Abnormal Blood Test Results: What You Need to Know - Family Medicine

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Abnormal blood test results?


Hello Dr.
Liao, I recently received my health check report, and there are three abnormal results highlighted in red in the blood test section.
Two of these abnormalities were also present in last year's check but returned to normal after retesting.
However, they have appeared again in this year's examination.
I would like to ask you what issues might be indicated by these results and what suggestions you have for improvement.
Thank you!
WBC (White Blood Cell Count) 3.80 (4.0~11.0 x 10^3/µL) (highlighted in red, abnormal last year as well)
RBC (Red Blood Cell Count) 4.47 (3.7~5.5 x 10^6/µL)
HB (Hemoglobin) 13.5 (11.3~15.3 g/dL)
HCT (Hematocrit) 39.6 (33~47%)
MCH (Mean Corpuscular Hemoglobin) 30.2 (26~34 pg)
MCV (Mean Corpuscular Volume) 88.6 (80~100 fL)
MCHC (Mean Corpuscular Hemoglobin Concentration) 34.1 (30~36 g/dL)
PLT (Platelet Count) 242 (120~360 x 10^3/µL)
NEUT-SEG% (Neutrophil Percentage) 44.0 (40~75%)
LYMPH% (Lymphocyte Percentage) 45.5 (20~45%) (highlighted in red)
Mon% (Monocyte Percentage) 5.3 (2~10%)
Eos% (Eosinophil Percentage) 3.9 (1~6%)
Baso% (Basophil Percentage) 1.3 (0~1%) (highlighted in red, abnormal last year as well)
NEUT# (Absolute Neutrophil Count) 1.67 (1.6~8.3 x 10^9/L)
LYMPH# (Absolute Lymphocyte Count) 1.73 (0.8~5.0 x 10^9/L)
Baso# (Absolute Basophil Count) 0.05 (0~0.11 x 10^9/L)
Mon# (Absolute Monocyte Count) 0.20 (0.1~1.1 x 10^9/L)
Eos# (Absolute Eosinophil Count) 0.15 (0.04~0.66 x 10^9/L)
MPV (Mean Platelet Volume) 9.8 (9.2~12.4 fL)
RDW-CV (Red Cell Distribution Width) 12.7 (11.5~14.5%)
PDW (Platelet Distribution Width) 10.9 (9.2~15.6 fL)
P-LCR (Platelet Large Cell Ratio) 24.0 (16.7~46.1%)
PCT (Plateletcrit) 0.24 (0.16~0.36%)

OLIVIA, 30~39 year old female. Ask Date: 2016/11/11

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your inquiry, your white blood cell count is slightly below the reference range, and the differential count shows no significant abnormalities.
It is recommended that you consult a hematologist for further follow-up.
Changhua Hospital cares about you.

Reply Date: 2016/11/11

More Info


When interpreting blood test results, it is essential to understand the significance of each abnormal value and how they relate to your overall health. Based on the results you provided, there are three key areas of concern: the white blood cell (WBC) count, lymphocyte percentage, and basophil percentage.
1. White Blood Cell Count (WBC): Your WBC count is reported at 3.80 (normal range: 4.0–11.0 x 10^3/µL). A low WBC count, known as leukopenia, can indicate several conditions, including bone marrow disorders, autoimmune diseases, or the effects of medications. Since this value was also abnormal last year, it is crucial to monitor it closely. A persistently low WBC count may require further investigation to determine the underlying cause, such as a complete blood count (CBC) with differential or a bone marrow biopsy if indicated.

2. Lymphocyte Percentage: Your lymphocyte percentage is 45.5% (normal range: 20–45%), which is slightly elevated. Lymphocytes are a type of white blood cell crucial for your immune response. An increase in lymphocytes can occur due to viral infections, chronic inflammatory conditions, or lymphoproliferative disorders. Given that this value is also abnormal from last year, it may be worth discussing with your healthcare provider to rule out any underlying issues.

3. Basophil Percentage: The basophil percentage is reported at 1.3% (normal range: 0–1%). Basophils are involved in allergic responses and inflammation. An elevated basophil count can be associated with allergic reactions, chronic inflammation, or certain blood disorders. Since this value has also been abnormal in the past, it is essential to consider any symptoms you may have, such as allergies or chronic inflammation, and discuss them with your doctor.


Recommendations for Follow-Up
Given the persistence of these abnormal values, it is advisable to take the following steps:
- Consult a Hematologist: A specialist in blood disorders can provide a more in-depth analysis of your blood test results and recommend further tests if necessary. They can help determine if there is an underlying condition that needs to be addressed.

- Monitor Symptoms: Keep track of any symptoms you may experience, such as fatigue, frequent infections, or unusual bruising or bleeding. These can provide valuable information to your healthcare provider.

- Repeat Testing: Your doctor may recommend repeating the blood tests in a few months to see if there are any changes in your blood counts. This can help determine if the abnormalities are persistent or if they resolve over time.

- Lifestyle and Dietary Considerations: While waiting for further evaluation, consider maintaining a healthy lifestyle, including a balanced diet rich in vitamins and minerals, regular exercise, and adequate hydration. Nutritional deficiencies can sometimes contribute to blood abnormalities.

- Stay Informed: Educate yourself about the potential implications of your test results. Understanding your health can empower you to engage in discussions with your healthcare provider and make informed decisions about your care.

In summary, while some of your blood test results are outside the normal range, it is essential to interpret these findings in the context of your overall health and any symptoms you may be experiencing. Regular follow-up with your healthcare provider is crucial to monitor these abnormalities and ensure that any underlying conditions are addressed promptly.

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