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What Does My CBC Test Result Indicate?
Question: 2nd time requesting. I recently had CBC and my neutrophils % dropped from 66% to 39% and my eosinophilis % XXXXXXX fro 2 to 8%. I had Non Hodgkin's Lymphoma in 1998 and in remission sense. All other
test withing range. Recently pre spire more in arm pits and groin but feel good. should i have ANY further tests at this time to evaluate why suddenly this change?
test withing range. Recently pre spire more in arm pits and groin but feel good. should i have ANY further tests at this time to evaluate why suddenly this change?
Brief Answer:
Considerations
Detailed Answer:
Hello & thank you for submitting your question.
I am glad to hear that your lymphoma has been in remission. Regarding the values of a CBC, the most indicative of immune status and accurate parameters to evaluate for cell counts are the absolute counts of each cell (eg, absolute neutrophil count, absolute lymphocyte count). As you may know, the absolute number of neutrophils in the peripheral blood for a healthy adult is approximately 2.3-8.1 x 10^3/microliter; for eosinophils it is approximately 1-3 x 10^3/microliter. The number of these cells in the blood can change in a variety of clinical conditions including in the setting of acute infection, acute stress, medication effect, or in allergic reaction/asthma. Depending on the type of lymphoma and your treatment history, another parameter to check is the absolute lymphocyte count. It is best to watch the trends of the absolute cell counts (including red blood cell values such as mean cell volume MCV and hemoglobin Hgb) to see if they are increasing/decreasing or generally staying about the same. It would be reasonable to bring these concerns about your overall CBC trends and your increased perspiration to the attention of your doctor; and of course, if you develop additional symptoms such as fatigue, malaise, fever, night sweats, or palpable bumps/nodules, this is certainly cause for a good physical examination with possible adjunct testing.
I hope this was helpful.
Sincerely,
Dr Galamaga
Considerations
Detailed Answer:
Hello & thank you for submitting your question.
I am glad to hear that your lymphoma has been in remission. Regarding the values of a CBC, the most indicative of immune status and accurate parameters to evaluate for cell counts are the absolute counts of each cell (eg, absolute neutrophil count, absolute lymphocyte count). As you may know, the absolute number of neutrophils in the peripheral blood for a healthy adult is approximately 2.3-8.1 x 10^3/microliter; for eosinophils it is approximately 1-3 x 10^3/microliter. The number of these cells in the blood can change in a variety of clinical conditions including in the setting of acute infection, acute stress, medication effect, or in allergic reaction/asthma. Depending on the type of lymphoma and your treatment history, another parameter to check is the absolute lymphocyte count. It is best to watch the trends of the absolute cell counts (including red blood cell values such as mean cell volume MCV and hemoglobin Hgb) to see if they are increasing/decreasing or generally staying about the same. It would be reasonable to bring these concerns about your overall CBC trends and your increased perspiration to the attention of your doctor; and of course, if you develop additional symptoms such as fatigue, malaise, fever, night sweats, or palpable bumps/nodules, this is certainly cause for a good physical examination with possible adjunct testing.
I hope this was helpful.
Sincerely,
Dr Galamaga
Above answer was peer-reviewed by :
Dr. Naveen Kumar
My absolute neutrophils count is down from 4140 to 2040 and my eosinophils absolute count is up from 160 to 400. 2016 vs 2015 and 2014 about same as 2015
MVC increased from 44.9 to 96.5 hemoglobin negative WBC 5.3 down from 6.5
NHL was treated with chemo CHOP and at my request follow up with radiation
have had 4 pet scans latest 6 years ago.
What tests would be recommend by PCP or specialist?
Thank you
error in last message RBC is 4.50 vs last year 4.7 previous e mail said WBC
hemoglobin 14.0 vs last year 15.0
Sorry.
MVC increased from 44.9 to 96.5 hemoglobin negative WBC 5.3 down from 6.5
NHL was treated with chemo CHOP and at my request follow up with radiation
have had 4 pet scans latest 6 years ago.
What tests would be recommend by PCP or specialist?
Thank you
error in last message RBC is 4.50 vs last year 4.7 previous e mail said WBC
hemoglobin 14.0 vs last year 15.0
Sorry.
Brief Answer:
Follow up
Detailed Answer:
Hello again.
At this time based on your CBC findings, I do not see any additional indication for testing.
I would continue to monitor your symptoms. If you develop any progressive or persistent symptoms including fever, night sweats or worsening fatigue then this would be reason to follow up with your doctor at which time I just know testing might be considered. For now however I do not see any signs of immediate danger or evidence of recurrence of your lymphoma based on your provided laboratory results.
As always, we recommend that you continue to follow up with your primary care physician and specialist as scheduled.
Sincerely,
Dr. Galamaga
Follow up
Detailed Answer:
Hello again.
At this time based on your CBC findings, I do not see any additional indication for testing.
I would continue to monitor your symptoms. If you develop any progressive or persistent symptoms including fever, night sweats or worsening fatigue then this would be reason to follow up with your doctor at which time I just know testing might be considered. For now however I do not see any signs of immediate danger or evidence of recurrence of your lymphoma based on your provided laboratory results.
As always, we recommend that you continue to follow up with your primary care physician and specialist as scheduled.
Sincerely,
Dr. Galamaga
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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