Recently Answered Questions
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My son's doctor suspects lymphoma. Can it not be a simple infection?
Query: Hi doctor,My son had a full blood count as he experienced a fever (38 degrees Fahrenheit) for the past ten days. The onset of fever is around 5 PM. I took him to the emergency department and they are questioning whether he may have lymphoma. His WBC was 16.65x10^3/uL, LY% 5.6, BO% 26.8, NE 9.73. Can... Read Full »
Answer: Hello, Welcome to icliniq.com. His total leukocyte count is increased but the main reason for your doctor's suspicion of a hematolymphoid malignancy is the high basophil percentage. Leukemia is diagnosed by the presence of blasts more than 20 % in the blood and or bone marrow and more than 25 % ... Read Full »
What are the tests done to check blood cell levels?
Query: Hi doctor, I am a 35-year-old female. I have hypothyroidism and I am on Synthyroid. Overall, I am healthy. I exercise daily and do not smoke. I have a 15-month-old toddler. Throughout my pregnancy, my blood work showed an elevated WBC, but they are under 15000 per microliter of blood. They just assu... Read Full »
Answer: Hi,Welcome to icliniq.com.Based on your query, my opinion is as follows:The high basophil count of 10% associated with immature granulocytes of 9.8% is a bit worrisome.The white blood cell count is unusually low for the above findings. As with the above, I expect to usually count on more than 100,00... Read Full »
Are the Increase in WBC Count can be due to Neurontin?
Query: Hi doctor, My husband, who is 49, had blood work done. It shows a WBC count of 40,000, which has been checked twice now. His doctor wants to send him to see a specialist. He has had no recent infections. There is no change in his appetite and no weight loss. He feels fine. He has been on Neurontin f... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Yes, Neurontin - Gabapentin is known to cause a high WBC (white blood cell) count. If there is no infection, then it is common to worry about leukemia when the WBC count is high. At present, the best idea is to get a perip... Read Full »
Is FNB or biopsy needed to check lymph node enlargement?
Query: Hi doctor,I am a 32-year-old male. My height is 6 feet and my weight is 145 lbs. I am facing a significant unexplained weight loss of more than 45 lbs in four months. My normal weight since high school is 185 to 180 lbs. I am having episodes of significant and frequent drenching night sweats. Also, ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached images (attachment removed to protect patient identity), my opinion is as follows: In view of the clinical symptoms, images could be more of neoplastic etiology. Clearly, with the family history and prominent nodes along with the class... Read Full »
Is WBC count is 40000 suggestive of leukemia?
Query: Hello doctor, What would you think if you see a WBC count as 40000 on CBC findings? Is it enough to think about leukemia or lymphoma? What is the difference between leukemia and leukemoid reaction? Please explain. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: A count of 40000 is not high enough to think of leukemia on an immediate basis and leukemoid. The standard definition says the count should be more than 50000 and should be caused by reactive causes outside the bone marro... Read Full »
Does my CBC history and family history of multiple myeloma indicate I am at risk?
Query: Hello doctor,I am 44 years old male. I am attaching pictures of my seven-year CBC history. Here is what happened this year. On my annual physical examination 11 months back, my WBC was low. Three months back, my GP checked it again. WBC came back in range but platelets were low. Over seven years, pl... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your CBC does not suggest multiple myeloma (attachment removed to protect patient identity). In the case of multiple myeloma, anemia can be there and clinical symptoms like a constant headache, kidney system related symptoms, etc., can be present. But as your father ... Read Full »
Is there any relationship between polyclonal hypergammaglobulinemia and leukemia?
Query: Hi doctor, What is polyclonal hypergammaglobulinemia? Can it be related to leukemia? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). Polyclonal hypergammaglobulinemia is an increase in antibody levels in the blood in response to infection. If you have lymphoma or leukemia then, the result can be monoclonal in nature. M... Read Full »
How is the prognosis of refractory T-all pulmonary Koch's disease?
Query: Hi doctor, My friend was diagnosed with refractory T cell ALL pulmonary Koch's with the organized pericardial collection. He was admitted to a hospital and now they discharged him and advised further treatment. Please give me valuable advice. What is the current condition? And how much is the percen... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Pulmonary tuberculosis is under control and continuation of therapy is necessary. However, the main problem is leukemia, which is not responding to tre... Read Full »
Query: Hi doctor,I am a 66-year-old female. I am suffering from hypertension and diabetes for 20 years. I have got an implemented stent a month ago. I am taking medicines for the all above I have mentioned. In my recent blood count, my WBC is 70000. Why? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. The white blood cell - WBC count is very high and so there is a need to look into the complete report, particularly the differential count. If neutrophils are high, possibly an infection. However, if the patient's physic... Read Full »
Should I worry about sudden drop in neutrophil and WBC count?
Query: Hi doctor,I am a 30-year-old woman. I have recently lost a pregnancy at 19 weeks due to membrane rupture. I had induced abortion with Misoprostol two weeks back and there is no complication since. I have had a CBC done almost every week from the starting of my pregnancy and they were all absolutely ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: The WBC count (white blood cell) varies on day-to-day and hourly basis and also depending on variable internal factors. Corticosteroids can affect WBC count, particularly neutrophils. At present, maybe due to stress, wh... Read Full »