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My recent CBC shows absolute Eosinophils at 506 and

Customer Question
My recent CBC shows...

My recent CBC shows absolute Eosinophils at 506 and referenced as High. Numeroud esoinophils were found in my nasal cavity during sinuplasty also. What should be my concerns if any about this. I've had chronic sinusitis with recurring infections for the last 3 years. Now have LPR "silent reflux".

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

Coughing with expelling of mucous, feeling of something in throat, sinus congestion, inability to lose weight,

Doctor's Assistant: How long have you been dealing with the cough? Are you having any other symptoms?

I've had the coughing about 7 months. See previous answer for other symptoms.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I've had allergy tests both skin and intradermal and no allergies found but continues to have the high level of eosinophils in blood and getting sinus congestion as well as the silent reflux.

Submitted: 4 months ago.Category: Medical
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Answered in 2 minutes by:
11/28/2017
Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 37,787
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Customer reply replied 4 months ago
Ok. Thank you. Should I remain on this site or will I get an email?
Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

High eosinophils can occur due to;

1) Allergies

2) Side effects of medications

3) Bacterial infections etc.

Please see the reference;

https://emedicine.medscape.com/article/2090595-overview#a2

So just your chronic sinusitis can cause raised eosinophils.

Following would be the treatment protocol for chronic sinusitis;

1) Nasal steroid; decrease inflammation and open up obstruction.

2) Oral decongestants such as pseudoephedrine are often helpful.

3) Topical decongestant for short duration.

4) Antihistamines; use only if allergic.

5) Steam vaporizer

6) Eucalyptus oil may help

7) Nasal saline irrigation

8) Vitamin C

9) Antibiotics; if nasal culture is positive and there are signs in CT scan.

For treating it naturally; steam inhalation, nasal saline water (salt water) irrigation (can be done by Neti-pot), Vitamin C, Eucalyptus oil inhalation can be done. Following can increase the body immunity so help in overcoming the sinus infection;

1) Omega 3; Fish oil capsule and flaxseed oil capsule.

2) Ginkgo Biloba

3) Zinc 30 mg.

GERD, has increasingly been implicated in causing or exacerbating chronic sinusitis. The exact relationships and mechanisms are presently a matter of speculation, though.

Consulting an ENT (ear, nose throat) specialist would be prudent.

Following measures are helpful for reflux laryngitis:

1) Small 5-6 meals a day.

2) Last meal should be eaten 3 hours before lying down.

3) Avoid; fried or fatty foods, chocolate, peppermint, alcohol, coffee, carbonated beverages, citrus fruits or juices, tomato sauce, ketchup, mustard, vinegar.

4) Eat slowly so air is not swallowed.

5) Swallowing therapy by a speech-language pathologist.

6) Lose weight if obese or overweight.

7) Elevate the head of the bed by 6 inches.

8) Avoid tight clothing.

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