Recently Answered Questions
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My child has very low WBC counts. Can chemotherapy be given?
Query: Hello doctor,I want to have an opinion about my daughter's (8 years old) chemotherapy treatment for B-cell acute lymphoblastic leukemia. I want to know that is it possible to start or continue chemotherapy at very low counts of WBC and WBC differential. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your child is having B-cell acute lymphoblastic leukemia. In that case, to induce remission, induction chemotherapy should be given to restore normal bone marrow. After induction, maintenance chemotherapy also to be given. Your total count might be low because of che... Read Full »
My son had tumor surgery. Is the dip in WBC count serious?
Query: Hello doctor, My 15-year-old son recently completed treatment for a primary mediastinal non-seminomatous germ cell tumor. He completed 4x VIP and surgical resection with NED 20 days back. He had one transfusion of red blood cells and platelets two months back after round 4. This month, one-day post-... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your child is having a rare entity of non-seminomatous germ cell tumor and common extragonadal site for it is mediastinum. Mild splenomegaly is because of malignancy related process and no worry about that and nothing extra treatment needed. Second, only WBC count i... Read Full »
My absolute neutrophil count and WBC count decreased within 15 days. What does that indicate?
Query: Hello doctor, I am concerned about low absolute neutrophils and WBC. I have had two blood tests. The first was six months ago, which showed my absolute neutrophil level was 2100 per microliter of blood and dropped to 1700 per microliter of blood after 15 days when I checked the blood for the second ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your absolute neutrophil count does not seem to be decreased much. Usually, it can be considered low if AEC (absolute eosinophil count) is below 150 per microliter of blood. Your total count is low as per your history. Sometimes the infection can lead to low WBC (whi... Read Full »
My CBC showed low WBC count. Please advise.
Query: Hello doctor, I am a 41-year-old, healthy female, average height and weight. I recently had a CBC which was concerning to me. The WBC count was slightly low at 3.78 (reference range starts at 4.16) and the ANC was 1.08 x 103/uL. All the rest of the CBC was entirely normal. No immature granulocytes, ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to the icliniq.com. I have seen your attached report here (attachment removed to protect patient identity). It is not suggestive of any cancer. Your Hb (hemoglobin), HCT (hematocrit), RBC (red blood cells) and platelet count all within range. You had mentioned the history of flu which ... Read Full »
Query: Hello doctor, I underwent a blood test, and my WBC count was 16.13 but the five main white blood cell counts were normal. How can the component count be normal when the WBC count increases? I take Metformin once a day and have taken two steroid injections five days before the blood test was done. I ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I can understand your concern. The rise in the levels of WBC (white blood cells) is due to steroid shots and UTI (urinary tract infection). In UTI, along with an increased count of WBC, high levels of neutrophils can be present. The increase in the count of neutroph... Read Full »
What is the concerning fact with varying WBC and hemoglobin values?
Query: Hi doctor, I am 28 years old. I am about 143 lbs and 5.6 feet in height. I doubt my CBC. Last two months ago, in the CBC test, my WBC was reduced to 5000 from 5600, and my Hb was increased to 17 gm. I repeated CBC. In the report, WBC was increased to 5800, and Hb is 16.5 gm. Is it normal? I have a h... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Following is my opinion for your asked question. In the attached report (attachment removed to protect patient identity), hematocrit, WBC count, and RBC count are absolutely normal. Do not worry about variations in the total WBC count. According to the different physio... Read Full »
My WBC is low for the past few years. Can this mean multiple myeloma?
Query: Hello doctor, For the past few years during my routine physical my WBC has been low. (2700 to 3700) Neutrophils have run a little low also. No other issues, completely healthy. My dad was diagnosed with multiple myeloma a few years ago but doing well. I have read about some family history with this ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. According to the history provided, your main concern is regarding fear of multiple myeloma. In case of a multiple myeloma like malignancy, there is usually the presence of weakness, fatigue and bone pain. In multiple myeloma, osteolytic bone lesions occur and so bone... Read Full »
Should I do a bone marrow aspiration to find out why my WBC count is low?
Query: Hi doctor, I am 40-year-old female with no symptoms, and in good physical condition. I typically have a blood test every year. I discovered that I had mild leucopenia at 3900/mm since the start of the year, but recently, my blood test has come back at 3600/mm. My differential counts are within the n... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com, You are having Sjogren's syndrome as per mentioned history. Your leukocyte count is mildly low, which might be due to Sjogren's syndrome. Your peripheral smear examination report is normal and hemoglobin level and platelet count are also within limit. So accor... Read Full »
Can vigorous exercise result in low WBC count?
Query: Hello doctor, I recently had my complete blood test and said my WBC is low at 3.6, just below the reference range of 3.8. However all the other values of the WBC were in normal range. The RBC showed normal ranges too. Could this be due to increased exercise intensity everyday for the last two month... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have read all three reports (attachment removed to protect patient identity). The total WBC (white blood cells) count is low only in the latest attached report. There are many causes for low WBC count, including viral infection to blood cancer. Your main fear is... Read Full »
My WBC count is low and I have no other symptoms other than fatigue. Should I worry?
Query: Hello doctor, I had a CBC done six months ago. My WBC count was 3.5, which my doctor did not seem concerned about. Should I be worried about that low WBC count? I have no symptoms other than fatigue. If I had leukemia, would I have worse symptoms by now? Kindly help. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I have reviewed your query. You should not worry about your total WBC count. It is slightly low. If you had leukemia then your presentation can be more severe. Moreover in leukemia, the total WBC count is usually very much elevated that is aro... Read Full »