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What Does My Test Report Indicate?

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Posted on Wed, 26 Nov 2014
Question: Hi
Sir here by i have attached my report. Will it be a cancer please help me out. My wbs is high. My appatite has gine down.
doctor
Answered by Dr. Jyothi B L (45 minutes later)
Brief Answer:
Definitely not blood cancer.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Jyothi BL and I will be answering your query.

After going through all your reports, based on your query, my opinion is as follows:

1. WBC is very mildly elevated. To think of blood cancer, the count should be in the range of atleast more than a lakh. Here it is 100, more than normal.

2. There are no immature cells in the peripheral smear. Presence of immature cells indicate possible blood cancer. They should be present. No presence, no cancer.

3. The high WBC is due to increased neutrophils. Possibly an acute infection or stress, which has led to reduced appetite.

4. Your stool also has no blood, indicating no problems in GIT.

5. If you have any burning urination or increased frequency of urination, an urinary tract infection can be thought of. Otherwise, you are very much normal, based on reports.

Not to worry. No cancer, maybe urinary tract infection - if you have any symptoms. Take plenty of water, try to eat well. Relax and avoid stress.

Hope it helps.

Any further queries, happy to help again.

Dr. Jyothi BL

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Jyothi B L (19 minutes later)
Sir
Realy thanks a lot for your reply. As u said this blood check up was taken after having dolo650 and now mind is full of fear willit be a bloodcancer so i dont feel good. I feel so tiered and not able to have food. As u said it higher in 1100 as per lab its10000international standard is11k. If its blood cancer will it be lakhs pls i humble u to help me to come out of it.
doctor
Answered by Dr. Jyothi B L (1 hour later)
Brief Answer:
Relax and eat well. Tiredness will go.

Detailed Answer:
Hi,
Thanks for asking again.

Various studies or books have different standards.

For cancer, it is always in lakhs.

You are not eating well, thats why you are tired. At present based on reports, no possibility of cancer.

Eat moderately, exercise well and relax. You are still 38 yrs. Cancer risk is mostly in elderly usually (above 60 years).

If you so get in future (now, you do not definitely have), I will definitely be there to help you. Depending on type of cancer, therapy is available. Now, not to worry about future risk.

Any further queries, happy to help you again.

Dr. Jyothi BL
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Jyothi B L (1 hour later)
Mam realy thanks. As my gums also started bleading i got too much of dought. I am little confident now .
doctor
Answered by Dr. Jyothi B L (1 hour later)
Brief Answer:
Platelet count normal.

Detailed Answer:
Hi,
Thanks for asking again.

Gum bleeding in cases of blood cancer is due to low platelet count. Your platelet count is absolutely normal.

Dental care is necessary. Avoid too much flossing or excessive brushing. Now a days, excess dental care is commonly causing gingival injuries.

You can consult a dentist regarding that. However, I can assure you with this platelet count, blood cancer is not the cause of your gum bleeding.

Eat moderately, sleep well, exercise well and relax.

Hope it helps.

Any further queries, happy to help again.

If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi BL
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Jyothi B L (6 hours later)
Mam realy thanks. As u advice all accept all. This gum bleading has started from yeaturday only. When i touch on a patriculary part of my gum and brush with my hands too it will startd bleed too much. Bleading of gum was there regularly for me when i brush but not it comes like open a tap but stops when i wash. Is it ok. No prob .
doctor
Answered by Dr. Jyothi B L (6 hours later)
Brief Answer:
Do not rub gum for 3-4 days.

Detailed Answer:
Hi,
Thanks for asking again.

Allow that part of the gum to heal. If the bleeding is present without you touching it or without injury, then it needs to be worried. Once you rub it, clot gets dislodged. Once the clot is formed, there wont be any bleeding.

It is common, when gum is brushed rigorously. Not to worry, everybody has it.

Any further queries, happy to help again.

