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. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17548
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

My sons lippasides are down he is a diabetic and has been on

Customer Question

my sons lippasides are down he is a diabetic and has been on antibiotics the past 6 months
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.
Hello from JustAnswer.
There is no word, lippaside, in the US.
Could you clarify what you mean by the term?
Customer: replied 1 year ago.
white blood cells
Customer: replied 1 year ago.
his white blood cells are low , could it be as a result of his diabetis and been on constant antibiotics for 6 months or more
Expert:  Dr. D. Love replied 1 year ago.
This is referred to as leukocytes in the US.
Do you know how low are the leukocytes?
Do you have the differential, which is the count of the different types of leukocytes?
Is he having any symptoms?
What is the infection for which he has been taking the antibiotics?
Which antibiotics has he been taking?
Does he have any chronic medical problems beyond the diabetes?
Customer: replied 1 year ago.
taking antibiotics because of chest infection and also sinus, dont know what medcine hes on , dont know differential , has no other chronic problems ,
Expert:  Dr. D. Love replied 1 year ago.
There are several issues to consider in this situation.
First, it is possible that this is entirely normal. The total white blood count is the sum of five different types of white blood cells, and if each of these are normal but low in the normal range, then the total may be slightly low. When this happens, since each type is normal, we consider the entire pattern to be normal. This is why I asked about the actual value of the leukocytes and the differential.
If the leukocyte count is truly low, then the most common cause is an infection. The most common infection to do this is a viral infection. The low white count from an infection is usually mild and transient, improving as the infection improves.
It is also possible to get a low white blood count from certain medicines, including certain antibiotics. Diabetes and the medicines to treat diabetes are usually not a cause of a low white blood count.
Less common causes include decreased production from the bone marrow, such as due to nutrient deficiencies, or bone marrow disease. It also can be due to destruction of white blood cells, such as occurs in certain autoimmune diseases.
In someone with a low blood count and an infection, and no other apparent cause of the low white blood count, it is reasonable to address the infection and see if the white blood count improves. In his case, since his infection and antibiotic use has been an issue for 6 months, it may be necessary to treat the infection more aggressively, and it may be necessary to see a specialist for the infection.
If I can provide any further information, please let me know.
Customer: replied 1 year ago.
your reply seems to be what I would reasonably think as his parent I'm trying to put him at ease
Expert:  Dr. D. Love replied 1 year ago.
Statistically, it is much more likely that it is normal or from the infection. If you can get the values of the white blood count and the differential, then it would be straightforward to be able to say whether it is normal, which would be the best at putting him at ease.
Customer: replied 1 year ago.
many thanks will get them
Expert:  Dr. D. Love replied 1 year ago.
You are most welcome.
Please remember to provide a positive rating so that I am credited for assisting 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
< Last | 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.