Abnormal Results in a 14-Year-Old's Health Checkup

Abnormal findings in the medical examination report?

Hello, doctor.
My son is 14 years old.
During a recent physical examination (he had no discomfort at the time of testing, only nasal allergies), it was found that his white blood cell count (WBC) is 7.2 (normal range 4.5-10.0), segmented neutrophils are 38.9 (slightly low, normal range 39-74), lymphocytes are 48.3 (slightly high, normal range 19-48), and alkaline phosphatase (ALK-P) is 180 U/L (elevated, normal range 40-141).
What do these abnormal values indicate? Thank you.

Zhe, 40~49 year old female. Ask Date: 2017/05/01

Dr. Liao Zhongxin reply Internal Medicine

Dear readers,
Regarding the health examination report, here are the responses:
1.
The normal values represent the distribution range for 95% of the normal population.
A small percentage (5%) may be slightly higher or lower, which only requires follow-up in the future (in three to six months).

2.
As for the white blood cell count (WBC) of 7.2, segmented neutrophils at 38.9, and lymphocytes at 48.3 being slightly elevated, as well as the alkaline phosphatase (ALK-P) level of 180 U/L, there is no need for immediate concern.
The following recommendations are suggested:
1.
Schedule an appointment with a gastroenterologist within three months for follow-up ultrasound and liver function tests.
2.
For the white blood cell count, a follow-up blood test can be done at any medical facility or laboratory in one month to compare the differences.
Thank you!

Reply Date: 2017/05/01

More Info

In interpreting the abnormal results from your 14-year-old son's health checkup, it is essential to understand the significance of each parameter and how they relate to his overall health. Let's break down the findings:
1. White Blood Cell Count (WBC): Your son's WBC count is 7.2, which falls within the normal range (4.5-10.0). This indicates that there is no significant concern regarding his immune system's ability to fight infections at this time.

2. Neutrophils: The neutrophil percentage is 38.9, which is slightly below the normal range (39-74). Neutrophils are a type of white blood cell that plays a crucial role in fighting off infections, particularly bacterial infections. A low neutrophil count can sometimes indicate a viral infection or a bone marrow issue, but given that the overall WBC count is normal, this may not be a cause for immediate concern. It could also be a transient finding, especially if he has had a recent viral illness.

3. Lymphocytes: The lymphocyte percentage is 48.3, which is elevated compared to the normal range (19-48). Lymphocytes are another type of white blood cell that is vital for the immune response, particularly against viral infections. An increase in lymphocytes can indicate a viral infection or other conditions such as chronic inflammation or stress. Since your son has a history of nasal allergies, it is possible that this could be a contributing factor, as allergies can sometimes lead to an increase in lymphocyte counts.

4. Alkaline Phosphatase (ALK-P): The ALK-P level is 180 U/L, which is above the normal range (40-141). Elevated alkaline phosphatase can be associated with several conditions, including liver disease, bone disorders, or growth spurts in adolescents. Given your son's age, it is not uncommon for alkaline phosphatase levels to be elevated during periods of rapid growth. However, it is advisable to follow up with further testing, such as liver function tests or imaging studies, to rule out any underlying conditions.

Recommendations:
- Follow-Up Testing: It is recommended to have a follow-up blood test in about a month to monitor the WBC differential, particularly the neutrophils and lymphocytes. This will help determine if the changes are persistent or transient.

- Consult a Specialist: Given the elevated alkaline phosphatase, it would be prudent to consult a gastroenterologist or a pediatrician specializing in adolescent health. They may recommend additional tests, such as liver function tests or an abdominal ultrasound, to assess liver health and rule out any potential issues.

- Monitor Symptoms: Keep an eye on any symptoms your son may experience, such as fatigue, unexplained weight loss, or recurrent infections. If any new symptoms arise, it would be important to seek medical advice promptly.

- Healthy Lifestyle: Encourage a balanced diet, regular physical activity, and adequate hydration. These factors can support overall health and immune function.

In summary, while some of your son's lab results are outside the normal range, the overall picture does not suggest an immediate cause for alarm. However, follow-up testing and consultations with healthcare professionals are essential to ensure that any underlying issues are identified and managed appropriately.

Similar Q&A

Which Medical Specialty Should You Consult After Abnormal Health Check Results?

Last October, my health check revealed the following abnormalities: My age is comparable to that of an elementary school student taking an exam, and I am concerned about the abnormal results. My serum globulin level was 3 g/dL (normal range: 3.1-4.9), and my direct bilirubin was ...

Dr. Zeng Guosen reply Internal Medicine
Hello, user: You have many questions. Iritis is related to rheumatology and immunology, while the other issues may be related to gastroenterology and cardiology. Please provide your health check report for the doctor’s reference. Start by consulting a rheumatologist or an immunol...

Understanding Rapid Weight Loss in Adolescents: Causes and Solutions

Hello Dr. Wang, my child is 14 years old. Before August, his weight was 45 kg, but after two months, it has suddenly dropped to 36.8 kg. On June 26, 2008, he was injured by a classmate before the final exam. He was originally innocent and romantic, and had never fought with anyon...

Dr. Wang Zhengzhong reply Family Medicine
Hello: Your questions are as follows: "1. What diseases can cause such rapid weight loss? Besides organ diseases, significant psychological stress can also be a factor, such as depression or loss of motivation in life. 2. Which specialty should we consult? An experienced fam...

Understanding Abnormal Health Check Results: When to Seek Medical Advice

Last week, my husband had a health check-up at work, and there are many abnormal results that he doesn't understand. We're not sure if he needs to seek immediate medical attention or which specialty to consult. Thank you, doctor! His weight is 93 kg, height is 172 cm, t...

Dr. Hou Angting reply Family Medicine
Hello: According to your health check report, you need to pay attention to the effects of metabolic syndrome. It is recommended that you consult with a physician in the Family Medicine department for further evaluation, treatment, and follow-up. Wishing you good health.

Understanding Health Check Results: Key Concerns for a 63-Year-Old Man

Hello Doctor, I would like to ask you about my father's health check-up report results: <1> Male, 63 years old, 180 cm, 72 kg <2> Electrocardiogram: Abnormal R wave, abnormal ST segment, heart murmur <3> Increased pulmonary markings bilaterally, mild restri...

Dr. Chen Bozhang reply Family Medicine
Dear User, Regarding the issues mentioned in your health check report, the points highlighted in red are summarized as follows: 1. Electrocardiogram (ECG) Findings: Abnormal R wave, abnormal ST segment, and heart murmurs. It is recommended to visit a cardiology clinic for a...