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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Body Pain, Bone Aches, Tired And Lethargic. Blood Test Shows Low Monocyte. What Care To Take ?

I've been feeling bad for about 2 weeks. Very painful body or bone aches. Feels like the growing pains I had as a child. Extremely tired and lethargic.I have been taking a multi vitamin for about 10 days thinking I was mineral deficient. I went to see an FNP because the body pain is so bad. Had a CBC, differential and vitamin blood test done. She called me yesterday and said all my lab values were normal except my monocyte count. She stated it was a little low at 104 and she didn't know what was wrong with me. This is not normal for me and it my legs and arms are hurting very badly at all hours of the day. I don't know what plan of care I should do next. My FNP stated she did not know either and that it is stumping her.
Mon, 17 Jun 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Pain all over body,
fatigue ,
lethargy,
unbearable pain,
Just from 15 days means an acute stage.
Decrease in monocyte is known as MONOCYTOPENIA , occurs in acute infections, stress ( tension),excessive use of steroids.
Also occurs in,
Aplastic anemia,
hairy cell anemia,
acute myeloid leukemia.

Once again get in blood examination and note the exact percentage of monocyte in blood film.
get in blood for C B C, E S R ( chronic or acute infection) , calcium level, rheumatic factor.
A physician help is very necessary in this case.
Hope I have answered your question.
If further any question I will help.
Good luck.
Dr. HET
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Body Pain, Bone Aches, Tired And Lethargic. Blood Test Shows Low Monocyte. What Care To Take ?

Hello, Thanks for the query to H.C.M. Forum. Pain all over body, fatigue , lethargy, unbearable pain, Just from 15 days means an acute stage. Decrease in monocyte is known as MONOCYTOPENIA , occurs in acute infections, stress ( tension),excessive use of steroids. Also occurs in, Aplastic anemia, hairy cell anemia, acute myeloid leukemia. Once again get in blood examination and note the exact percentage of monocyte in blood film. get in blood for C B C, E S R ( chronic or acute infection) , calcium level, rheumatic factor. A physician help is very necessary in this case. Hope I have answered your question. If further any question I will help. Good luck. Dr. HET