Complete Blood Count

Complete blood count (CBC) is a blood test that gives information about the number of different types of cells present in the blood and the hemoglobin concentration. It measures components in the blood like red blood cells (RBC), white blood cells (WBC), hemoglobin, hematocrit, and platelets. It is used to diagnose conditions like anemia, infections, and blood cancer.

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My 8-year-old son is diagnosed with a low platelet count. What to do?

Query: Hello doctor, My 8 year old son was diagnosed with a possible bone marrow failure during monitoring for low platelets when he was three years old. His biopsy showed areas of 20 % cellularity. Last year his counts were WBC 13.8, RBC 4.83, hemoglobin 13.5 g/dL, hematocrit 39.3, MCV 81.3, MCH 27.9, MC...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. You had mentioned the history of bone marrow failure at three years of age, but the cause and workup done at that time are not mentioned here.Temporary viral infection like parvovirus can lead to temporary bone marrow suppression.In a child, if platelet count remains low ...  Read Full »

I have chronic nasal congestion, and my lymphocyte count is high. Will you Suggest any solutions?

Query: Hello doctor, I am a 20-year-old male. I have had nasal congestion for the past three weeks, which is not getting cured. I was also suffering from nausea and increased bowel movements. The nausea is cured, but I feel sick inside. Is it anything serious? In my CBC reports, the neutrophils are 44 %, ...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. You have not mentioned the medication that you are taking. According to your CBC report, you have high lymphocytes count. It is suggestive of a viral infection of the upper respiratory tract. Therefore, I suggest you do the following investigations. Rhinoscopy nose exami...  Read Full »

The reports of bone marrow aspiration and biopsy differ. How?

Query: Hi doctor,Bone marrow aspiration twice showed hypercellular bone marrow with overgrowth of WBC and megakaryocytes with all stages of maturing including micromegakaryocytes. But at the same time, the second BMA during bone marrow biopsy showed normocellular bone marrow. Is something like that possibl...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. You have not mentioned the age of the patient, peripheral smear, and CBC (complete blood count) findings. You have mentioned that bone marrow was showing overgrowth of the WBC (white blood cells) and micromegakaryocytes. So, it is a myeloproliferative condition. ...  Read Full »

My husband's blood counts got reduced over time after COVID infection. Why?

Query: Hello doctor, Kindly find the attached reports of my husband. He just got a routine test and has no complaints at all except that he is hypertensive and is on Telma-AM in the morning. He got COVID-19 earlier this year. During COVID-19, his blood count got reduced and further decreased over time. Sho...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I understand your concern. From the reports attached (attachment removed to protect the patient's identity), hemoglobin, MCV and RBC values are low. So it is suggestive of iron deficiency anemia. So iron tablets in the form of ferrous ascorbate can be prescribed. On...  Read Full »

My daughter was diagnosed with ITP earlier, and her complete blood count is normal, except for the platelets. Does she need a platelet transfusion?

Query: Hello doctor, My daughter had a complete blood count, which was normal except for platelet. She is asthmatic and has got a chest infection now, and she is receiving antibiotics. She has her period now. Two days ago, the platelet was 14. When she was a child, the case was confirmed as ITP, but she wa...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Rule out other causes of thrombocytopenia, like uremia, malaria, and dengue. I suggest you take a peripheral smear examination report and Ig M dengue testing. If no specific cause is found, ITP (idiopathic thrombocytop...  Read Full »

Do my blood test results indicate that I have cancer?

Query: Hello doctor, Blood tests show high leukocytes of 12000 per mL with lymphocytosis and an elevated alkaline phosphatase at 162 u/L. Kindly suggest further tests to rule out cancers and lymphoma.  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. You need to repeat your CBC (complete blood count) after three to five days. If lymphocytes count is normal then the chances of cancer are very less. If lymphocytes count remains persistently high then further workup as follow. Peripheral smear examination report...  Read Full »

My blood reports shows lymphocytosis and macrocytic anemia. Kindly give your opinion.

Query: Hello doctor,I would like to know your opinion of my complete blood count. I have attached my reports with this which shows absolute lymphocytosis and macrocytic anemia from two years.   Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to the icliniq.com. In the mentioned history hemoglobin level is low and MCV (mean corpuscular volume) is high, So macrocytic anemia is present (attachment removed to protect patient identity). The cause for which has to be ruled out. Hypothyroidism, vitamin B12 deficiency, liver di...  Read Full »

Would viral infection affect the lymphocyte and neutrophil values?

Query: Hi doctor, I had a viral infection last week. Is it normal to have increased lymphocyte levels of 52 % and decreased neutrophil levels of 35 % after having a viral infection? It got healed within a week. I was fine when I did my blood test. My RBC and WBC are considered to be normal. As I have anemi...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. After having a viral infection, lymphocytosis can persist for seven to ten days. Your low neutrophils are relative, and it is because of increased lymphocytes. Platelet can be high because of inflammation or by iron deficiency anemia as a reactive thrombocytosis. Urinar...  Read Full »

Can being on your menstrual period raise the platelet count?

Query: Hello doctor, I am 40 years old. I recently had a full panel of laboratory tests done and my platelet count was elevated as was my hs-CRP. All other reports were in optimal or normal range. My ferritin was on the lower end and my HbA1c was on the higher end of normal. I am currently being treated wi...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. In the provided report (attachment removed to protect patient identity), the serum ferritin and hemoglobin are within the limit. A slightly elevated platelet and high CRP (C-reactive protein) can be from a temporary inflammation, in which the platelet is raised becaus...  Read Full »

My wife's fitness certificate was put on hold due to low hemoglobin. Can she travel abroad?

Query: Hello doctor, My wife went for a master health checkup. Her fitness certificate was put on hold due to low hemoglobin and other blood test parameters. Her hemoglobin was 8 g/dL, ESR was 25, hematocrit was 26.8, MCV was 62.3, MCH was 18.8, MCHC was 30.0, and RDW was 21.4 %. Can you please chec...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Your wife has microcytic hypochromic anemia. The common causes of microcytic hypochromic anemia are iron-deficiency anemia, sideroblastic anemia, thalassemia minor, and anemia of chro...  Read Full »

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