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Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 9210
Experience:  Experienced Oncology Physician trained in New York City. I'm ready to help.
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Can someone help me understanding if I have any reason to

Customer Question

Can someone help me understanding if I have any reason to worry with these blood results:WBC - 3.29Neutrophils - 1.03 (31.4%)
Lymphocyte - 1.85 (56.2%)
Monocyte - 0.33 (10%)
Eosinophils - 0.08 (2.4%)
Basophils - 0 (0%)I have no symptoms and no complains - could this be some "normal abnormal", or should I find a doctor and do some tests (which doctor - which tests?)
Submitted: 1 month ago.
Category: Oncology
Expert:  Dr. Ravoof replied 1 month ago.

Dear customer,

Thank you for the question

How old are you? Why was this test done? What symptoms did you have?

Customer: replied 1 month ago.
I am 38.
I don't believe I have any symptoms (or nothing I can remember). I had some skin rash my doctor could not diagnose (it would come and go so he never got to see it)
Expert:  Dr. Ravoof replied 1 month ago.

Dear customer,

Thank you for the question.

You are having a low white blood cell count. A viral infection can cause the low WBC count, along with the increase in lymphocyte percentage, and even a skin rash. So, at present without any symptoms, I would not recommend any further testing. However, you should get the WBC count repeated after a month. If the count continues to remain low, then I would recommend consulting a general physician or family physician (primary care provider). There is no need of any specialist consultation. You should then do a peripheral smear examination to know whether the cells are appearing normal under the microscope.

Take care.

Did I answer your question? Please reply.

Thank you.

Customer: replied 1 month ago.
62;> If the count continues to remain low
It was the same low three month ago, and six month ago>> I would recommend consulting a general physician or family physician (primary care provider).
I did. Since he did not tell me anything insightful I hoped to get more informed online. He prescribed Echinacea which had no effect.>> peripheral smear examination
I could be wrong but I believe this was done already - when neutrophils are low our lab checks for a certain type of neutrophils (can't remember what they are called) which should be 6% max
Expert:  Dr. Ravoof replied 1 month ago.

Dear customer,

Thank you for replying.

In that case you should consult an internal medicine specialist or even a hematologist.

Echinacea is unlikely to be beneficial.

Hopefully the peripheral smear result was normal appearing cells. Sometimes when more than one cell line is reduced (such as simultaneous anemia or reduced platelets), a bone marrow examination is required.

Take care.

Did I answer your question?

Please reply.

Customer: replied 1 month ago.
62;> Did I answer your question?
No.My main goal here is to get ideas what could cause such blood work - and yes, I'm aware LBC is often caused by viral infections - I do know how to use internet.I am looking for someone helping me to read blood work the same way a good doctor would.
Expert:  Dr. Ravoof replied 1 month ago.

Dear customer,

Thank you for replying.

I will opt of this question, and allow another expert to help you.

Expert:  Christopher Palmer replied 1 month ago.

Hello, I'm Dr Palmer. I just reviewed the string of conversations. Stand alone blood work as above do not tell us much. What is the number of hemoglobin and platelets?

Customer: replied 1 month ago.
I do have that informationhemoglobin - 14.1
platelets - 211also
Hematocrit 41.1 %
RBC 4.60
MCV 89.3
RDW 12.6%
MCH 30.7
MCHC 34.3
Customer: replied 1 month ago.
Anyone?

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