TLC is elevated and I am worried. Is there anything concerning?

Question

Hello doctor,

I have submitted the reports of HPLC USG and the latest CBC. I am worried this time, TLC was elevated. In the last four or five CBC in two months, it has never crossed the 7 to 9 range. Also, sending you CT and USG reports from two years back.

Answer 1

Hello,

Welcome to icliniq.com.

I saw your reports (attachment removed to protect patient identity).

Your concern about high TLC (total leukocyte count) is not bothering me. We do see DLC (differential count) also, which tells the character of cells whether they are cancerous or not). There is nothing like that in your report. So, you need not worry.

HPLC (high-performance liquid chromatography) report is normal, which means at present, we do not have anything conclusive as almost all investigations have been done in your case except for your bone marrow examination.

As you are completely fine and symptom-free and your JAK test was also negative, you are most likely not suffering from any cancer, etc. Hematocrit or PCV if crosses 55 to 60, then only we give some symptomatic drug.

From my side, I would advise you to just follow dietary advice and get your blood levels checked only after three months. Getting it checked every month will only make you more stressed, which I certainly do not want.

Answer 2

Hi,

Welcome back to icliniq.com.

I also second your opinion that there is nothing significant about those cysts. In fact, I will recommend you have good hydration, especially during the upcoming summer season. Stone size is 2.09 inches, which is not problematic till you maintain good hydration. It may or may not pass on its own.

I will suggest not getting the Hb level done monthly. I know some patients get it done every two weeks, which add stress to their life. You are fine and need not worry.

I would be happy if I could help you in any way in the future. Do let me know.