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What Do These Neutrophil Count And Lymphocyte Count Indicate?

Posted on Tue, 26 May 2015

Question: My bloodwork came back as high neutrophil low lymphocytes low rdw and high vitamin b12 what could be the cause of this?

Answered by Dr. Hardik Sanghvi (4 hours later)

Brief Answer:
You may have some infection.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your total wbc count is normal. Your neutrophil count is slightly high and lymphocytes count is low.
It suggest that you may have some infection.

Moreover c reactive protein is marker of inflammation. Your crp is positive so it also favour some infection.

You should take a course of antibiotic according to your symptoms.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Hardik Sanghvi (1 hour later)

What about the high vitamin b 12? It was 869
Also I didn't feel sick at time of this bloodwork. Just received the high vitamin b12 today.

Answered by Dr. Hardik Sanghvi (7 minutes later)

Brief Answer:
It is not a matter of concern.

Detailed Answer:
Hi, dear
Your vitamin B12 level is high normal.
Normal value of vitamin B12 is 160-950 pg/ml. So your vitamin B12 level is not very high. Moreover it has no any clinical significance. So it is not a matter of concern.
Don't worry about vit b12 level. Just be relaxed.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Hardik Sanghvi (30 minutes later)

I was worried about leukemia as everything I have read goes to that. I also was diagnosed with hashimotos recently.

Answered by Dr. Hardik Sanghvi (4 minutes later)

Brief Answer:
No chance of leukemia.

Detailed Answer:
Hi, dear
I can understand your concern. However I wouldn't suspect leukemia based on the reports. Your total count is normal. You have slightly high neutrophil. It just indicates mild infection; nothing else.

In leukemia total count is very high or there are blast and atypical cells. You don't have any signs of leukemia. So don't worry about that. Just be relaxed. Take treatment of your hashimotos thyroiditis accordingly.

Hope I have answered your question, if you still have any doubts then feel free to ask me.
I will be happy to answer.
Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hardik Sanghvi (9 minutes later)

Thank you the lab levels here for vit b12 is 213-812. That is why it was such a concern for me

Answered by Dr. Hardik Sanghvi (28 minutes later)

Brief Answer:
No need to worry about that.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Such kind of variation is very common with different laboratory and different kit. So it is not a big worry. Even with that range also your vitamin B12 level is not a cause of big worry. So don't worry about your vitamin B12 level. It has no clinical significance.

Hope I have answered your question, if you have doubt then I will be happy to answer.
Thanks for using health care magic. Wish you a very good health.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Hardik Sanghvi (22 minutes later)

What about liver enzymes? Should I have that checked? Or liver inflamation possible?

Answered by Dr. Hardik Sanghvi (32 minutes later)

Brief Answer:
If you have any symptoms then you should check.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
If you have any symptoms of liver disease like abdominal pain, anorexia, jaundice etc then you should check your liver function test. Otherwise it is not needed.
With out any symptoms of liver disease, I don't see any need to check liver functions. So plan accordingly. From your all previous reports it is not needed. If you have symptoms then only you should go for it.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hardik Sanghvi (9 hours later)

Would the vitamin b 12 be to high in this supplement? She did not take it for a week, then took it day before her appointment

Answered by Dr. Hardik Sanghvi (1 hour later)

Brief Answer:
Vitamin supplements affect the vitamin B12 level.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Vitamin supplements affect the vitamin B12 level. It depends on type of supplements and dosage. However single dosage doesn't affect much. But please don't worry about your vitamin B12 level. It is not significant in your case. Just be relaxed about that.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

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. Chakravarthy Mazumdar