If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi BL
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Jyothi B L (42 minutes later)
Mam realy thanks a lot. Feel better after your advice and can i take any appaticer for food. Will this wbc go up on any cource. Any meditation to be taken for reducing it. 2 months back it was 9k. I have cold and dry caugh. Let me check after i get recover from that. Very glade to see you are from XXXXXXX and answering me so kindly. Thanks. Meyyappan .
doctor
Answered by Dr. Jyothi B L (1 hour later)
Brief Answer:
Protein rich diet to improve immunity.

Detailed Answer:
Hi Meyyappan,

Thanks for asking again.

Your leukocyte count at present is elevated in response to cold and cough. It will get back to normal on its own.

However, to improve your immunity, take a protein rich diet (Include fish, egg, pulses, legumes) along with moderate amount of carbohydrates and good fat. Add good amounts of fruits and vegetables. Eat at regular intervals.

Once your immunity is good, infection possibility is reduced.

Also include moderate physical activity in schedule. Sleep well and avoid stress.

Abnormal sleep and stress increases corticosteroids in body, thereby increasing risk of infection.

I am here to help. Anytime in future, you have any queries, do ask. Glad to help you.

If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi B



Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Jyothi B L (20 hours later)
Hi mam. Thanks a lot for replying me. Pls give me a good tonic for increasing my appatite .
doctor
Answered by Dr. Jyothi B L (2 hours later)
Brief Answer:
Try enzymes containing medications.

Detailed Answer:
Hi,
Thanks for asking again.

At your age, I would advise you not to use appetite stimulants. If only you are underweight, you can take it.

You can try any brand composed of chymotrypsin and trypsin like Chym forte or Chydase or anything. Only enzyme containing tablets or tonic is good for you to stimulate appetite.

Other than this, avoid other types as they have numerous side effects.

Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi B
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Jyothi B L (6 hours later)
Mam realy thanks a lot.
I am not able to eat a before. I had my last good food on last tuesday night. After that on wednesday morning my fear increased and lost my appatite. Will this fobipa reduce the appatite loke this. O have even come out of fobia but appatite is not back and so fear incrases again some time .
doctor
Answered by Dr. Jyothi B L (57 minutes later)
Brief Answer:
Take Chym forte and antacids.

Detailed Answer:
Hi,
Thanks for asking again.

Appetite will improve in due course as the stress reduces.

You can take chym forte or any enzymes appetite stimulant, half an hour before food. It is very helpful. You can stop it after a few days, once your appetite is back to normal. Now, take multiple small meals (5-6 meals/day)

If you have any abdominal pain before or after food, you can take antacids. It will reduce gastritis secondary to stress.

Appetite will comeback with the stimulant. Eat tasty foods. Anything you like spicy, masala etc.

Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi BL

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Jyothi B L (12 minutes later)
Mam i am more and more thankfull. My mind now has passed on to stomac cancer as i am not able to eat. So with this lot of stress i get more confused how i am hoing to run my day to day life with this stress. Now as appetite has gone my mind went to stomac cancer
doctor
Answered by Dr. Jyothi B L (12 minutes later)
Brief Answer:
Hematological profile normal - low possibility

Detailed Answer:
Hi,
Thanks for asking again.

At this age, stomach cancer possibility is low, unless you have a family history of early cancer (brother, sister, parents having cancer in forties).

Carcinoma stomach will always have a predisposing risk factor like possible continuous gastritis since past ten years. If this history is not present, carcinoma stomach, it cannot be.
If you had carcinoma stomach, bleeding would have occurred internally increasing platelet count and decreasing hemoglobin. Both are normal.

Take antacids and enzyme supplements and have your food regularly.
If you have carcinoma stomach, you will start to loose weight, despite regular food.
Confirmation would require upper gastro-esophageal endoscopy. I do not think, it is necessary at present.

Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi BL
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Jyothi B L (14 hours later)
Mam will ct contrast shows clear pic of stomac cancer. I took a ct abdomen on april and it was normal .
doctor
Answered by Dr. Jyothi B L (36 minutes later)
Brief Answer:
Yes, it would have shown.

