Elevated White Blood Cell Count: When to Seek Medical Attention - Cardiology

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Leukocytosis


The examination report shows a white blood cell count of 11.33, indicating leukocytosis.
Should I seek medical attention for this? I'm feeling quite anxious right now.

You, 20~29 year old female. Ask Date: 2018/01/14

Dr. He Dongjin reply Cardiology


Hello, if you have no discomfort, you can simply observe.
Changhua Hospital cares about you.

Reply Date: 2018/01/14

More Info


Elevated white blood cell (WBC) counts can be a source of concern, especially when they are reported as being above the normal range. In your case, a WBC count of 11.33 is indeed considered elevated, as the typical reference range for adults is generally between 4,000 and 11,000 cells per microliter of blood (4.0 to 11.0 x 10^9/L). However, it is essential to understand that an elevated WBC count, known as leukocytosis, can occur for various reasons, and not all of them are indicative of a serious health issue.

Leukocytosis can result from a variety of factors, including:
1. Infections: The most common cause of elevated WBC counts is an infection. The body produces more white blood cells to help fight off pathogens, whether they are bacterial, viral, or fungal.

2. Inflammation: Conditions that cause inflammation, such as autoimmune diseases (like rheumatoid arthritis or lupus), can also lead to increased WBC counts.

3. Stress Responses: Physical or emotional stress can temporarily elevate WBC counts. This includes stress from surgery, trauma, or intense exercise.

4. Allergic Reactions: Allergies can trigger an increase in certain types of white blood cells, particularly eosinophils.

5. Bone Marrow Disorders: In some cases, elevated WBC counts can be due to bone marrow disorders, including leukemia or myeloproliferative disorders, where the bone marrow produces too many white blood cells.

6. Medications: Certain medications, such as corticosteroids, can also lead to elevated WBC counts.

Given your elevated WBC count, it is advisable to seek medical attention, especially if you are experiencing symptoms such as fever, fatigue, unexplained weight loss, or any other concerning signs. A healthcare provider will likely conduct a thorough evaluation, which may include:
- Detailed History and Physical Examination: Your doctor will ask about your medical history, any symptoms you are experiencing, and any medications you are taking.

- Repeat Blood Tests: Sometimes, a repeat test is necessary to confirm the elevated count and to check for any trends over time.

- Differential Count: This test breaks down the different types of white blood cells present in your blood, which can help identify the cause of the elevation.

- Additional Tests: Depending on the findings, your doctor may recommend further tests, such as imaging studies or a bone marrow biopsy, to rule out more serious conditions.

It is understandable to feel anxious about an elevated WBC count, but remember that it is a common laboratory finding and can often be explained by benign causes. The key is to follow up with your healthcare provider, who can help interpret your results in the context of your overall health and guide you on the next steps. Early intervention is crucial, especially if there is an underlying condition that requires treatment.
In summary, while an elevated WBC count warrants further investigation, it does not automatically indicate a severe illness. Seeking medical advice will provide you with clarity and peace of mind regarding your health status.

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