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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8770
Experience:  Doctor of Medicine
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Hello, can you help me with blood test results Feb WBC-10.2 Lym

Resolved Question:

Hello, can you help me with blood test results
Feb
WBC-10.2
Lym -3.4
March
Wbc-12.9
Neu -8,6
Lym -3,2
April
lym-3,4
May
wbc-13,6
Neu -8,9
Lym -4,3
Thank you
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. SH replied 3 years ago.

Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

Do you have any other medical problems?

Dr. Shahzad MD :

Are you on any medications for anything?

Dr. Shahzad MD :

Please let me know.

Dr. Shahzad MD :

Welcome, please answer the questions that I have posted above.

Customer: I feel so tried
Dr. Shahzad MD :

Any medications that you are on currently?

Dr. Shahzad MD :

Any other medical conditions?

Customer: Swollen lymph nodes
Dr. Shahzad MD :

ok

Dr. Shahzad MD :

Any other diagnosed medical problems?

Dr. Shahzad MD :

On any medications for anything at all?

Customer: Just positive ANA 1:640
Dr. Shahzad MD :

Are you currently on steroids for anything?

Dr. Shahzad MD :

Like prednisolone?

Customer: No, nothing
Customer: The doctors don't give me nothing, just make test after test
Dr. Shahzad MD :

Have you had any other tests like thyroid hormone test etc?

Customer: Yes, they test hormones, everything is fine
Dr. Shahzad MD :

Did they also test for cortisol to see if you are having fatigue due to adrenal problem?

Customer: No
Dr. Shahzad MD :

I think that your fatigue should be evaluated thoroughly by an endocrinologist if that's possible. I would refer you to one in your area.

Dr. Shahzad MD :

Fatigue, similar to what you are having, can have many causes:
1. Low thyroid function
2. Low adrenal gland function
3. Depression/anxiety
4. Kidney dysfunction
5. Liver dysfunction

Dr. Shahzad MD :

So all these causes must be considered and ruled out.

Customer: I understand but TSh was ok, they start to test first the hormones
Customer: After that,they was worry about WBC
Dr. Shahzad MD :

The neutrophil count is raised which is causing the total WBC to be raised.

Customer: What do you think about Lym?
Dr. Shahzad MD :

This can happen in people who have an inflammatory disorder.

Dr. Shahzad MD :

Your ANA is positive which is something that could be leading to your raised counts.

Dr. Shahzad MD :

One other cause of fatigue that I would put in the list is an autoimmune disorder.

Dr. Shahzad MD :

You have a positive ANA which is something that goes in favour of it.

Dr. Shahzad MD :

However, since you do not have joint pains or swelling of the joints or skin rash you do not fit into the entire syndrome of lupus but I would continue monitoring your counts as well as routine blood tests.

Dr. Shahzad MD :

I would also do a CRP test to see if there is any inflammation going on in your body.

Dr. Shahzad MD :

Another test to check for inflammation is ESR or sed rate.

Dr. Shahzad MD :

Are you following me?

Dr. Shahzad MD :

Are you there?

Customer: Yes, i,m
Dr. Shahzad MD :

Anymore questions|?

Dr. Shahzad MD :

The bot***** *****ne is that you do need further evaluation.

Customer: Crp-4mg
Customer: Esr-2mm
Dr. Shahzad MD :

Both those are normal as well.

Dr. Shahzad MD :

So that currently leaves us with the cortisol levels as the next step.

Customer:

ok

Customer:

Thank you very much

Dr. Shahzad MD :

You are most welcome
Please do rate me for my services before you leave by clicking on one of the smilies below. I hope I provided excellent services.
Goodbye :)

Customer:

Goodbye:)

Dr. Shahzad MD :

Hope you get well soon :)

Dr. SH and 2 other Medical Specialists are ready to help you