Detailed Answer:
Hi Meyyappan,
Thanks for asking again.

Yes, a CT contrast abdomen done would have showed a stomach cancer, if you had at that point of time.

However, presently based on your clinical details, I can reassure you that you do not have stomach cancer.

Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi BL
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Jyothi B L (10 minutes later)
Mam more and more thanks. But my mind always pricks some thing. As you said i took thos ct on April and at that time i had pain on back left hip for my satisfaction i took it. All say only endoscopy shows the cancer not the ct abdomen so only i asked you. Thank u. Is it true endoscopy shows more clear pic on stomac cancer
doctor
Answered by Dr. Jyothi B L (16 minutes later)
Brief Answer:
Endoscopy initially for view and biopsy

Detailed Answer:
Hi Meyyappan,
Thanks for asking again.

Endoscopy shows from the inside, any abnormality. Endoscopy, if any abnormal area is noticed, biopsy can be taken for a proper confirmation.

CT scan would show if there is a tumor and if it has moved to surrounding areas or to lymph nodes.

Endoscopic biopsy, if its positive, CT scan is advised to identify if the tumor has spread. Endoscopy is usually better, as it can show even minor changes superficially.
If there is a invasive cancer and it has spread, CT scan can show it very well.

Hope it helps.

Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi BL

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Jyothi B L (57 minutes later)
Mam so u say even a small sized tumor can be intefied in ct abdomen contrast. I have loosed 2 kgs of weight in 10 days. As low appatite .
doctor
Answered by Dr. Jyothi B L (5 minutes later)
Brief Answer:
Weight loss - low appetite, dehydration.

Detailed Answer:
Hi,
Thanks for asking again.

Yes, a small tumor of even 1 cm can be identified on CT scan.

2 kgs in ten days with loss of appetite, due to stress and dehydration is normal. Take good amount of fluids along with appetite stimulant and proper diet. You will recover.

Stomach cancer not seen on CT scan would never cause weight loss.

Hope it helps.

Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi BL
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Jyothi B L (23 minutes later)
Mam in my report they havent said about stomac. They will not mam
doctor
Answered by Dr. Jyothi B L (4 hours later)
Brief Answer:
Yes, stomach should have been seen.

Detailed Answer:
Hi,
Thanks for asking again.

I went through the report. It is an abdominal scan. They would have seen the stomach.

The report has mentioned only specific abnormalities. If there was any abnormality, they would have mentioned. It was done for a specific reason and they have ruled out it.

Not to worry. Even if they have not mentioned the stomach, it was normal - so they have not mentioned.

Hope it helps.

Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion, and rate the answer.

Thanks again for asking.

Take care.

Dr. Jyothi BL
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Jyothi B L

Pathologist and Microbiologist

Practicing since :2003

Answered : 849 Questions

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What Does My Test Report Indicate?

Brief Answer: Definitely not blood cancer. Detailed Answer: Hi, Thanks for asking. I am Dr. Jyothi BL and I will be answering your query. After going through all your reports, based on your query, my opinion is as follows: 1. WBC is very mildly elevated. To think of blood cancer, the count should be in the range of atleast more than a lakh. Here it is 100, more than normal. 2. There are no immature cells in the peripheral smear. Presence of immature cells indicate possible blood cancer. They should be present. No presence, no cancer. 3. The high WBC is due to increased neutrophils. Possibly an acute infection or stress, which has led to reduced appetite. 4. Your stool also has no blood, indicating no problems in GIT. 5. If you have any burning urination or increased frequency of urination, an urinary tract infection can be thought of. Otherwise, you are very much normal, based on reports. Not to worry. No cancer, maybe urinary tract infection - if you have any symptoms. Take plenty of water, try to eat well. Relax and avoid stress. Hope it helps. Any further queries, happy to help again. Dr. Jyothi BL