Blood disorders
Hello, doctor...
Two weeks ago, I went to the emergency room due to dizziness, general weakness, nausea, and bloating.
I have a history of gastroesophageal reflux disease (GERD).
They drew several vials of blood, and the results showed mild jaundice, low potassium levels, and slightly elevated lymphocytes.
The emergency physician did not specify the exact values.
The next day, I visited a gastroenterologist who arranged for an abdominal ultrasound, endoscopy, and blood tests.
Today, I reviewed the results: the ultrasound was normal, but there was gastric mucosal erosion.
The jaundice levels and potassium were normal, but the doctor mentioned that the lymphocyte count was similar to what was found in the emergency room, without specifying the exact number.
The doctor said it was slightly elevated but not concerning.
However, I am still very worried.
The doctor scheduled another blood test in a month to check the values.
Currently, I have shoulder and neck myofascial pain and gastric mucosal erosion.
Is there a connection between the elevated lymphocytes and these conditions? Is elevated lymphocyte count related to leukemia? Could it possibly be leukemia? If the results are still elevated in a month, what could that indicate? Should I see a hematologist/oncologist first? I am extremely anxious about this.
Please help me, thank you.
Dan You De Ren, 30~39 year old female. Ask Date: 2019/09/17
Dr. Chen Yunfang reply Oncology
Hello: A higher proportion of lymphocytes does not necessarily indicate blood cancer; there are many possible reasons for this in diagnosis.
It is recommended that you consult a hematologist for interpretation of the report.
Thank you!
Reply Date: 2019/09/17
More Info
Understanding lymphocyte levels and their implications for blood disorders and cancer is a crucial aspect of medical diagnostics. In your case, the elevated lymphocyte count, alongside your symptoms of dizziness, nausea, and gastrointestinal issues, raises valid concerns, but it is essential to interpret these findings in context.
Lymphocytes are a type of white blood cell that plays a significant role in the immune system. They are primarily involved in the body's response to infections and can also be indicators of various health conditions. A slight increase in lymphocyte levels can occur due to several benign reasons, such as viral infections, chronic inflammation, or even stress. In your situation, the recent gastrointestinal issues and the history of gastroesophageal reflux disease (GERD) could contribute to a transient increase in lymphocytes as your body responds to the underlying conditions.
Regarding your concerns about leukemia or lymphoma, it is important to note that elevated lymphocyte levels alone are not diagnostic of these conditions. Leukemia typically presents with a more significant increase in abnormal white blood cells, often accompanied by other symptoms such as fatigue, unexplained bruising, or recurrent infections. Lymphoma, on the other hand, may present with swollen lymph nodes, night sweats, and weight loss. Your symptoms of shoulder and neck myofascial pain and the gastrointestinal issues are not typical indicators of these hematological malignancies.
The fact that your doctors have scheduled follow-up tests in a month is a standard approach. It allows for monitoring any changes in your lymphocyte levels and assessing whether they return to normal. If the lymphocyte count remains elevated after a month, further investigations may be warranted, including a complete blood count (CBC) with differential, peripheral blood smear, and possibly imaging studies or a lymph node biopsy if clinically indicated.
It is also worth mentioning that psychological stress can exacerbate physical symptoms and lead to heightened anxiety about health conditions. It is not uncommon for patients to feel anxious when faced with unexplained symptoms and abnormal lab results. Engaging in stress-reducing activities, such as mindfulness, yoga, or talking to a mental health professional, can be beneficial in managing anxiety.
In conclusion, while elevated lymphocyte levels can be concerning, they are not definitive indicators of leukemia or lymphoma without additional clinical findings. Your healthcare providers are taking the appropriate steps to monitor your condition. If you continue to experience anxiety or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and support. It is essential to maintain open communication with your medical team and to follow their recommendations for follow-up testing.
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