HomeAnswersInternal MedicinesurgeryKindly help with my increased blood count and bile sludge.

What can be done to treat high WBC and RBC with bile sludge?

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Published At April 6, 2019
Reviewed AtJanuary 18, 2024

Patient's Query

Hello doctor,

My blood work is showing high WBC and RBC. WBC is 11.3 (normal should be 11), and RBC is 5.14 (normal should be 5.0). Neutrophils are 7.6 (normal should be 7.5). Erythrocytes are at 2 not showing the normal number it should be at. However, it is flagged as high. My alkaline phosphatase is at 121 (normal should be 120), and alanine aminotransferase is showing at 75 (normal should be at 36). I also had an ultrasound done and showing 1.4" of bile sludge. Would these results indicate to you that I require gall bladder surgery? I do have pain under my right side rib cage into my right side upper back- tolerant pain. So my surgeon said to think about gall bladder surgery. Do my blood results and sludge showing in ultrasound reflect that I should have this surgery?

Answered by Dr. Sadaf Mustafa

Hello,

Welcome to icliniq.com.

The concept of when to get the surgery depends upon how much pain you have, how bad is the underlying disease and how long you have the inflammation. Given the history of pain, a slightly elevated white count, abnormal liver function test and biliary sludge. It would be a good idea to consider laparoscopic gallbladder surgery. The timing of the surgery whether to do it during an acute attack of pain or as an elective procedure depends upon the surgeon you are seeing.

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

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

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