I have allergic rhinitis, and my blood report shows increased lymphocytes and MPV. Why?

Hello,

Welcome to icliniq.com.

The attached report (attachments removed to protect the patient's identity) noted that monocyte and MPV (mean platelet volume) are slightly low. Do not worry about that non-specific finding. If they are elevated, then we can think further. But do not worry about its borderline low level. It does not indicate any leukemia or any blood disorder.

Your lymphocyte are slightly increased. It could be due to a temporary viral nose infection. So, it also does not indicate any blood cancer. However, after completing your medicine for allergy, I suggest you repeat your CBC (complete blood count) after one week. If lymphocytes are elevated even after one week, then we will investigate further. Do not worry. Mostly in one week, lymphocyte count will be normal.

Do not worry much about leukemia. Follow up with repeat CBC after one week. The high IgE (immunoglobulin) value in the attached report suggests that there could be some form of allergy as well in your body.

I hope this was helpful.

Regards.

Hello,

Welcome back to iclinic.com.

I saw your report (attachments removed to protect the patient’s identity). High MPV (mean platelet volume) has significance only when the platelet count is low. If the platelet count is low and MPV is very high, it could be due to underlying etiology like dengue, malaria, ITP (Idiopathic thrombocytopenic purpura), etc. But your platelet count is within the limit. So, do not worry about borderline high MPV.

However, your lymphocyte count is slightly high that is significant. We will follow up on that. After one week, repeat CBC (complete blood count), and if the lymphocytes are still high, we will think further.

Do not worry about cancer. It does not seem like blood cancer.

I hope this was helpful.

Thanks.

Hello,

Welcome back to icliniq.com.

The eosinophil percentage is slightly high in the attached report (attachments removed to protect the patient's identity). So you can have type-1 hypersensitivity allergic reaction. Your MCV (mean corpuscular volume) is not much high, and hemoglobin is within range. So, the chances for anemia or vitamin-B12 deficiency are less.

I have already commented on lymphocyte count. It is slightly high. But does not indicate blood cancer. Repeat it after one week, and if the lymphocytes are high even after one week, we will discuss further.

You have been prescribed anti-allergic medicine, which can be continued.

I hope this was helpful.

Thanks.

Hi,

Welcome back to icliniq.com.

If the lymphocytes remain high, investigate further with a peripheral blood smear to check for any abnormal lymphocytes. But mainly after a week, lymphocytes will become normal. It does not seem like blood cancer.

I hope this was helpful.

Please get back if you have further doubts.

Regards.

Hello,

Welcome back to icliniq.com.

You have to tell the laboratory to do a peripheral blood smear examination report. It is done from 2 ml EDTA (ethylene diamine tetra-acetic acid) blood or finger-prick blood. Yes, wait for one week. Mostly it takes seven to ten days for the lymphocyte to settle down to the normal range in case of temporary viral infection. In the attached report, the lymphocyte percentage is borderline high and not elevated to the level we urgently need to investigate. So, do not worry.

I hope this was helpful.

Thanks.

Hello,

Welcome back to icliniq.com.

In some patients, it can be elevated for many days. However, if it remains high after a week, then we will investigate with a peripheral blood smear examination report.

I hope this was helpful.

Regards.

Hi,

Welcome back to icliniq.com.

Please get back if you have further doubts.

Regards.

Hi,

Welcome back to icliniq.com.

The inflammation of liver is called hepatitis. Fatty liver also causes liver inflammation. Taking tablet Udiliv (Ursodeoxycholic acid) can be helpful. But before that kindly visit a nearby gastroenterologist for a physical examination and for the prompt management.

I hope that this information will be beneficial to you. Regards.

Hi,

Welcome back to icliniq.com.

Excess use of multivitamins can harm the liver, so SGPT (serum glutamic pyruvic transaminase) remains elevated. It is advisable to stop multivitamins for a few days. You can take tablet Augmentin for the prescribed duration.

I hope this will help you.

Best regards.

Hi,

Welcome back to icliniq.com.

Yes, fatty change of the liver can cause an elevation in SGPT. You can make the following changes in your life to reduce SGPT.

1. Take a low-fat diet and less processed food.

2. Drink more fruit juice.

3. Take more lemon water and orange juice.

4. Citrus fruits can be taken more.

5. You can also include green leafy vegetables in your meal.

6. Do not take junk foods more.

7. You can start taking Ursodeoxycholic acid tablets for your liver problem.

8. Do mild to moderate exercise like brisk walking, running, or swimming for 30 minutes daily.

I hope I have answered your question. Let me know if I can assist you further.

Regards.

Hi,

Welcome back to icliniq.com.

In some cases, fatty liver can present even with normal cholesterol. SGPT is specific to liver pathology. So, it indicates a problem in the bile canaliculi of the liver. And so, I suggested to do an USG (ultrasound) scan and visit a gastroenterologist. You can take tablet Ursodeoxycholic acid to slow down liver inflammation.

Regards.

Hi,

Welcome back to icliniq.com.

The attached report shows mild fatty change in the liver. For that, you can do lifestyle changes and take Ursodeoxycholic acid tablet. Lymphocyte elevation might be temporary due to viral infection. Do not be worried. It does not seem to be cancer. If lymphocyte becomes elevated again after few days, repeat CBC and investigate further with peripheral blood smear examination report to look for any abnormal lymphocytes.

I hope I have answered your question. Let me know if I can assist you further.

Regards.

Hi,

Welcome back to icliniq.com.

A peripheral blood smear is done from finger-prick blood or EDTA blood. It is a simple test in which the RBC (red blood cells), WBC, and platelet studies are done in detail, which is not possible in CBC. Lymphocyte counts are not related to liver health. Usually, it remains elevated in viral infections. Yes, in the attached report, absolute lymphocyte count is normal. There is a slight elevation of eosinophil, which might be caused by allergy inflammation. Do not worry. Repeat your CBC after a few days. For high SGPT, follow the lifestyle change mentioned above.

I hope I have answered your question. Let me know if I can assist you further.

Regards.

Hi,

Welcome back to icliniq.com.

My further opinion for your questions are as follows;

1) You can repeat CBC with peripheral blood smear after ten days.EDTA blood is needed for that.

2) CBC does not study the cell morphology and manual differential count.

3) In peripheral blood smear, the pathologist will prepare the slide and will see cell morphology especially white blood cells morphology in detail. So, I recommend doing that test also.

I hope I have answered your asked question. Let me know if I can assist you further.

Regards.

Hello,Welcome back to icliniq.com.In the attached repeports, lymphocyte falls within the normal range which was elevated initially. Your monocyte count and eosinophil value are borderline high. So, do not worry about it. It does not indicate specific pathology as all other values of CBC are within normal range.I hope I have answered your questionLet me know if I can assist you further.

Best regards.

Hi,

Welcome back to icliniq.com.

There is no need for PS (peripheral smear) examination as other CBC values and lymphocytes are within range.

Regards.

Hello,

Welcome back to icliniq.com.

I have seen your reports. Your peripheral smear report do not show any abnormalities in WBC. In case of leukemia, immature cells will be seen. Here immature cells absent. So it does not seem like leukemia. Macrocytic RBC means increase in RBC size which is a benign condition and commonly seen in B12 deficiency.

Best regards.