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What Does My Lab Test Report Indicate?

Posted on Tue, 7 Mar 2017

Question: 45 year old female with no chronic illness except anxiety/mild depression; moderately overweight, but exercise 3-4 x weekly. I have a WBC that's historically trends in the 11 range. CBC on 4/2015 with WBC 11.7, all differentials normal range. CBC on 10/2016 with WBC 14.7 all differentials normal range. CBC 2/2017 with WBC 15.4 all differentials normal except Neutrophil (absolute/segmented) at 9.8 on standard range of 1.8 to 9.2. Doctor is referring my to specialist/hemorolist. Anxiety very high!! Do experience mild fatigue at times, but am perimenopausal and stay up late. Thoughts?

Answered by Dr. Deepak Sundriyal (3 hours later)

Brief Answer:
It may be normal variation or mild infection

Detailed Answer:
Hello dear. I have gone through the details and the attached reports.

So you have a borderline elevated white cell counts and mild elevation of neutrophils. This can be seen in mild infections or sometimes can be normal too. Mild elevations can be normal variation due to differential rates of production and destruction of white cells. It should not cause any worry.

Please feel free to ask if there's any further queries.

Thanks and regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Deepak Sundriyal (20 hours later)

I see hematologist on February 22nd. What should I expect?

Answered by Dr. Deepak Sundriyal (8 hours later)

Brief Answer:
Hello dear. Nothing to worry

Detailed Answer:
Hello dear. So i have again gone through the reports and in my opinion they are all normal . Borderline elevated segmented neuterophil can be seen elevated in mild infection and you need not to worry. You can meet a hematologist but he will also advise you the same , not to worry.
Thanks and regards

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Above answer was peer-reviewed by : Dr. Yogesh D