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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Low WBC Count And Platelet Count

FI went to the er Andy wbc 4.4 rdw was 15, lymphocytes 16.2 lympocytes abs .7 The next morning my wby was 3.5 the differential was manual...manual bands 4, manual wit 58, manual lymp 28, manual mono 10, platelets comment said few Gia t platelets seen on smear....my platelets were 187 the first night in the er but the nextormig 168... I have not been feeling well achy all over and very fatigued....prior platelets were in the mid 200 s and my wbc has never been low.
Tue, 18 Oct 2022
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Anesthesiologist 's  Response
Hello,

A few causes of low WBC counts are cancer treatment, like radiotherapy, antipsychotic medicines, medicine for an overactive thyroid, some cancers, like leukemia, infections such as hepatitis, and autoimmune disorders, like rheumatoid arthritis.

The causes of low platelet count are leukemia and other cancers, some types of anemia, viral infections, such as hepatitis, chemotherapy drugs and radiation therapy, heavy alcohol consumption, pregnancy, bacteremia or bacteria in blood, thrombotic thrombocytopenic purpura, hemolytic uremic syndrome and certain medications.

So, treatment depends upon the cause and for that few tests are necessary. Please do consult a physician for thorough clinical examination to arrive at a specific diagnosis and appropriate treatment. Your WBC counts are not abnormal and RDW is normal too. So please relax and you can repeat the test after a week. If the results are abnormal, then you can consult a physician.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Suggest Treatment For Low WBC Count And Platelet Count

Hello, A few causes of low WBC counts are cancer treatment, like radiotherapy, antipsychotic medicines, medicine for an overactive thyroid, some cancers, like leukemia, infections such as hepatitis, and autoimmune disorders, like rheumatoid arthritis. The causes of low platelet count are leukemia and other cancers, some types of anemia, viral infections, such as hepatitis, chemotherapy drugs and radiation therapy, heavy alcohol consumption, pregnancy, bacteremia or bacteria in blood, thrombotic thrombocytopenic purpura, hemolytic uremic syndrome and certain medications. So, treatment depends upon the cause and for that few tests are necessary. Please do consult a physician for thorough clinical examination to arrive at a specific diagnosis and appropriate treatment. Your WBC counts are not abnormal and RDW is normal too. So please relax and you can repeat the test after a week. If the results are abnormal, then you can consult a physician. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist