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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57250
Experience:  GP in the United States
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I'm really scared about blood results, wbc 12.7 neutrophils

Resolved Question:

I'm really scared about blood results, wbc 12.7 neutrophils 8.2 rbc 5.16 haemaglobin 15.4 haematocrit 0.46
27 yr old female 6 weeks postnatal been feeling unwell since birth.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 3 years ago.
Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

please enter chat

Dr. Phil, MD :

Hi I'm Dr. Phil

Dr. Phil, MD :

Can I ask your first name?

Customer: I'm really scared about blood results, wbc 12.7 neutrophils 8.2 rbc 5.16 haemaglobin 15.4 haematocrit 0.46 27 yr old female 6 weeks postnatal been feeling unwell since birth.
Dr. Phil, MD :

Yes, I see that

Dr. Phil, MD :

The WBC is the only concerning result here

Dr. Phil, MD :

that indicates infectin

Dr. Phil, MD :

infection

Dr. Phil, MD :

Do you have any signs of infection?

Customer: I have been feeling unwell temperature malaise etc but no clear sign of where the infection would be is the haematcrit not concerning?
Dr. Phil, MD :

Did you have a C section?

Dr. Phil, MD :

are you breast feeding?

Customer: No c section forceps delivery and not breastfeeding night sweats have been happening too
Dr. Phil, MD :

Okay

Dr. Phil, MD :

there is infection somewhere

Dr. Phil, MD :

you need a full exam.

Dr. Phil, MD :

vaginal exam, urine sample and breast exam

Dr. Phil, MD :

common sources of infection are vaginal, mastitis (breast exam) and urine

Dr. Phil, MD :

I would start there

Customer: Have been to gp about 6 times they cannot give me an answer would a course of antibiotics be worthwhile? I did have mastitis 4 days postnatal and then a uTI about a week later then I have had a cold
Dr. Phil, MD :

Okay

Dr. Phil, MD :

yes, that would be reasonable

Dr. Phil, MD :

cipro and flagyl would be my choice

Dr. Phil, MD :

perhaps a CAT scan of the belly/pelvis is needed though

Customer: I am more scared about the rbc the haemaglobin and haematcrit levels could I be low in oxygen somewhere?
Dr. Phil, MD :

no, I doubt it

Dr. Phil, MD :

those are really fine

Dr. Phil, MD :

I wouldn't worry about those

Customer: Ok so are you thinking maybe retained placenta etc?
Dr. Phil, MD :

yes

Dr. Phil, MD :

or simply a bacterial infection in the vagina

Dr. Phil, MD :

or uterus

Customer: I thought so too but due to lack of smelly lochia the gp seems unwilling to go further
Dr. Phil, MD :

you need further workup

Dr. Phil, MD :

probably an ultrasound or CAT scan

Customer: Thanks for your input the blood results really scared me,my b12 was also 889
Dr. Phil, MD :

that is normal B12

Dr. Phil, MD :

you are okay

Dr. Phil, MD :

Did I do excellent work for you today?

Customer: It was helpful to discuss my concerns I will see my gp tomorrow and request more detailed exams to determine the cause of the infection thank you
Dr. Phil, MD :

welcome :)

Dr. Phil, MD :

would you mind rating me positive before leaving?

Dr. Phil, MD :

just click the positive face at the bottom of the chat

Dr. Phil, MD :

are you there?

Dr. Phil, MD :

hello?

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Expert:  Dr. Phil, MD replied 3 years ago.
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