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What Do The Following Blood Test Report Indicate?

Posted on Fri, 5 Aug 2016

Question: hi , I m XXXXXXX , Male(HT . 188cm WT 80 KG) , 28 yrs , suffered with heptamegaly 1 year before , doctor was unable to detect the cause , but i was eating lot of fatty food with no exercise for 3 months and also drinking every 15 day heavily , so as there were no other findings so doctor told me that fatty food with alocohol was the cause .Then i recovered completly 7 months before ..........shown by my ultrasound and blood reports as i had quit drinking and started to exercise......although i sometimes still feel low grade pain in my right abdomen area . NOT having any other ailment or problem.
now from last two weeks i m again drinking 12oo ml of beer every 2 nd day.........such that i got fever 3 days before ........i was suspious of liver infection again so i went for my blood test i.e
1. CBC
2. LFT
3.ULTRASOUND abdomen
i am attaching these reports .............
LFT came out to be normal
CBC have some abnormalities i.e (Hb 17.4 , RBC 5.89 , WBC 10500 , LYMO(40.3%) 4231.5 /CMM , MONOCYTES(11.5%) 1207.5/CMM)
Ultrasound shows incresed parenchymal echogenecity ....otherwise normal everything
PLEASE ADVICE ABT IT SIR
is it due to liver or any other fever ?
wbc is increased to this level , why?
why Hb n RBC is incresed .....as i m NON SMOKER ........n fit.....no extra weight ??????
what care is need to be taken for liver ?????
do u suggest any more test because till now i havent consulted any doctor ?????
ur subscription ???
wat is meaning of IMMATURE leucocytes ???? what causes it increased and immaturity

Answered by Dr. Deepak Sundriyal (6 hours later)

Brief Answer:
Hello dear. Your reports are almost normal.

Detailed Answer:
Hello dear. Welcome to HCM. I have seen the reports. The increased echogenicity of the liver parenchyma suggest fatty liver , that is increased fat deposition in the liver cells. It is due to the alcohol intake. I am happy you have quit drinking. You must stop consuming alcohol otherwise it will progress to a more dangerous stage. After stopping alcohol it is completely reversible.
Your blood counts are normal except mildly elevated hemoglobin which is a normal variation and should be taken as normal.
Immature leucocytes are seen in either infection or cancer. In your case these are normal , so no need to worry.
No further tests are required. You just have to cut down your alcohol.

Thanks and regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepak Sundriyal (28 minutes later)

sir ,
Thanks for ur reply , i m relieved but i want to ask u thats are u sure that immature leucocytes in my case is nothing but due to infection????? or i need any other tests for ur confirmation
Secondly , 1 year ago when i got liver inflamattion , my WBC count was 7400 but after one month of medication ............it increased to 9000 , since then i had been to blood test many times but my WBC always remained above 9300 , although i know its in normal range .,,,,but
Is it normal to have WBC to such increased level for almost 8 months??????
my WBC range remain in 9300 to 9700 for consistently 8 months

Answered by Dr. Deepak Sundriyal (2 minutes later)

Brief Answer:
Hello dear. You do not have an immature leucocytes.

Detailed Answer:
Hello dear. You do not have any immature leucocytes.
The wbc count can vary from 4000 to 11000 in a person from time to time and even in the same day it may be different. So no need to worry.
Thanks and regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Deepak Sundriyal (2 days later)

sir ,
Thanx for ur reply
i havent visited any physician yet for Fatty liver ...................wat u suggest abt this .....whether to take any medication for that or diet n exercise only will help me.......
Also i will be very thankful to u .......if u tell me abt the food i need to avoid n food i need to consume for better health of my liver...............as i m leaving far away from home.......so i need to take care of myself alone ..........
presently i m consuming 4 eggs and 1 litre full cream milk daily.....along with regular diet........
Ur advice will be very helpful sir

Answered by Dr. Deepak Sundriyal (5 minutes later)

Brief Answer:
hello. do exercises and cut down your fat

Detailed Answer:
Hello dear. Please follow the steps..

Avoid egg yellow. Take only white part.
Take double toned milk

Avoid red meat
Avoid alcohol
Exercise daily

No need for any medicine
It is going to help you certainly..

Thanks and regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee