Please suggest further action after reviewing my wife's blood report.

Question

Hello doctor,

This is for my wife. She is 36 years old. Her height is 5'4", and her weight is 143 pounds. Recently, we had a blood test, and the attachments here are the results of the same. We are worried about the absolute lymphocyte count and percentage, as well as the other highlighted numbers in the report.

She keeps complaining of a slight pain in the stomach, though not frequently. We are afraid of any cyst, and we checked for it last year, but found nothing abnormal. I request you to review these numbers and suggest a further course of action.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

After reviewing the reports (attachment removed to ensure privacy), I have noticed that her vitamin D levels are on the lower side. With the exception of some fluctuations in the hemogram report, the rest of the reports appear to be within the normal range.

Her lymphocyte count has increased slightly (3460 cells per microliter), a condition known as lymphocytosis (normal range is typically 1500 to 4000 cells per microliter). This elevation is commonly observed in temporary conditions like viral fevers or infections, and could indicate an underlying chronic condition or even autoimmune disorders. However, significant and persistent lymphocyte count elevation would require further evaluation.

A positive aspect is that there are no atypical or abnormal cells in her hemogram, which suggests that lymphoproliferative diseases are less likely. It would be helpful to know if she has any lymph nodes, experiences increased fatigue, weight loss, abdominal lumps, photosensitivity, joint pains, or recurrent fevers.

I would advise against panicking and recommend getting the test repeated after four weeks to monitor any changes. This will provide a clearer picture of her condition.

I hope this helps.

Please revert in case of further queries.

Thank you.

Answer 2

Hello,

Welcome to icliniq.com.

As previously advised, it is crucial not to panic. Simply repeat the complete hemogram after four weeks, and by then, the lymphocyte count is likely to have normalized.

To address vitamin D deficiency, consider dietary supplementation with foods such as dairy products, cheese, fish, yogurt, and exposure to sunlight between 10 AM and 3 PM to achieve a slight reddish skin tone. Vitamin D is a fat-soluble vitamin, so avoiding complete restriction of oily foods is important to prevent deficiency. The goal is to raise vitamin D levels to above 30 ng/mL.

Initially, you can try dietary measures. If the deficiency is not corrected within 8 weeks, you might consider the following medication under the guidance of your treating doctor: Tablet Vit D2 Drisdol 50,000 IU once a week for 8 weeks, followed by a maintenance dose of 800 IU daily along with food supplements. It's essential to recheck vitamin D levels after 8 weeks of initial supplementation.

Additionally, I recommend tablet Calcium carbonate twice daily to support overall health.

I hope this helps.

Please revert in case of further queries.

Thank you.