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What Causes Slightly Elevated TSH Levels With Eosinophilia?

Posted on Wed, 3 Jun 2015

Question: Just had physical with blood work tsh 6.0 wbc14000 eosinophils 15.8 all phos was elevated also what does all this mean Dr wants to retest in 6 weeks

Answered by Dr. Dr. BR Hudda (9 minutes later)

Brief Answer:
Please all your reports

Detailed Answer:
Hello and welcome to health care magic
Your reports are suggestive of slightly elevated TSH with eosinophilia and increased total leukocyte count

Here, I would like to know about your symptoms and complete medical history (What took you to the lab for reports)

If you can upload all your reports, I will be able to guide you more accurately
waiting for your response
Best wishes

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. BR Hudda (28 minutes later)

I had no symptoms I had called the Dr 2 weeks prior for a zpak for a sore throat he gave me a prescription but wanted to see me and get labs because it had been 2 years my medical history is simple 3 c sections 1993 1995 &1998 and lap chole 1998 ankle surgery in 2008 surgucal site got infected turned out to be mrsa was on vancomycin for 10days via picline history of depression in 2011 was on Zoloft for about 6months other then that no meds I don't know how to upload from my phone

Answered by Dr. Dr. BR Hudda (2 hours later)

Brief Answer:
Please click on the upload an image on right side of your screen.

Detailed Answer:
Hello
Thanks for your reply
I am glad to know that you don't have any symptoms of active disease
You can very easily upload reports by clicking on the upload an image at right side of your screen. If you have a problem while uploading, you can mail the photocopy to YYYY@YYYY with subject as "Attn: Dr. Birma Ram Hudda".

You have high eosinophils, I would advise you for AEC( absolute eosinophil count), this could be related to allergic reaction or parasitic infestation
You also have high leucocyte count which is again suggestive of an active infection

I would like to know if you have any source of infection like sore throat or any wound?
If you are running fever?

Please revert back to me with these details, I will be happy to help you
Best wishes

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. BR Hudda (8 hours later)

No no sore throat or fever no wounds Just tired and feel like crap all the time

Answered by Dr. Dr. BR Hudda (1 hour later)

Brief Answer:
Please repeat the tests

Detailed Answer:
Hello
Thanks for your reply
In my opinion, depending upon your reports you may require a course of antibiotics or repeat your tests after a week

This could be a sign of subclinical infection
Maintain good hygiene
Strictly follow aseptic precautions
have multivitamin supplements
Thanks for using our services please feel free to ask for any more assistance.

Best wishes

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. BR Hudda (28 hours later)

What questions should I be asking at next Dr visit and what questions should he be asking me I know sounds silly but I just want to write things down before my appointment thanks

Answered by Dr. Dr. BR Hudda (3 hours later)

Brief Answer:
Please consider these questions

Detailed Answer:
Hello
Thanks for your reply
You should discuss with your doctor about the possible causes for high leucocyte and eosinophil count on your case.

is it related to any hidden infection?
How to rule out the parasitic infestation?
Are you having hypothyroidism or why TSH is high?

You can ask him about healthy life style modifications after clinical examination.

I hope this answers your question
Best wishes

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Shanthi.E