Blood Routine Variation

Routine blood examination is usually recommended when a patient exhibits symptoms specific to a disease or in case of any infection. The blood reports help with better diagnosis. Variations in the blood report may indicate any underlying disease or condition.

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Low absolute monocytes in blood test. Please advice.

Query: Hi doctor,I just received my routine blood work for my cholesterol count and noticed that my absolute monocytes are low, 163. Other than this, all other blood results are within normal range. My total WBC is 5.1 and monocytes 3.2%. It there a reason to be concerned? I am currently healing from a ter...  Read Full »

Dr. Prakash H. M

Answer: Hi, Welcome to Based on your query, my opinion is as follows (attachment removed to protect patient identity): Routine variation in various white blood cell count is normal. When 100 cells are counted and the other cell group is a bit increased, then the other cell group like monocy...  Read Full »

My recent blood reports show a WBC count of 4.4 cells per microliter, ESR of less than 2 mm/h, and normal RBC and platelet count. Kindly help.

Query: Hello doctor, I am worried about my recent blood test results. WBC count is 4.4 cells per microliter. Neutrophils - 2.0 cells per microliter (45%). Lymphocytes - 1.8 cells per microliter (42%). Monocytes - 0.4 cells per microliter (9%). Eosinophils - 0.2 cells per microliter (4%). Basophil - 0 cells...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to I read your query and can understand your concern. Following is my opinion regarding your asked questions. The attached report (attachments removed to protect the patient's identity) shows mild lymphocytosis means lymphocyte count elevation. You need not worry abou...  Read Full »

I am a 72-year-old male with abnormalities in my blood reports for the first time. Could you help?

Query: Hello doctor, I just had my annual laboratory report. I am a 72-year-old male, 5 feet 11 inches, weighs 152 lbs, and have a cholesterol of 135 mg/dL. Several values were out of range for the first time: WBC 3400 per microliter of blood, monocytes 12 %, CO2 32 mEq/L, and protein 6.1 g/dL. Are these a...  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hi, Welcome to I understand your concern. It is good to read that you maintain a daily habit of exercise. You have mentioned the following laboratory values: WBC (white blood cells): 3400 per microliter of blood. Monocytes: 12 %. Total protein: 6.1 g/dL. CO2 (carbon dioxide): 31...  Read Full »

Based on my blood test reports, kindly let me know the type of infection I am suffering from?

Query: Hi doctor, My report shows an infection, but I need to know which type of infection or which organ got infected? So, I can consult a doctor related to this department. I am taking medicine for this infection. I appreciate any help you can provide.  Read Full »

Dr. Shubadeep Debabrata Sinha

Answer: Hi, Welcome to The possible causes are bacterial, viral, and parasitic. In the new report (reports removed to protect the patient's identity), you have lymphocytosis, suggesting infection. You also have borderline eosinophils, which indicate a possible allergic cause. Platelets are lo...  Read Full »

What does my blood report signify about my chloride, sodium, lymphocyte, and RDW levels?

Query: Hello doctor, I underwent a blood test today, and everything came normal except the following: Carbon dioxide: 20 mEq/L; Normal: 21 to 33 mEq/L; Status: Low. Chloride: 95 mEq/L; Normal: 98-107 mEq/L; Status: Low. Sodium : 149 mWq/L; Normal: 134-146 mWq/L; Status: High. Absolute lymphocyte count: ...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hello, Welcome to You should remember that the results of investigations vary from one laboratory to another due to sample collection technique, use of reagents, test procedure, and faulty mechanisms. From the attached reports (attachments removed to protect the patient's identity), c...  Read Full »

Will Vitamin D deficiency cause chronic fatigue, cold limbs, and body pain?

Query: Hi doctor, I would like to know if those results, especially those which are low and high, are very bad. And what is your advice? I have attached the reports. I take medication for blood pressure and cholesterol. Kindly give your opinion.  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I can understand your concern. According to your statement, you have recently done some blood tests. The results have shown that your blood urea nitrogen (BUN), total bilirubin, and total cholesterol levels are slightly above normal (attachments removed to protect t...  Read Full »

What is your opinion on the attached blood report of a diabetic patient?

Query: Hello doctor, I am writing this for my brother. He is a diabetic and taking medicine from the last three years. He recently came to home for a short vacation and undergone health check-ups. After studying the reports, our family doctor pointed out certain elevated values like Hb, etc., and su...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to I have read the attached report of your brother (attachment removed to protect patient identity). The main abnormal finding in CBC report is elevated red blood cells count and PCV. The hemoglobin level is also raised slightly. So, it is suggestive of polycythemia. It...  Read Full »

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