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Dr. David
Dr. David, Board Certified MD
Category: Medical
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Experience:  Board Certified Physician
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Twin pregnancy at 36 weeks with a blood cell count of 19.6,

Resolved Question:

Twin pregnancy at 36 weeks with a white blood cell count of 19.6, neutrophils at 13.7, monocytes at 2.1, Haematocrit at 0.349, MCH at 25.2 MCV at 77.
Feeling constantly sick, cannot eat, has bleeding gums and nose, pain in abdomen.
Your thoughts please.
CHRIS
Submitted: 11 months ago.
Category: Medical
Expert:  Dr. David replied 11 months ago.

This is Dr. David

your MCV is low and your haematocrit levels are low

and your WBC counts are high. you could have an infection. you should see a doctor and get your urine checked for urinary tract infection.

you could be anemic or low in red blood cells. and you could be low in iron

have you been taking a prenatal vitamin with iron in it during your pregnancy?

you are almost at your due date.

severe inflammation of your stomach from gastritis can cause nausea, upset stomach, can not eat

pregnancy can also cause upset stomach, but usually nausea from pregnancy is early on in pregnancy.

you need to see a doctor right away.

you should be having a GP or primary care doctor monitor your twin pregnancy and blood work results for you

Customer: replied 11 months ago.
ARE YOU SAYING THAT THESE BLOOD TESTS ARE SUSPECT AND NEED FURTHER INVESTIGATION?
Expert:  Dr. David replied 11 months ago.

yes, these blood tests are abnormal and need further investigation and workup

elevated WBC count of 19 can be a sign of infection. you need to be tested to look for infection.

haematocrit of 0.349 is low and can be a sign of anemia or low red blood cell count

MCV levels are low and with the low haematocrit is a sign of small red blood cells which is a sign of iron deficiency.

you need your ferritin and iron levels checked.

let me know if you have other questions.

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