Q. How can I investigate the reason for an increase in eosinophils?

Answered by
Dr. Parth R Goswami
and medically reviewed by iCliniq medical review team.
Published on Sep 07, 2018

Hello doctor,

I had a severe cough seven months back and lasted for a long time. During that period a severe pain started in my left shoulder and neck and still, it is persisting. The doctor used to give me a painkiller and it subsided for some period and then again it started. I stopped taking any tablet further carrying the pain daily. I read some article stating due to viral infection such problems can occur. So I did a blood test on my own and there we observed eosinophils count 11 (range is 0.0 to 6.0) and absolute count 0.83X10^3/uL (0 to 0.5), MCHC 30.8, RDW-SD 49.3, RDWCV 14.6, PDW 8.3, PLCR 12.8. How do I investigate further the reason for an increase in eosinophils? Please note I had continuous sneezing and mucous formation in the nose. I had been operated for polyps as well but even today I cannot smell. I am unable to understand what to do and how should I get rid of these health issues and what corrective measures I should take. Currently, I am taking Hetrazan100, Neurokind and Vitamin D3 tablet once a week.

Dr. Parth R Goswami

Hematology Pathology
#

Hello,

Welcome to icliniq.com.

I had seen attached reports here (attachment removed to protect patient identity). An eosinophil count is high in your case and history of a cough with the mucous present. Hence allergic rhinitis or a bronchitis-like case has to be ruled out. For that allergic testing should be done. By allergy testing, we can find causative allergen. Apart from allergic respiratory infection, skin eczema, parasite infection are some other causes. For symptomatic relief, Levocetirizine plus Montelukast combination drug can be prescribed for ten days for high eosinophil count. Your calcium level is also low, for that take Cholecalciferol sachet of milk taken once a week for eight weeks. Take care.

For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner


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Hi doctor,

Thanks for quick reply. How can I know the cause of high level of eosinophil count? I would like to know the reason behind it. Also, pulmonologist suggested is for what purpose?

Dr. Parth R Goswami

Hematology Pathology
#

Hello,

Welcome back to icliniq.com.

Hereby, I am giving you my further opinion regarding your case. You are having sneezing and mucus formation in the nose as per mentioned history. And eosinophil count high. So it suggests towards allergic upper respiratory tract infection like rhinitis. Allergy testing is done by an allergic pulmonologist. So by allergy testing causative allergen can be found like pollen, dust, cold, etc. After identifying causative allergen, you can avoid exposure to that allergen to prevent allergic symptoms.

For allergy symptoms, Montelukast plus Levocetirizine combination prescribed when needed. Stool routine micro examination is done to check parasite if present. The most likely cause in your case seems to be allergic rhinitis. By completing the course of the above-prescribed drug, eosinophil count will come down to normal. Repeat CBC after taking that drug. Take one tsp (teaspoon) turmeric powder with milk daily. Take care.

For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner


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