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I Have Just Had Blood Work Done Because In April

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Posted on Mon, 3 Dec 2018
Question: I have just had blood work done because in April I had a sinus infection and I struggle with mild allergies. My white count was around 15,000 and now it is 12,400. I am attaching my recent lab results. My differentials in the last year have been running close to these. I have not seen the atypical lymphs listed before. I feel fine but have been under a lot of stress in the last couple years. My husband has been very ill. I retired from my job in April, 2018, in hopes to help give me more rest. My doctor said let's wait one month and take labs again or I can choose to go to a hematologist. I would like your opinion on waiting another month.
doctor
Answered by Dr. Monish De (34 minutes later)
Brief Answer:
Nothing to worry

Detailed Answer:
Hi,

I have gone through your blood reports...

They seem to be absolutely fine to me.

The atypical lymphocytes are slightly high which could indicate a recent infection but since your total white blood cell and neutrophils have come down to normal there is nothing to worry.

Let me know if I can assist you further...

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Monish De (21 minutes later)
I am confused because my doctor said that my counts are still elevated at 12.4 and they should be 10.8 or below. In April they were 15. My neutrophil count states it is abnormal low and the lymph states it is abnormal High. Please help me understand your answer that my WBC and neutrophils are normal? Thank you.
doctor
Answered by Dr. Monish De (1 hour later)
Brief Answer:
Sign of infection remaining

Detailed Answer:
Hi,
Thanks for following up...

Your white blood cell count is slightly high but since it has come down (downtrend) there is nothing to worry.

Neutrophils are a bit low with atypical lymphocytes a bit high.

White blood, neutrophils, lymphocytes all help the body to fight any organism especially bacteria and since you had a recent history of infection total white blood cell count is slightly on the higher side along with atypical lymphocytes with neutrophils running a bit low.

I would advise you to do a blood culture sensitivity test for further reassurance and take a course of an antibiotic for a week after discussing with your doctor.

Then check Total leucocyte count in your blood in 2 weeks after completion of the antibiotic course.

I am sure they are going to return to the normal level

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Monish De (28 minutes later)
Thank you. One more question. I have had some strange diff %'s in the last year or so. On 01/12/18 - WBC = 9.0, Neut 24.9%, Lymph 57.9%, Mono 14.7%, Eso 1.9%, Baso 0.4%. On 04-11-18, WBC 15, Neut 40.5, Lymph 49.9, Mono 7.3, eso 1,6 and Baso 0.4. And then 111518 which you have a copy of those results. I am not really worried, just wanting to make sure I am doing what is best at this time. I have no problem waiting a month and getting more test results. My diff's were normal before this time and so I am baffled. I know the WBC going down is a good sign. Would you be concerned about the diff if the WBC comes down and it stays a little whacky? I am 60 and my hubby has been fighting stage IIIa Lung cancer so I have been under extreme stress in the last 2.0 years. I do take pretty good care of myself and I do CrossFit. I have gained a little weight but that is due to eating too much :). My diet has suffered some but I try to eat whole foods often. I do feel pretty good and I have been told that an oncologist would most likely do a wait and see and do more labs at a later date. My doctor is not advising antibiotic right now. She did treat me in April with an antibiotic because I had a sinus infection and I did have symptoms. Sorry this is so long winded. Please advise.
doctor
Answered by Dr. Monish De (15 minutes later)
Brief Answer:
It should return to normal in 3 weeks of time

Detailed Answer:
Hi,

Since your total white blood cell count is slowly going down it is a good indicator irrespective of neutrophil and lymphocyte count.

Since you are not having any signs of infection like fever, swollen lymph nodes and has gained weight it is a good sign and nothing to worry.

Just check your total white blood cell count and differential count after 3 weeks.

Everything should return to normal

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Monish De (47 minutes later)
Thank you very much and I will close and give you an excellent review. It was nice to get a quick answer and I will be able to relax and not let this concern me at this time.
doctor
Answered by Dr. Monish De (22 minutes later)
Brief Answer:
Most welcome

Detailed Answer:
Hi,

You are most welcome.

I am ready to help in future too.

Yes, you may close this thread for now.

Regards

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
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Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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I Have Just Had Blood Work Done Because In April

Brief Answer: Nothing to worry Detailed Answer: Hi, I have gone through your blood reports... They seem to be absolutely fine to me. The atypical lymphocytes are slightly high which could indicate a recent infection but since your total white blood cell and neutrophils have come down to normal there is nothing to worry. Let me know if I can assist you further... Regards