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What Causes Elevated WBC Count During 20th Week Of Pregnancy?
Brief Answer:
No indication for treatment.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Since you have no symptoms of infection, pain, disease or inflammation, why was this report done in the first place ????
I really fail to understand this .
And why have you been prescribed Cepodem, which is a very strong antibiotic ?
In my opinion, NOTHING needs to be done !
THe counts are well within internationally accepted standards of normal.
Here, please go through the table in this link -
http://www.nursingceu.com/courses/426/index_nceu.html
Even if they are not, just plain raised WBC count is never to be treated, unless you have evidence of infection / inflammation, which you definitely do not.
ALso, just a raised count could show up due to various reasons - stress, lack of sleep, your status of hydration, just a normal variant ( Just like hemoglobin levels, WBC counts too differ amongst individuals ).
There is no basis for treating this value, nor can this value harm your child in the absence of any other symptoms.
All the best.
Please feel free to discuss further.
No indication for treatment.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Since you have no symptoms of infection, pain, disease or inflammation, why was this report done in the first place ????
I really fail to understand this .
And why have you been prescribed Cepodem, which is a very strong antibiotic ?
In my opinion, NOTHING needs to be done !
THe counts are well within internationally accepted standards of normal.
Here, please go through the table in this link -
http://www.nursingceu.com/courses/426/index_nceu.html
Even if they are not, just plain raised WBC count is never to be treated, unless you have evidence of infection / inflammation, which you definitely do not.
ALso, just a raised count could show up due to various reasons - stress, lack of sleep, your status of hydration, just a normal variant ( Just like hemoglobin levels, WBC counts too differ amongst individuals ).
There is no basis for treating this value, nor can this value harm your child in the absence of any other symptoms.
All the best.
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I've attached the blood and urine lab results with this question. The doctor suspects urinary infection and said there are traces of albumin and sugar in urine. also my thyroid hormones T4 is a little below normal at 0.86ng/dL (normal 0.89 to 1.76).
what diagnosis can you make out of the blood and urine lab report
what diagnosis can you make out of the blood and urine lab report
Brief Answer:
As below
Detailed Answer:
Trace of albumin is normal in pregnancy , as long as your blood pressure is normal.
Sugar should normally not be present.
The diagnosis of diabetes should be suspected, and confirmed by OGTT ( oral glucose tolerance test ).
The thyroid report is not attached, can you please attach it ?
Again I can see no indication for the antibiotics here.
Do you have any symptoms ???
If urinary tract infection is suspected, then urine culture test is done, and then anbitiotics are started as per the urine culture report.
As below
Detailed Answer:
Trace of albumin is normal in pregnancy , as long as your blood pressure is normal.
Sugar should normally not be present.
The diagnosis of diabetes should be suspected, and confirmed by OGTT ( oral glucose tolerance test ).
The thyroid report is not attached, can you please attach it ?
Again I can see no indication for the antibiotics here.
Do you have any symptoms ???
If urinary tract infection is suspected, then urine culture test is done, and then anbitiotics are started as per the urine culture report.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
new attached : urine culture report ( IMG_0195.JPG )
oral glucose test was done the reports are attached ( IMG_0193.JPG )
Thyroid reports are also present in the same file ( IMG_0193.JPG )
I have no observable symptoms that are consistent with this WBC report.
I just now noticed a small bulge in my ankle joint (no pain) (which I think is due to inactivity)
Also I have leg pain during night sleep which doesn't allow me to sleep properly
oral glucose test was done the reports are attached ( IMG_0193.JPG )
Thyroid reports are also present in the same file ( IMG_0193.JPG )
I have no observable symptoms that are consistent with this WBC report.
I just now noticed a small bulge in my ankle joint (no pain) (which I think is due to inactivity)
Also I have leg pain during night sleep which doesn't allow me to sleep properly
Brief Answer:
As below.
Detailed Answer:
Your urine culture is sterile, no growth.
There is absolutely no indication for these antibiotics to be prescribed.
You have no need to take them at all.
Also, the leg pain is common during pregnancy.
Is it in both legs ?
Are you taking calcium and vitamin D supplements ?
Thyroid values are normal, not low .
The oral glucose test is slightly abnormal ( it should be less than 140 ).
A proper glucose tolerance test ( OGTT ) should be done with HBA1C levels.
OGTT has 4 values taken, one fasting, and then 100 gm glucose is given, three more readings then - 1 hour, 2 hour and 3 hours later.
