Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

144 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes fluctuating WBC count?

Answered by
Dr.
Dr. Rahul Tawde

General & Family Physician

Practicing since :1980

Answered : 1 Question

default
Posted on Tue, 19 Aug 2014 in Infections
Question: Hi

I have had fluctuating WBC for a few years now. I work for a Doctor and he keeps tabs on it. Ithas been as high as 16 and then came down to 11 recently. I have a lot of aches and pains. But I am 68 years old. I checked my urine and there was an infection so I took a Ab for 20 days. But this fluctuating WBC has been happing for so long. I saw a hematologist 2 years ago and took test for lupus leukemia and other test nothing showed up. Said to come back if continues and we might have to do a bone marrow test., But, l never went back. I had an ANA done came up positive I will have to see a Rheumatologist for that but I know that sometime this comes up false positive. The thing that bothers me is that I am very stiff muscle stiffness. I have a back problem Stenosis and pinched nerve L4 L5 I am seeing a Dr for my back. Could the stiffness be a problem from the WBC being up and down Thank You
doctor
Answered by Dr. Rahul Tawde 10 hours later
Brief Answer:
Details written below

Detailed Answer:
Hi, thanks for posting your concern in the HCM.
Based on the information, I think you should also consult your Rheumatologist at the earliest. The test for Rheumatoid factor may come false positive. But, I don't think the diagnosis of a specialist in rheumatology based on clinical examination and tests would be false positive. Furthermore, initiation of an early treatment would prevent further systemic damage and improve your survival. For the preservation of your renal function too, an early diagnosis and prompt treatment is needed.

I would suggest you to have the following tests done too at the earliest-
1. Urine for routine examination and culture-sensitivity testing
2. Ultrasound scan of the KUB region
3. Complete blood count, CRP, urea, creatinine, electrolytes, LFT

For the time being my recommendations are-
1. Tab Paracetamol 500 mg as and when required for fever, at min. 6 hr interval
2. Cap Bevon- One cap once daily for 10 days.
3. Plenty of oral fluid and ORS- 3 to 4 l/ day
4. Light diet rich in fiber and green leafy vegetables.
Please write back with above mentioned information for further evaluation.
If you think I have satisfactorily resolved your query, please close the thread & rate my answer.
In case you have any new query in future, you can directly ask me questions @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460. I will try my level best to help you.
Regards,
Dr. Kaushik
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Lab Tests ,  
Medical Topics ,  

Recent questions on  Rheumatoid factor

doctor1 MD

Hello; I am a 25 year old male. I am living with the following symptoms and cannot get a diagnosis. These are my symptoms. Weakness in the arms and legs. Sensory symptoms such as numbness or tingling in arms and legs. Body pain all over, as high...

doctor1 MD

Hi. My son is 10 years old and started complaining yesterday afternoon about his knee "feeling weird." By bedtime it was very swollen and we wrapped it and iced it. This morning it is better, but the cause is mysterious. He didn't do any exercise...

doctor1 MD

I have been having flu like symptoms for 3 or 4 months, I feel disoriented, my vision blurs as the day goes on, just generally feel terrible all over. I have had a physical and blood work. Everything looks good. I work for forestry and spend a lot...

doctor1 MD

My daughter is 11 years old and has auto immune issues since she was 5. Right now her Rheumatoid factor is 21.5, and she feels bad. She says her whole body just hurts and she has no energy. Her sed rate is normal. A couple of months ago her Rheumatoid factor was 23. One minute she seems fine and the next she feel bad. She also has joint pain in her ankles. They get stiff and swell a little swollen. We have seen a Rheumatologist, but since her Rheumatoid rate isn t real high should we go see her again? What can I do for my little girl?

doctor1 MD

"I am a 33 year old female that had joint pain/swelling for about a period of one week. In the middle of that week I went to the doctor for my symptoms and the doctor took blood to test for many things but said my problem seemed to point to a virus: parvo virus. After researching, it all made sense since I am a 4th grade teacher and fifth disease was in our school at that time. Based on the research I did, parvo virus is the same virus as fifth disease in children. Anyway, the symptoms disappeared in about a week and everything was all better. When the doctor called with my blood work they said I tested positive for the rheumatoid factor (107) and referred me to a rheumatologist. I have an appt. with the rheumatologist in 3 weeks - that was the soonest they could get me in. In the meantime I was sent my blood work results and am concerned about some of the numbers and no one from my regular doctor has called me back. Like I said, my rheumatoid factor was 107 and my ana titer was 1:160 with a homogeneous & nucleolar pattern. Also, I am positive for the parvo virus according to the blood work. I am so confused by what this means and would like some clarification if possible since I do not see the doctor for three weeks. My symptoms have disappeared and I feel fine. Today, however, I feel like my muscles in my upper arms are sore and I haven't done anything that would have made them sore - not sure if this is coincidence or something else to be concerned about. My grandma also had rheumatoid arthritis so it does run in my family. If I had parvo virus could that have affected my blood work and made my rheumatoid factor and ana titer positive? How do doctors diagnose rheumatoid arthritis - is it purely based on the blood test or other things as well? Thank you so much for your help,Jennifer

doctor1 MD

I have a high SED rate. It has continually been between 65-69. I have been tested for Lupus & Rheumatoid Arthritis, both came back negative. Years ago, I had a positive AIDS test and was tested further and found to be negative. I was told then that I probably have another autoimmune disease. What next?