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I have my trending labs and they are as follows, decreasing…

Customer Question
I have my trending...

I have my trending labs and they are as follows, decreasing wbc, decreasing lymphocytes, increasing monocytes, decreasing eosinophils, decrease rbc, decrease hemoglobin, decrease hematocrit, increase rdw

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

Extreme fatigue, petechia, loss of appetite, memory problems, bleeding gums when brushing teeth

Doctor's Assistant: Have you noticed any swelling in the gums? When was your last visit to the dentist?

No swelling in my gums, went last year

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

Yes, i just recently was treated for a vitamin d deficiency and that is on the lower end of normal now. i also had an u/s that found my spleen and liver are slightly enlarged.

Submitted: 4 months ago.Category: Medical
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Answered in 16 minutes by:
12/1/2017
Doctor: Dr.Saleem, Doctor replied 4 months ago
Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 2,942
Experience: MBBS
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Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

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Doctor: Dr.Saleem, Doctor replied 4 months ago

Well you have decreased blood counts across all cell lines almost with hepatosplenomegaly. It needs further workup with bone marrow examination, peripheral film , possibly immunophenotyping / cytogenetics and infection screen ( including infectious mononucleosis).

It could be one of these ;

Leukemia

Infectious mononucleosis

Hemophagocytic syndrome

Myelodysplastia.

Unfortunately its impossible to ascertain the diagnosis without these tests. I wish everything works out best for you.

Let me know if you have any related queries.

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Doctor: Dr. David, Board Certified Physician replied 4 months ago
Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 49,169
Experience: Experienced Physician trained in New York City. I'm ready to help.
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This is Dr. David

are you asking for help from another expert here?

how old are you?

are you male or female?

what is your height and weight? being overweight can cause you spleen and liver to be enlarged.

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Customer reply replied 4 months ago
I'm a 34 yo female that is overweight and I have PCOS and I'm guessing the PCOS is causing the enlarged liver but the decresing blood counts are bothersome.
Doctor: Dr. David, Board Certified Physician replied 4 months ago

yes, PCOS can cause being overweight and being overweight can cause the enlarged liver and spleen.

there are treatments for PCOS including birth control pills and metformin which can help. you should see an endocrinology hormone doctor for treatment of your PCOS

what is your WBC counts currently?

low WBC counts usually mean you don't have an infection.

eating healthier, loosing weight and doing some exercise can help improve your bone marrow health.

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Customer reply replied 4 months ago
WBC is 3.97
Doctor: Dr. David, Board Certified Physician replied 4 months ago

WBC of 3.97 is really normal

it is not in a dangerous range and doesn't mean you will get disease.

you should not be having symptoms from this WBC count.

it is very normal in many people.

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Customer reply replied 4 months ago
Here are the values.
Doctor: Dr. David, Board Certified Physician replied 4 months ago

thanks for that

those levels are all normal

none of those are in a dangerous range

it shows you don't have a current infection

over time, all of those levels will go up and down as your immune system needs them.

you don't have to worry

Let me know if you have other questions.
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