Abnormal Health Check Results: WBC and Hemoglobin Levels Explained

Health check-up

Hello, doctor.
Recently, the school arranged for a health check before enrollment.
Today, I received the report showing a white blood cell count (WBC) of 4110 and a mean corpuscular hemoglobin concentration (MCHC) of 31.7, both of which are abnormal.
During the health check, I experienced blood in my stool and was quite anxious, but I later underwent a colonoscopy, which showed no abnormalities.
Could you please advise if this is normal?

Mr. Wang, 20~29 year old female. Ask Date: 2016/10/14

Dr. Liao Yaopan reply Family Medicine

Hello, regarding the blood test report, there do not appear to be any significant abnormalities.
Additionally, if the colonoscopy shows no abnormalities, it should indicate that there are no structural issues in the colon.
Changhua Hospital cares about you.

Reply Date: 2016/10/14

More Info

Understanding abnormal health check results, particularly concerning white blood cell (WBC) counts and hemoglobin levels, is crucial for assessing one's health status. In your case, the reported WBC count of 4110 cells per microliter is below the normal range, which typically falls between 4,500 and 11,000 cells per microliter. This condition is known as leukopenia, which can indicate various underlying issues.

Leukopenia can arise from several factors, including viral infections, bone marrow disorders, autoimmune diseases, or the effects of certain medications. Given your recent experience with blood in your stool and subsequent normal colonoscopy results, it is essential to consider whether any ongoing stress or anxiety could be contributing to your current health status. Stress can impact the immune system and may lead to fluctuations in WBC counts.

On the other hand, your average hemoglobin concentration (WCHC) of 31.7 grams per deciliter falls within the normal range, which is generally between 32 and 36 grams per deciliter for adults. This indicates that your red blood cells are adequately saturated with hemoglobin, which is essential for transporting oxygen throughout your body. Therefore, while your WBC count is concerning, your hemoglobin levels appear to be stable.

Given these results, it is advisable to monitor your WBC count closely. If you experience any symptoms such as recurrent infections, fatigue, or unusual bruising, you should consult your healthcare provider for further evaluation. They may recommend additional tests, such as a complete blood count (CBC) with differential, to assess the specific types of white blood cells present and to determine the cause of the leukopenia.

Additionally, since you mentioned experiencing stress, it might be beneficial to explore stress management techniques, such as mindfulness, meditation, or counseling, to help alleviate any psychological strain that could be affecting your physical health.

In summary, while your low WBC count warrants attention, your hemoglobin levels are normal. It is essential to follow up with your healthcare provider to discuss these findings in the context of your overall health and any symptoms you may be experiencing. Regular monitoring and open communication with your doctor will help ensure that any potential issues are addressed promptly.

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