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Does white cell count variation cause serious problem?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I just got blood test results. There are a few high levels, like cholesterol and uric acid. What concerns me is my WCC. It is normal at 7.6, but my lymphocytes are 4.6. They were 4.3 on a test done three months back. My neutrophils are 2.66 now and were 4.07 three months back. I have been checking for information and worked myself into a frenzy with the information online about blood cancer, hepatitis, HIV, etc. It is so confusing. I do have health anxiety issues, as my husband died from bowel cancer three years ago. I also had diarrhea and a sore throat a few days before the recent test. Any help would be appreciated. I also have fibromyalgia. Currently, I am taking Duromine 40 mg and Ibuprofen.

Kindly help.

Answered by Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Thanks for your query. I am really sorry to hear about your loss.

I have checked the attached files (attachment removed to protect patient identity) thoroughly. Apart from high normal cholesterol level, there is nothing to worry about. The white cell count is within normal limits. Regarding the lymphocyte count, it is very unlikely to indicate a serious condition, as it varies with simple viral infections. For the high cholesterol, I recommend Atorvastatin 10 mg once daily before dinner. Follow up cholesterol level will be required after one month of initiating the anti-cholesterol medication.

For more information consult an internal medicine physician.

Thank you.

Patient's Query

Hi doctor,

Thank you for that. It has helped. Just one question. Is the 2.66 neutrophil count fine? Is it normal to go from 4.06 in two months, or does this vary naturally? Does it go down when lymphocytes go up slightly?

Kindly help.

Answered by Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

The neutrophils are the main cells that fight bacterial infections, as we are exposed to many bacteria every day. The counts are dynamic, with fluctuations that are normal. And there is nothing to worry about. When the body forms more types of cells, this could affect the other types of cells; for example, when the body forms more lymphocytes, this could lead to fewer neutrophils.

For more information, consult an internal medicine physician.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At July 2, 2018
Reviewed At December 19, 2025

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

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