HBA 1C - glycosylated hemoglobin also should be done.
As below.
Detailed Answer:
Your urine culture is sterile, no growth.
There is absolutely no indication for these antibiotics to be prescribed.
You have no need to take them at all.
Also, the leg pain is common during pregnancy.
Is it in both legs ?
Are you taking calcium and vitamin D supplements ?
Thyroid values are normal, not low .
The oral glucose test is slightly abnormal ( it should be less than 140 ).
A proper glucose tolerance test ( OGTT ) should be done with HBA1C levels.
OGTT has 4 values taken, one fasting, and then 100 gm glucose is given, three more readings then - 1 hour, 2 hour and 3 hours later.
HBA 1C - glycosylated hemoglobin also should be done.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Yes. the bulge is small, ankle joint facing inwards in both legs appears slightly bigger than usual
Is the OGTT test report right or should it be done again ?
Also thanks for your timely replies even at untimely hours. This is the last thread am allowed for this question, how can I get back to you ? Mail ? Or through this forum ?
Is the OGTT test report right or should it be done again ?
Also thanks for your timely replies even at untimely hours. This is the last thread am allowed for this question, how can I get back to you ? Mail ? Or through this forum ?
Brief Answer:
Explained.
Detailed Answer:
Have you ever had such kind of ankle pain or ankle swelling earlier ?
Any history of gout or arthritis of any kind personally or in your family ?
This is not an OGTT.
THis is a 75 gm glucose challenge test ( GCT ).
This is not normal, it is above normal.
That is why an OGTT is required for confirmation.
For an OGTT, a fasting blood sample is drawn.
Then 100 gm glucose is orally administered, after which 3 more samples are drawn - 1 hour, 2 hour, 3 hour.
The 4 readings for blood sugar are then analyzed to know if you are actually having diabetes.
Also, glycosylated hemoglobin is a must as it helps to know since when you are having the deranged blood sugars.
Am concerned about the ankle bulge.
Since it is on both legs, it is less likely to be arthritis or gout.
MOre likely you are having swelling which is physiological during pregnancy.
As the uterus grows, it compresses on the blood vessels of the lower extremities.
This is called physiological edema of pregnancy.
The classic sign is that it is maximum when you have been lying about or standing on your feet for prolonged periods.
It gets relieved when you place a few pillows and elevate your legs and ankles.
Does this happen ?
It should be differentiated from pathological edema, which happens due to raised blood pressure ( gestational hypertension ).
Your blood pressure should have been normal consistently, I hope this is so ?
And thank you for the appreciation.
You are a very intelligent and perceptive person.
You can reach me through this same forum.
Instead of posting a question in general, you can write in to me directly using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Then the question becomes a direct question specifically for me, instead of being directed to the general pool , where it can be answered by anybody else.
Take care.
Look forward to hearing from you soon.
Explained.
Detailed Answer:
Have you ever had such kind of ankle pain or ankle swelling earlier ?
Any history of gout or arthritis of any kind personally or in your family ?
This is not an OGTT.
THis is a 75 gm glucose challenge test ( GCT ).
This is not normal, it is above normal.
That is why an OGTT is required for confirmation.
For an OGTT, a fasting blood sample is drawn.
Then 100 gm glucose is orally administered, after which 3 more samples are drawn - 1 hour, 2 hour, 3 hour.
The 4 readings for blood sugar are then analyzed to know if you are actually having diabetes.
Also, glycosylated hemoglobin is a must as it helps to know since when you are having the deranged blood sugars.
Am concerned about the ankle bulge.
Since it is on both legs, it is less likely to be arthritis or gout.
MOre likely you are having swelling which is physiological during pregnancy.
As the uterus grows, it compresses on the blood vessels of the lower extremities.
This is called physiological edema of pregnancy.
The classic sign is that it is maximum when you have been lying about or standing on your feet for prolonged periods.
It gets relieved when you place a few pillows and elevate your legs and ankles.
Does this happen ?
It should be differentiated from pathological edema, which happens due to raised blood pressure ( gestational hypertension ).
Your blood pressure should have been normal consistently, I hope this is so ?
And thank you for the appreciation.
You are a very intelligent and perceptive person.
You can reach me through this same forum.
Instead of posting a question in general, you can write in to me directly using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Then the question becomes a direct question specifically for me, instead of being directed to the general pool , where it can be answered by anybody else.
Take care.
Look forward to hearing from you soon.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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