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My absolute lymphocyte count is high. Can you suggest any Treatments ?

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My absolute lymphocyte count is high. Can you suggest any Treatments ?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 24, 2018
Reviewed AtJune 9, 2023

Patient's Query

Hello doctor,

My absolute lymphocyte count is 4800, so I have lymphocytic leukocytosis. I have a dust allergy, and I had mild asthmatic bronchitis in the last week. I am taking tablet Telekast-L occasionally.

Hello,

Welcome to icliniq.com.

  1. Please mention your complaints. Do you have a common cold, congestion, fever, or weight loss? Do you have a smoking history?
  2. Do you have asthma attacks regularly? Or is this the first time? Have you done a spirometry examination for confirmation of asthma?
  3. Lymphocytes are commonly elevated because of viral infection, for which symptomatic management is done.

Please attach your CBC (complete blood count) report with peripheral smear examination. Please provide the above information, so we can discuss further.

Patient's Query

Hi doctor,

Thanks for the reply.

I do not have a common cold, but I do sneeze occasionally, as I travel a lot. I do not have congestion, fever, weight loss, or any history of smoking. I got a CBC done the last year, and at that time also the report said lymphocytosis. My asthma is very mild, only when I do intense exercise or running. I have not been sick for the past three to four months, but the elevated WBC count is worrying me. Please let me know, if there is any need for concern.

Hi,

Welcome back to icliniq.com.

  1. It is good that smoking, weight loss, etc., are not present. I want to see your reports because you have not mentioned the WBC count. If the total count is more than 50000, then further specific workup needs to be done.
  2. And, I also want to see a peripheral smear examination report to check the morphology of lymphocytes.
  3. As per history, it does not seem to be much troublesome, and lymphocytosis can be from repeated viral infection.
  4. You might have developed repeated allergic bronchitis problems, and not asthma, due to frequent traveling.
  5. Asthma is a type 1 allergic hypersensitivity problem, so for that, I recommend you to get a pulmonary function test, like spirometry.

Whenever allergic inflammation occurs, try doing the following.

  1. Try taking a decongestant like Phenylephrine.
  2. If CBC shows eosinophilia, then Montelukast can be taken.
  3. Steam inhalation.
  4. Vitamin C lozenges.
  5. Oxymetazoline nasal drops.
  6. Try to take turmeric powder with warm milk.
  7. And for lymphocytosis, repeat CBC after a week. If lymphocytosis is persistent for many days or weeks, then further workup needs to be done.

Consult a physician for examination while keeping all this in mind.

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

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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