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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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I Have a wbc of 3.8 i am always feeling unwell and fatigued

Customer Question

I Have a wbc of 3.8 i am always feeling unwell and fatigued and if i eat anything other than fresh food it makes me feel really ill i also get nasal dryness and nose bleeds with headaches after certain foods and gardening my gp says its ibs and stress i have had an endoscopy which showed inflammation below the stomach i have also had a sigmoidoscopy and barium enema x ray but they were fine
Submitted: 3 years ago.
Category: Medical
Expert:  Dr Basu replied 3 years ago.
The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Hello,
Thanks for your question.
Low white cell count can be seen with chronic inflammatory conditions.
The inflammation under your stomach can be suggestive of inflammatory bowel disease like Crohn's disease for example.
Celiac disease is another possibility which can cause these symptoms.
Also low platelet count can cause nose bleeds.
This should be checked.
Eosinophilic gastritis is another possibility.
Food allergy testing is often not accurate as we found out from various studies.
That means, you may be reacting against foods but the tests do not detect them well.
From current studies, we found a strict adherence to the elimination diet helps with eosinophilic gastritis well.
You should focus on avoiding soy, wheat, corn, egg, milk, peanut, and seafood.
The results are very encouraging after 4 to 6 weeks of adherence.
It is very much doable and still inexpensive diet.
The elimination diet will help your immune system to calm down and the symptoms will gradually improve.
Please go to this link on detailed description of the elimination diet.

http://www.functionalmedicine.org/content_management/files/ifm_Comp_Elim_Diet_091503.pdf

It is better you work with a nutritioninst to address your diet.
Your gastroenterologist can also help you find one good nutritioninst in your area.
Prednisone can be used in low dosage 20 mg daily in short courses if required.
But dietary discretion will provide the best treatment to your condition.

Best wishes,
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28197
Experience: MD
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Customer: replied 3 years ago.

i have sen a dietician and am taking good bacteria and nutients to heal my gut

Expert:  Dr Basu replied 3 years ago.
Please also consider other changes I suggested above.

Best wishes

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