Dr. Singh Smrita
Hematology
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Patient's Query
Hello doctor,
I recently got my blood test done, and the reports showed neutrophils were 0.4 neutrophils/mcL, and WBC were 3000 WBC/mL. My doctor suggested a repeat of the blood tests within three days and also asked me to get tested for a number of inflammatory diseases like celiac disease. My blood test reports showed an increased neutrophil count to 1.9 neutrophils/mcL and WBC to 4000 WBC/mL. Also, I have had a history of gastric issues like bloating, constipation, and mild gastritis for the past 15 years. I have got a colonoscopy and endoscopy done, and the reports were normal. I am an active individual. My heart rate stays around 100 beats per minute. I have also got an EKG done which came back normal. I get tired easily. I have not used any medications other than birth control pills. Do you recommend I get further tests done, as my WBC and ANC are still on the lower end?
Kindly advise.
Hello,
Welcome to icliniq.com.
I understand your concern.
Apart from the low WBC (white blood cell) count, low neutrophils, and high LDL (low-density lipoprotein) levels, you do not have any other abnormalities.
The common causes of leukopenia (low WBC count) are:
1. Decreased production in the bone marrow.
2. Increased destruction outside the bone marrow.
3. Infections.
4. Nutritional deficiencies.
A low WBC count with low neutrophils predisposes one to an increased risk of acquiring infections. In some cases, chronic stress can also be a cause. Therefore, it would be a good idea to have a peripheral blood smear study and exclude vitamin deficiencies, especially vitamin B12 and folic acid deficiencies. You might need further tests if there are specific findings on your peripheral blood smear.
I hope this helps.
Thank you.
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Hematology
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