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What Does My Routine Blood Test Report Indicate?

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Posted on Wed, 30 Apr 2014
Question: Hi Doc, Today morning I got my routine blood test done and the results are as follows:- HB - 15.5 gm/dl TC - 6100 cells/cumm Neutrophils - 33% Lymphocytes - 61% Eosinophils - 4% Monocytes - 2 % Basophils - 0 % ESR - 05 mm/hr I am worried about my low neutrophil % and high lymphocyte % w.r.t reference ranges mentioned in the test report. I had the nearly same results around 1 year back(Jul-13) with 55% lymphocytes and 38 % neutrophils when I was perfectly fine with no known ailments. But, in Dec 2013 when I had viral infection, the blood test report showed normal ranges of both neutrophils and lymphocytes done 3 times to confirm the blood test results. Can you please explain why is this variance of results? Is this normal or do I need to see a haematologist asap?
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Answered by Dr. dr. Jawahar Ticku (39 minutes later)
Brief Answer: Lymphocytosis Detailed Answer: Dear XXXXXXX Yes it is surprising that you have relative lymphocytosis without having any bodily symptoms. There must be some subclinical disorder in the body which gives rise to increased lymphocyte count. Lymphocytic disorder has to be kept in mind. You should definitely see a Clinical hematologist to get yourself thoroughly examined. There are other subclinical chronic infective disorders which give rise to increased lymphocyte count. Thorough investigation is required to catch the trouble at the early stage. Getting normal neutrophil count at the time of episode of infection is a normal body phenomenon because the body has to react to the infective process. This also suggests that your body defence mechanism is very much in order. Truly, Dr. J. Ticku
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Above answer was peer-reviewed by : Dr. Prasad
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Dr. dr. Jawahar Ticku

Oncologist

Practicing since :1979

Answered : 490 Questions

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What Does My Routine Blood Test Report Indicate?

Brief Answer: Lymphocytosis Detailed Answer: Dear XXXXXXX Yes it is surprising that you have relative lymphocytosis without having any bodily symptoms. There must be some subclinical disorder in the body which gives rise to increased lymphocyte count. Lymphocytic disorder has to be kept in mind. You should definitely see a Clinical hematologist to get yourself thoroughly examined. There are other subclinical chronic infective disorders which give rise to increased lymphocyte count. Thorough investigation is required to catch the trouble at the early stage. Getting normal neutrophil count at the time of episode of infection is a normal body phenomenon because the body has to react to the infective process. This also suggests that your body defence mechanism is very much in order. Truly, Dr. J. Ticku