160 days post auto stem cell transplant for nhl double hit cell counts low hemoglobin 9.6 platelets 63 white cells 1.7. can this resolve on its own in time? how long? fearing mds.

Several possibilitie: There are several possibilities, but this may simply be a slow recovery after engraftment, especially if the trend is one of gradual improvement. You should be checked for vitamin B12 and folate (folic acid) deficiency. If the low counts are progressing, then discuss with your transplant physician a bone marrow with cytogenetics to rule out MDS, although MDS usually occurs at a longer interval after SCT.

Time will tell: The recovery of blood counts can be slow; so you ought be patient and wait for some more time. Yet a low blood count requires a check on the Bone marrow to determine the productive capacity of bone marrow. Cytogenetic study of bone marrow can help to exclude MDS type of concerns. Have you had any recent bone marrow examination? If not ,there is need to do so now.. this will help to address your ?s