Why is my WBC and neutrophil count low and liver enzymes high?

Hi,

Welcome to icliniq.com.

I have gone through your reports (attachment removed to protect patient identity).

1. From your history, I think the reason for your low WBC is stress and raised liver enzymes because of fatty liver, which is a benign condition.
2. Moderately low WBC count is a common finding in people suffering from any stress like a viral infection, malaria, dengue, etc. which is transient. And moreover, it is significant only if your absolute neutrophil count is less than 1500 in your case it is 1200.
3. Do you have any history of fever, night sweats, unusual weight loss in recent months, and a cough?
4. I would suggest you get tested for dengue NS1, dengue IgM, Lepto IgM, peripheral smear for malaria, and a CBC (Complete blood count) after a month.
5. I feel you have some underlying viral etiology, which is making you weak and tired and affecting the liver enzymes. There are plenty of viruses that can cause this but, cannot be investigated. The treatment for viral infection is symptomatic.

I suggest you try taking the following. Consult your specialist doctor, discuss with him or her, and start taking the medicines after their consent.

1. Tablet Cefpodoxime 200 mg, twice daily after meals for ten days. It is an antibiotic and will protect you from any infection.
2. Tablet Supradyn, take one tablet daily for a month. It is a multivitamin to boost your immunity, as viral infections deplete your vitamins and make you feel tired.
3. Tablet Restyl (Alprazolam) 0.5 mg, take one tablet at bedtime for 15 days. It is an anti-anxiety medicine.
4. Consume lots of fluid and cut down on spicy, oily, and fried food. Eat fruits and vegetables as your liver enzymes are raised.

Please get back with the reports.