question-icon

What Does An Elevated Neutrophil Count Indicate?

default
Posted on Fri, 28 Nov 2014
Question: Hi,

I recently had a physical and my neutro #, auto came back flagged high at 7.6 with a reference range of 1.6-6.4. The only other flag was my bun/creat. Ratio at 23.9 with a reference range of 12-20. I am a 56 year old woman who is overweight and going through anxiety/depression due to several deaths in my life. I have also been experiencing flushing and periodic rashes and itching. I had a ct scan of my liver abdomen which showed liver parenchyma is diffusely hypodense and said hepatic steatosis and found 2 small 3 mm nodules in my lungs. My doctor said the are nothing to worry about but not sure what neutro level means. I am worried about mastocytosis and have an appointment with an allergist next week. Thank you.
doctor
Answered by Dr. Ronald Schubert (38 minutes later)
Brief Answer:
Mild elevations nothing to worry about

Detailed Answer:
Thanks for contacting HCM

I see you are concerned about you recent lab tests especially an elevated neutrophil count. This elevation is very minor and not what we call clinically significant. To be significant there must also be elevations in the other white blood cell counts or in the overall white blood cell count. This elevation can be contributed to machine counting. I can reassure you that you do not have mastocytosis. This is a very rare condition and is not associated with the elevation in your neutrophil count.

Your other blood work the elevated BUN and creatinine ratio means nothing unless I have the true BUN number and the Creatinine levels. Please forward those to me.

The imaging of your abdomen did show hypodense liver with steatosis which means there is a large amount of fatty infiltrating your liver. This is a result of being overweight and eating a high fat diet. To help reduce this trend I strongly recommend a low ft diet and an exercise program. I Have my patients do 30-60 minutes of walking daily. Even a little walking will be beneficial to you.

The two small nodules are also something found frequently on chest x-rays. They can be the result of prior infections or scar tissue. Again these are benign and are not of any worry or concern.

Hope this answers your question. Please contact us again with your medical concerns and questions
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Ronald Schubert (49 minutes later)
Thank you so much for your response. I feel much relieved. I just don't know I get flushing, predominately in the chest area and the rashes. Maybe, anxiety. My Bun level was 23.8 with a range of 12.0-20 and my Creatinine was .71 with a range of .52-1.04.
doctor
Answered by Dr. Ronald Schubert (10 minutes later)
Brief Answer:
Dehydration

Detailed Answer:
Thanks for returning and providing me with the lab values for your BUN and creatinine. The level of creatinine tells me that you have very good kidney function. Your BUN elevation may have been slightly elevated because of you fasting prior to having blood work. An elevated BUN indicates dehydration. Next time you have blood work you must fast but that does not mean you need to abstain for fluids. you may have water or tea without sugar or cream

Hope this answers your question. Please contact us again for your medical questions and concerns
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does An Elevated Neutrophil Count Indicate?

Brief Answer: Mild elevations nothing to worry about Detailed Answer: Thanks for contacting HCM I see you are concerned about you recent lab tests especially an elevated neutrophil count. This elevation is very minor and not what we call clinically significant. To be significant there must also be elevations in the other white blood cell counts or in the overall white blood cell count. This elevation can be contributed to machine counting. I can reassure you that you do not have mastocytosis. This is a very rare condition and is not associated with the elevation in your neutrophil count. Your other blood work the elevated BUN and creatinine ratio means nothing unless I have the true BUN number and the Creatinine levels. Please forward those to me. The imaging of your abdomen did show hypodense liver with steatosis which means there is a large amount of fatty infiltrating your liver. This is a result of being overweight and eating a high fat diet. To help reduce this trend I strongly recommend a low ft diet and an exercise program. I Have my patients do 30-60 minutes of walking daily. Even a little walking will be beneficial to you. The two small nodules are also something found frequently on chest x-rays. They can be the result of prior infections or scar tissue. Again these are benign and are not of any worry or concern. Hope this answers your question. Please contact us again with your medical concerns and questions