How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 30008
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

My daughter has had a number of blood tests recently, all

Resolved Question:

My daughter has had a number of blood tests recently, all of which came back with an high white blood cell count. However the last one came back with a very low white blood cell count. She also has an enlarged liver and spleen. This as been going on for six months now and she still has not had a diagnosis yet. About four months ago they did find walking numonia which they gave har antibiotics for.
Have you any idea what she could be suffering from? Apart from the blood test results she feels fine.
She is 22 years old.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Chip replied 1 year ago.

Hi. Do you have the CBC numbers handy?

What other blood tests has she had?

Customer: replied 1 year ago.

It was between 8 to ten mill it is now 2 to 3 mill

Expert:  Dr. Chip replied 1 year ago.
OK--and has she had other tests like liver and kidney function, thyroid, etc?
Customer: replied 1 year ago.

Full blood count and liver function test

Expert:  Dr. Chip replied 1 year ago.
OK. Has she had a mononucleosis spot test or an EBV viral titer?
Customer: replied 1 year ago.

She has had the first test which was negative but not the second

Expert:  Dr. Chip replied 1 year ago.

Sorry for all the questions--how much alcohol does she drink?

And what exactly has her doctor said about the liver and spleen enlargement?

Customer: replied 1 year ago.

No alcohol. Doctor said spleen and liver enlargement probably an infection. Plus got my daughter on the phone count was 1.5

Expert:  Dr. Chip replied 1 year ago.

Sorry--what was 1.5?

Also has she had tests like iron levels, TIBC, ferritin, etc?

Customer: replied 1 year ago.

Iron levels checked she is anemic but not the other test

Expert:  Dr. Chip replied 1 year ago.
And what did you mean by the 1.5 count?
Customer: replied 1 year ago.

The white blood cell count. Also she is only 4ft 10inch tall just for your info

Expert:  Dr. Chip replied 1 year ago.

OK. There are a few possibilities here.

One would be mononucleosis despite the negative test and she need the EBV viral titer to check for that

Another would be hemochromatosis or iron overload and she need a workup for that.

I would also get an MRCP to look at her pancreatic and bile ducts for any obstruction there

Customer: replied 1 year ago.

One thing I forgot to mention she as an ifected wisdom tooth . Could this have any affect on her white cells.

Expert:  Dr. Chip replied 1 year ago.
No it wouldn't and it certainly wouldn't explain her enlarged liver and spleen
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 30008
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Dr. Chip and other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions