For questions regarding blood test reports, please consult your doctor?
Hello, Doctor.
I actually visited a family medicine clinic this morning because my liver enzyme levels were around 40 and my cholesterol was just over 200, so I have been following up every three months.
However, this time the doctor suddenly suggested that I be referred to a hematologist.
Although she said not to worry too much, I am still quite anxious.
After visiting the hematology-oncology department today, I was asked several questions, had my abdomen tapped, my neck examined, my throat opened, and my eyes checked as if they were looking for something.
They also drew blood, and I had four vials taken.
I somewhat forgot what the lab order said, but I remember it included ESR, CML, AML, and one more test that I forgot, but I won’t be able to return for the results until next Monday.
I almost cried this morning and asked the doctor if I had cancer or something similar.
Although the doctor smiled and said I was too anxious and it might just be an infection, I am really scared about what will happen if the results are not good next week.
😢 I would like to ask for a different doctor's opinion on what this data generally indicates.
Thank you, Doctor!
My report details are as follows:
WBC 5.42, Neutrophils (Seg) 26.0 (low), Lymphocytes 64.0 (high), Monocytes 1 (low), Eosinophils 5, Basophils 0, A.
Lymphocytes 4.0.
I understand that the composition of white blood cells can vary, but the total should equal 100%.
However, the first three components are too low, too high, and too low, and I’m not sure if having only 1 Monocyte is unusual.
Additionally, my previous WBC counts were generally around 4, and atypical lymphocytes were not present last time.
Although the hematologist said not to worry and that it is likely just an infection, I am really afraid of what will happen if the report is unfavorable next week.
😢
Bai Bai, 20~29 year old female. Ask Date: 2020/08/18
Dr. Chen Yunfang reply Oncology
Hello: The answer is the same, but in my words: I will ask you to come back in two weeks for a follow-up blood test.
That's it; the current data doesn't indicate much.
Medicine is a science, and we don't speculate without evidence.
We only speak based on the evidence we have.
Thank you.
Reply Date: 2020/08/18
More Info
Understanding blood test results can be a daunting task, especially when you are facing potential health issues. It’s important to remember that blood tests are just one piece of the puzzle in diagnosing and managing health conditions. Your anxiety is understandable, but let’s break down your results and what they might indicate.
From your report, the key components to focus on are your white blood cell (WBC) count and its differential, which includes neutrophils, lymphocytes, monocytes, eosinophils, and basophils. Here’s a brief overview of what these components mean:
1. WBC Count: Your WBC count is 5.42, which falls within the normal range (typically 4.0 to 11.0 x 10^9/L). This indicates that your body has a normal number of white blood cells, which are crucial for fighting infections.
2. Neutrophils: Your neutrophil percentage is 26.0%, which is low. Neutrophils are the first line of defense against infections, particularly bacterial infections. A low neutrophil count (neutropenia) can make you more susceptible to infections.
3. Lymphocytes: Your lymphocyte percentage is 64.0%, which is high. Lymphocytes are essential for the immune response, particularly in viral infections and chronic inflammation. An elevated lymphocyte count can indicate a viral infection or a chronic inflammatory condition.
4. Monocytes: Your monocyte count is low at 1%. Monocytes help in the immune response and in cleaning up dead cells. Low levels can sometimes be seen in acute infections or stress responses.
5. Eosinophils and Basophils: Your eosinophil count is 5%, which is slightly elevated, and basophils are at 0%. Eosinophils are often elevated in allergic reactions or parasitic infections.
The presence of atypical lymphocytes in previous tests can be concerning, but it’s essential to understand that they can appear in various conditions, including infections and immune responses, and do not necessarily indicate cancer.
Your doctor’s recommendation to see a hematologist is likely a precautionary measure to rule out any serious conditions, including blood disorders. However, it’s crucial to remember that many factors can influence blood test results, including infections, stress, and even recent illnesses.
What Should You Do Next?
1. Follow-Up: It’s important to attend your follow-up appointment and discuss your concerns with your hematologist. They may recommend further testing, such as a complete blood count (CBC) with differential, peripheral blood smear, or specific tests for infections.
2. Stay Informed: Ask your doctor to explain any terms or results you don’t understand. Knowledge can help alleviate some of your anxiety.
3. Monitor Symptoms: Keep track of any symptoms you may experience, such as fever, fatigue, or unusual bruising. Report these to your doctor.
4. Lifestyle Considerations: Maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate sleep, which can support your immune system.
5. Manage Anxiety: It’s natural to feel anxious about health concerns. Consider discussing your feelings with a mental health professional if your anxiety becomes overwhelming.
In conclusion, while your blood test results show some variations, they do not definitively indicate a serious condition like cancer. The best course of action is to follow your doctor’s advice, stay informed, and maintain open communication with your healthcare providers. Remember, many conditions can be managed effectively with the right approach and timely intervention.
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