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Q. Why are my WBC, RBC and monocytes low?

Answered by
Dr. Prakash H Muddegowda
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 28, 2018 and last reviewed on: Oct 09, 2018

Hi doctor,

I have some red and purple dots on my stomach and hand. I have been sick for a long time and I lost my weight. My immune system is really bad. I had my blood test done and the result shows that the white blood cells are low at 3.9 and the red blood cells are 3.7. Also, my absolute monocytes are low. I have unknown bruising, bleeding gums, fatigue, throwing up feeling, loss of appetite and weight. What could this be? Please suggest me.

#

Hi,

Welcome to icliniq.com.

Based on your query, my opinion is as follows:

  • Looking at the various counts, WBC (white blood cells) count is just around normal.
  • While the RBC - red blood cells seems to be affected and based on the symptoms, it appears platelets could be affected.
  • As the platelet count and total hemoglobin are important, please attach the report.
  • However, looking at the red petechiae on the stomach and similar symptoms elsewhere, platelet could be affected.
  • Main cause could be nutrition. If all the cell lines are affected, then vitamin B12 and folic acid deficiency leading to a condition called as pancytopenia secondary to megaloblastic anemia is strongly suspected.
  • You need to improve nutrition and start on supplements, so I suggest you nutritional supplements or diet rich in vitamin B12 and folic acid is necessary. Also add iron, vitamin C along with a protein rich diet.
  • Need not worry about absolute monocytes, as one cell increases, the other cells will reduce and monocyte is not a major WBC, we are worried about. Fatigue and other symptoms are due to anemia and recurrent infections.
  • Repeat the tests after three months. At present I am not suspecting any vasculitis or any other immunodeficiency disorders as you are coming out of infections successfully.
Treatment plan:

Nutritional improvement like vitamin B12, folic acid, iron, vitamin C and protein rich diet

Regarding follow up:

For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist

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