but the dr wasn't concern about that
Doctor:Can you mail the report to me?
User:I can
Doctor:at YYYY@YYYY
User:wait how do I do that?
User:do I take a picture of it with my cell phone and email it to you?
Doctor:You can do that
Doctor:take a clear picture
Doctor:Don't you have a scanner at home?
Doctor:You can take the picture from your phone and email it too
User:that's what I'll try to do
Doctor:please do
Doctor:I shall wait
User:but it wlll take longer than 10 minutes to do it
User:I have to get my phone and take a picture and email it
Doctor:oh yes
Doctor:that is true
User:can calls be permitted
Doctor:I don't think so
Doctor:try to do it
Doctor:We will try to extend the chat time for you
Doctor:all right?
User:I just took two pictures of the report I'll try to email it to you, how do I know that it looks readable? that would be nice
Doctor:please mail it
Doctor:I will quickly look into it
Doctor:and reply to you in the chat window
User:the problem is that the chat will close, let me see if it will work
User:I know I send it through my phone
Doctor:all right
Doctor:I have made arrangements for chat time extension
Doctor:No worries about that
Doctor:have you mailed the report already?
Doctor:Please mail it at the earliest
Doctor:I am waiting for it
Doctor:Your chat time is extended too
User:Im back
User:it logged me out
Doctor:ok no worry
Doctor:Let us continue
User:I sent the email to you with two pictures
Doctor:ok let me check them
Doctor:Ok if you note the report clearly
Doctor:It says the segmented cells are increased and over 80 percent and Lymph is 14.9 (which is low).
Doctor:So that means a sub type of WBC, called Neutrophils are increasing at the expense of lymphocytes
Doctor:This indicates a bacterial infection
Doctor:Now where is this asymptomatic bacterial infection should be found out
Doctor:Second thing, is I would assure my patients at this moment as 12.7 thousands of WBC is not too big to concern about obnoxious
Doctor:Are you with me?
User:yes yes
Doctor:Did you follow what I said? Can you summarize our discussion?
User:so its ok to wait until Tuesday and get the results on Wednesday
Doctor:Yeah perfectly
Doctor:Any stress factor to the body can increase the fighter cells (WBC)
User:well what I gather is that you're saying that my wbc is ok and not to worry.
Doctor:At this point to allay your fears I would say even Depression is stress
Doctor:So I would blame on depression
Doctor:as well
User:and don't go running to the ER
Doctor:till it is not confirmed
Doctor:Even if you go to ER they would not do anything miracle to reduce the count
Doctor:I am a physician that prefer to treat the disease and the person and not the lab report
User:wouldnt they do scans?
Doctor:ER would not, the office visits to Hematologist can
Doctor:ER is for Emergency. What would you say to them about Emergency, You do not have any symptoms
Doctor:Am I right?
Doctor:Would you show the report and say that WBC is increasing?
User:lack of appetite, tiredness, edginess
Doctor:For how long
User:about a two months
Doctor:What if I say it on thyroid or medicines that you use
User:the thyroid?
Doctor:You are on Thyroid supplements
User:I haven't been on that that long
User:maybe three months
Doctor:So are you not taking them?
User:I am
Doctor:Did you retest for TSH, T4 after introducing medicine
Doctor:to check if the dose is sufficient?
User:yes the dr did
User:and it was ok
Doctor:ok do you see ESR in the report?
Doctor:It is partially cut in the scan that you sent
User:no I don't see that
Doctor:I could see the blood sugar are raised
Doctor:and it predisposes to infection
Doctor:So there are certain benign factors to check
Doctor:for the reasons to raise WBC
Doctor:Do not think of scary conditions
User:thank you Dr
User:I wot
Doctor:Do you have any questions?
User:your help helped me
User:not anymore I know now that it will be fine to hold out until Tuesday
Doctor:No worry, just think of my advices or read them if you still get confursed
Doctor:or worried
Doctor:All the best
Doctor:Thanks for visiting me here. Bye for now.
User:thank you very very much
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