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Suggest Treatment For Elevated WBC Levels

Posted on Tue, 16 May 2017

Question: Hello,

We spoke last week I have my results to show you for your to give your opinion

Do you have the thread of our conversation? otherwise we can discuss again I am happy to resend.

Regards

XXXX

Answered by Dr. Dr. Monika Dede (30 minutes later)

Brief Answer:
Yes I have the thread of our conversation.

Detailed Answer:
Hello! Thank you writing back in healthcaremagic.

Yes I have the thread of our conversation and I remember your history.
Please could you send me an attached picture of your results.
I will see carefully.

Regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Monika Dede (31 minutes later)

Hello I will try to attach - they are on the right hand side I see but i didnt seem to be able to attach to this message

Thanks

Answered by Dr. Dr. Monika Dede (59 minutes later)

Brief Answer:
Please see the detailed answer below.

Detailed Answer:
Hello! Thank you writing back.

I have seen carefully your lab results and I notice only leucocytosis (elevated WBC) and high neutrophils(other results are normal) that usually are related with a bacterial infection.

So,based on this and on your symptoms mentioned before( I don't know your recently situation) I suggest to do a physical examination by an ENT specialist and to do strep throat test, ASO, and maybe a scan CT of head (to exclude sinusitis etc).

I hope my answer helps you.
Feel free to ask me further.
Regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Monika Dede (7 hours later)

Hello,

Thank you for your response.

I saw the doctor today they did not give me any more tablets but they did say my heart rate had gone down and fever and also my oxygen levels.

Although my throat is very red and also I am still feeling very weak and chills in my upper back - what would be my next steps?

this is 4 weeks of feeling unwell and very tiring

XXXX

Answered by Dr. Dr. Monika Dede (11 hours later)

Brief Answer:
Please see the detailed answer below.

Detailed Answer:
Hello! Thank you writing back in healthcaremagic.

Please could you explain me better you mean that your heart rate and fever are normal now and what is your oxygen level?
Do you have sore throat or is just very red?

In this situation I suggest to control again your full blood count (to compare with the last), to do a strep throat test, and mantoux skin test (to exclude a TB).

I hope my answer helps you.
I wish you a quick recovery.
Regards.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Monika Dede (10 hours later)

My heart rate was very high at 120 per minute during 48 hours in ER and my fever & chills were consistant but I do not have very bad chills or fever anymore.

Oxygen level is test on finger for oxgyen levels and this is normal

I have red throat a little sore and sore feel but more red

I had painful under left cheek bone and ear and sinus pressure headaches

I am getting new blood test tomorrow

regards

Answered by Dr. Dr. Monika Dede (12 hours later)

Brief Answer:
Please see the detailed answer below.

Detailed Answer:
Hello! Thank you writing back in healthcaremagic.
I am sorry for my late response.
Related your concern as I said above except the new blood test you should do a strep throat test, ASO,a scan CT of head and meet an ENT specialist in order to exclude a mastoiditis or sinusitis.
Please could you attache me your new blood test?

I hope my answer helps you.
I wish you a quick recovery.
Regards.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Kampana