How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Mark Your Own Question

Dr. Mark
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience:  U.S. Physician/Surgeon in Neurosurgery
206912
Type Your Health Question Here...
Dr. Mark is online now
A new question is answered every 9 seconds

How can I improve my low count of white blood cells which is

Resolved Question:

How can I improve my low count of white blood cells which is at the moment 2.5 ?
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Mark replied 5 years ago.
Have you had a recent cold, infection, or other medical condition?

Was this simply a single lab value, and your white blood cells were normal before?
Customer: replied 5 years ago.
My health has never been affected by lower count of white cells, nor I had any serious cold, infection or other medical problems.
The count of WBC was always good - 4 and above. The regular fall started approx. 8-9 years ago although there was an increase last year upto 3.6; this year it came down to 2.5
Expert:  Dr. Mark replied 5 years ago.
OK.

Do you happen to know your absolute neutrophil count (the ANC) -- it would have been listed on your labwork?

And I assume your doctor is not too concerned with this number -- do you have a repeat CBC test soon?
Customer: replied 5 years ago.
Unfortunately I don't have it right now but I can forward it to you tomorrow .
How can I reach you though?
I've just done my last test a couple of weeks ago.
Based on previous test (2 years ago) made by my doctor the WBC were healthy and additionally I did various tests on possible deseases as well which were all clear.
Expert:  Dr. Mark replied 5 years ago.
You can just go ahead and reply to this message, like you just did.

But overall -- in general -- without a history of specific symptoms or other red flags -- this may simply have been a single test that was on the lower side of normal.

But evaluation of the neutrophils -- the main component of the white blood cells -- and the ones that fight bacterial infections -- would be important in a person with low white blood cells (leukopenia or neutropenia).

So that ANC number would be helpful.
Customer: replied 5 years ago.
So, if I understood correctly you need that ANC number to give me your advise to my problem which I'll forward to you tomorrow.
Expert:  Dr. Mark replied 5 years ago.
Well, it would help to categorize it into "mild, moderate, or severe" categories -- and help to know if this is something that should be reevaluated now, or could be watched safely.
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience: U.S. Physician/Surgeon in Neurosurgery
Dr. Mark and 3 other Health Specialists are ready to help you
Customer: replied 5 years ago.
I am sending the ANC number as I promised yesterday to Dr. Mark in order to help to get to know better my problem with low WBC. So the lab test shows ANC count 51.2%.
Also I am letting you know the history of my low WBC from the time it started going down.
year 2002 - 4;
2003- 4.81
2004- 4.1
2005- 3.7
2006- 3.19
2007- 2.94
2008- 3.6
2009- 2.53
What I would like to know is why it's going sometimes up and then again down?
What effects it and what I can do to prevent it from falling?
How dangerous it is to my health ?
Expert:  Dr. Mark replied 5 years ago.
OK.

Thanks for the information.

With 51.2% neutrophils -- that makes 51.2% of 2.5 = about 1.25, or 1250 / microL.

Normal is above 1500.

Between 1000 an 1500, where you are, is considered mild.

The risks of infection increase when this number gets below 1000. Below 500 is considered severe.

As for the trends -- day to day this number will fluctuate, as your white blood cells are made daily. So the up and down of the numbers you see can just be normal flucuation of these levels (e.g. you could take these tests a week apart and get that variation in numbers as well).

Some reasons for this white count being low are:

after infections (viral and bacterial)
some medications can induce neutropenia
people with large spleens
bone marrow disorders
immune disorders

or this could simply be mildly lower than normal.

In general, your doctor would want to get a repeat value of this soon, to ensure that the number rises to normal.

If it persists, then further evaluation of the bone marrow could be done.

But in this "mild" range -- it generally is not a threat to your health.
Customer: replied 5 years ago.
Thanks for your very precise explanation.
The last question: whether there is any connection with my dietary intake or things I can eat to improve the count.
Expert:  Dr. Mark replied 5 years ago.
Well, there really isn't magic foods or supplements that work to raise the white blood cell count. (Iron can help to raise the red blood cell count). But keeping good nutrition is certainly key to ensuring good bone marrow health, but otherwise nothing special.
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience: U.S. Physician/Surgeon in Neurosurgery
Dr. Mark and 3 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Mark
Dr. Mark
Health Professional
11946 Satisfied Customers
U.S. Physician/Surgeon in Neurosurgery