Asthma Blood Test Results: When to Seek Medical Advice

Q: Asthma Blood Test Results: When to Seek Medical Advice

Hello： The blood test report shows elevated eosinophils, which can be strongly associated with your allergic constitution. <br>The main diseases related to allergic conditions include three types： asthma, atopic dermatitis, and allergic rhinitis. <br>Given that you have recently

Inquiry about asthma blood test report?

Hello, doctor.
Recently, my shortness of breath has become more frequent, and I often have to exert myself to breathe, which causes discomfort and tightness in my chest.
This has already affected my daily life.
My family members also have symptoms of asthma.
Two days ago, I visited a pulmonologist, who performed an X-ray and mentioned that my lung function appeared normal.
However, they arranged for a blood test, and the results showed the following: Eosinophil count: 660.00 (abnormal), Basophil: 0.2, Neutrophil Segmented: 73.9, Lymphocyte: 13.8 (abnormal), Monocyte: 4.5, Eosinophil: 7.6 (abnormal).
These are the abnormal values I saw on the health insurance app.
I would like to know if these abnormal values are serious.
I have had atopic dermatitis since childhood, which has not been cured, and I wonder if this could be a contributing factor.
The doctor originally asked me to return in two weeks to review the report, but I have been feeling unwell for a long time.
Can I go for an earlier consultation since the report is already available?

Ms. Wu, 20~29 year old female. Ask Date: 2023/04/12

Dr. Lin Zhebin reply Family Medicine

Hello: The blood test report shows elevated eosinophils, which can be strongly associated with your allergic constitution.
The main diseases related to allergic conditions include three types: asthma, atopic dermatitis, and allergic rhinitis.
Given that you have recently experienced worsening symptoms of shortness of breath, although your pulmonary function tests are normal, it is still recommended that you return to the pulmonology clinic to evaluate whether to start asthma medication.

Reply Date: 2023/04/12

More Info

When interpreting blood test results, especially in the context of asthma and related respiratory issues, it is crucial to understand the significance of the various components measured in the blood. Your recent blood test results indicate elevated eosinophils (7.6) and lymphocytes (13.8), which are noteworthy in the context of your symptoms and medical history.

Eosinophils are a type of white blood cell that play a role in the body's immune response, particularly in allergic reactions and asthma. An elevated eosinophil count, known as eosinophilia, can indicate an allergic reaction, parasitic infection, or other inflammatory conditions. In your case, the high eosinophil count may be related to your history of atopic dermatitis (eczema), which is often associated with asthma and other allergic conditions. This connection suggests that your asthma symptoms could be exacerbated by underlying allergic processes.

Lymphocytes are another type of white blood cell that are essential for the immune response. An elevated lymphocyte count can indicate a viral infection, chronic inflammation, or other immune responses. While your lymphocyte count is elevated, it is essential to consider it in conjunction with your overall clinical picture and symptoms.

The presence of respiratory symptoms such as difficulty breathing and chest tightness, especially when they are affecting your daily life, warrants further investigation. Although your doctor mentioned that your lung function appeared normal during the X-ray examination, the combination of your symptoms and the abnormal blood test results suggests that there may be an underlying issue that needs to be addressed.

Given your history of atopic dermatitis and the current respiratory symptoms, it is advisable to seek medical attention sooner rather than later. If your symptoms are persistent or worsening, it is essential to communicate this to your healthcare provider. They may consider additional tests, such as pulmonary function tests or allergy testing, to better understand the cause of your symptoms and to develop an appropriate treatment plan.

In summary, while the abnormal blood test results indicate a potential allergic or inflammatory process, the severity of your symptoms and their impact on your daily life suggest that you should not wait for the scheduled follow-up appointment. Instead, consider reaching out to your healthcare provider to discuss your concerns and the possibility of an earlier evaluation. Early intervention can be critical in managing asthma and preventing further complications.

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