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What Does My Blood Test Report Indicate?

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Posted on Tue, 2 Jun 2015
Question: Blood tests show low segmented neutrophils (35.1%) and high lymphocytes - 52.8%. however, if I'm understanding this website correctly, the high lymphocytes are only in relation to the low neutrophils, and so may not indicate a problem. The absolute reading on lymphocytes is not out of the ordinary range. It's 2.8 TH/cmm. Absolute monocytes are also a bit low (.25 TH/cmm) and there is "rare" bacteria. My main problem is extreme fatigue, and I'd like to figure out what's causing it. A mammogram shows a hyper-dense mass, but it's only 6 mm so that couldn't be the cause of this fatigue, could it?
doctor
Answered by Dr. Rahul Tawde (1 hour later)
Brief Answer:
Detailed below...

Detailed Answer:
Hi,


1. Your full blood report is needed to evaluate the figures in correlation with the reference range your lab has been using.

2. The normal range for segmented neutrophils falls under 54 to 62%; while lymphocytes 25 - 33%.

3. Your blood cells level is expressed in percentage. For a better judgement, a total count is needed (in numbers) to define if this variation is still present.

4. It is true that if the percentage of lymphocytes is increased, the other white cells percentages will be decreased.

5. Most common factor include a recent vira infection; however, chronic bacterial infection should be considered too.

You are saying that "there is a rare bacteria". Can you give more details on this? Or perhaps can send any test report that is stating the type of bacteria and its location inside your body?

That could be a possible cause to your blood count changes.

6. With regards to the hyper-dense mass showed in the mammogram, it might be a tumoral mass. However, the mammogram report is needed for a more specific opinion if it is causing fatigue or not.

Take care!
Dr.Sejdini
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rahul Tawde (1 hour later)
I replied to your email, but will ask the same questions here. I've uploaded blood results and mammogram results. The letter I received just said rare bacteria, but did not specify what kind or where. Is this something I should ask the doctor about, or does rare mean that I shouldn't worry about it. Still trying to get to the bottom of the fatigue issue.

I have uploaded the mammogram test results as well as the blood work results. I don’t have any more information on the “rare” bacteria. Is that something I should ask the lab or doctor to clarify? The letter I received just said “rare.” Could this be causing fatigue?
doctor
Answered by Dr. Rahul Tawde (8 hours later)
Brief Answer:
Following details...

Detailed Answer:
Hi back my dear,

Thank you for providing the requested reports.

I have gone through them and I can say the following:
- The deviations of segmented neutrophils were found slightly reduced including the percentage and the absolute number. It is indicative for viral infection, which is also explaining being fatigue.

- the increase of limphocytes was noted only on the percentage level, and not the absolute range (which was found normal). This change is normal during an infection including viral or bacterial.

- with regards to the mass found during the mammogram, it was suspected of fatty tissue, and being benign in nature. To my opinion, it might be a lipoma; however, as it was stated in the reports, I'd advise to wait and run other confirmatory test.

That mass is not the cause to your fatigue. The cause is infection.
With regards to the rare bacteria, you should ask your doctor :
- what is it? (name)
- what other tests are necessary?
- how to treat and manage this infection?

You can send to me all these information for a more specific opinion.

Dr.Sejdini
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rahul Tawde (6 hours later)
Thank you again for your answers. I do have one more question. You say that the mass is suspected of fatty tissue. But I'm seeing this in the report: hyperdense 6-mm mass which does not demonstrate a discrete central fatty hilum. Is this more likely to be a malignant mass because of the lack of fatty hilum?
doctor
Answered by Dr. Rahul Tawde (3 hours later)
Brief Answer:
Non-malignant mass to be further determined by other tests...

Detailed Answer:
Hi back my dear,

1. As I mentioned, perhaps a fatty mass is present. Further confirmatory tests are needed to determine it definitely.

2. We cannot judge only on one characteristic of only one examination (mammogram in your case). Anyway, from what I've seen so far, the mass seems not to be malignant.

However, in such cases, I usually do not precipitate in giving the final diagnosis based on one examination report only. I need to analyze the reports of all the neccessary tests first.

Let me know the other reports when you're done!
Dr.Sejdini

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Rahul Tawde

General & Family Physician

Practicing since :1980

Answered : 1 Question

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What Does My Blood Test Report Indicate?

Brief Answer: Detailed below... Detailed Answer: Hi, 1. Your full blood report is needed to evaluate the figures in correlation with the reference range your lab has been using. 2. The normal range for segmented neutrophils falls under 54 to 62%; while lymphocytes 25 - 33%. 3. Your blood cells level is expressed in percentage. For a better judgement, a total count is needed (in numbers) to define if this variation is still present. 4. It is true that if the percentage of lymphocytes is increased, the other white cells percentages will be decreased. 5. Most common factor include a recent vira infection; however, chronic bacterial infection should be considered too. You are saying that "there is a rare bacteria". Can you give more details on this? Or perhaps can send any test report that is stating the type of bacteria and its location inside your body? That could be a possible cause to your blood count changes. 6. With regards to the hyper-dense mass showed in the mammogram, it might be a tumoral mass. However, the mammogram report is needed for a more specific opinion if it is causing fatigue or not. Take care! Dr.Sejdini