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What Does My Blood Test Report Indicate?

Posted on Tue, 7 Jun 2016

Question: I am just wondering if I need to do a follow up with cbc that I had done at a health fair.
Wbc 5.8
Rbc 5.3
Hemoglobin 13.70
Hematocrit 42.0
Mcv 78.8
Mch 25.7
Mchc 32.6
Rdw 18
Platelets 283
Mpv 12.5
%gran 33.1
%lymph 50.4
%mono 10.4
%eos 5.4
%baso .7
AB gran 1.9
Ab eos .3

Thank you

Answered by Dr. Panagiotis Zografakis (9 minutes later)

Brief Answer:
you can do a new full blood count after one month

Detailed Answer:
Hello,

this is a marginally normal full blood count. There are some "grey zones" though...

The lymphocytes are more than the granulocytes. This is something that usually occurs as a result of a viral infection and may resolve after a month or so. Some people always have these values without any health problem.

Your doctor should check you for signs of hematologic disease (although it sounds very unlikely) like palpable swollen lymph nodes or internal organs (spleen, liver). A repeat full blood count after one month might be helpful.

Kind Regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Panagiotis Zografakis (2 hours later)

Will the epstein Barr virus effect any of those numbers?

Answered by Dr. Panagiotis Zografakis (4 minutes later)

Brief Answer:
yes

Detailed Answer:
The Epstein Barr virus may cause a multitude of disorders, ranging from almost nothing to very high white blood cells count, atypical lymphocytes, anemia, etc. Influenza and various infectious diseases constitute another potential cause. Do you have symptoms or any diagnosis yet? Have you done other tests?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Panagiotis Zografakis (25 minutes later)

My husband and I have both had symptoms for a few years. My husband was recently told after many blood tests for problems he was having that he had the virus so I just suspect I could have it too. I was just curious. I recently started several vitamins that were suggested by a doctor for Epstein Barr so I was thinking after a couple months it would be worth getting another reading.

Answered by Dr. Panagiotis Zografakis (4 hours later)

Brief Answer:
Epstein-Barr infection is very common

Detailed Answer:
This virus is very common and many young individuals get it. It's not at all uncommon to have antibodies against it. The IgG class may remain positive for many years (even after the patient has fully recovered) and IgM class of antibodies may remain positive for a few months after recovery. The IgM class is the "acute" antibody which raises suspicions for ongoing infection. Being positive in antibodies does not mean that you have the infection now. The antibodies may be just remnants of an old infection.

There are no treatments for Epstein-Barr infection. The vitamins may help individuals with vitamin deficiencies only. There is no real point to test for the virus again. Would you like to describe your symptoms in detail? Perhaps other causes have to be investigated before attributing everything on a potential chronic Epstein-Barr infection...

Kind Regards!

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar