Doctor insights on: Can wbc go up and down

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White Blood Cell (Definition)

Body blood cell that responds to inflamation or infection or ...Read more


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Feel as if I should be concern and watch. My WBC is9.1 and raises last 3X.RBC keeps going down 4.13 then this last time my monocytes 10.3.have GI issue?

Feel as if I should be concern and watch. My WBC is9.1 and raises last 3X.RBC keeps going down 4.13 then this last time my monocytes 10.3.have GI issue?

It would be helpful: ...to know over what time period your serial testing has occurred, what symptoms you may be experiencing, your medications, underlying medical conditions, & the issues that necessitated the testing in question. A lab study, no matter how many times repeated may have only questionable value (and thus result in your concern) when taken out of context. ...Read more

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What should I do if I have a high WBC count of 20000 then back down to 12000. Is this normal?

No: They are not normal. Speak with your doctor and ask about possible causes. If the WBC remains high consider a consultation with a hematologist. It does appear to be resolving so you may just want to repeat the count again in a month before considering other options. ...Read more

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High wbc around 15 but continues to be high and took antibiotics...still not down. Can't find out wats goin on...please help!!

High wbc around 15 but continues to be high and took antibiotics...still not down. Can't find out wats goin on...please help!!

High WBC: One clue is in the differential count of your CBC. Neutrophils (granulocytes) fight bacteria whereas monocytes and other lymphocytes fight viruses. Also, consider that perhaps your antibiotic is not working, and might need to be changed to a different antibiotic to cure your infection. Go back to the doctor. ...Read more

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28 yr down syndrome wbc 2.8 diff, platlets norm vit b12= 220 vit d 9 put on vit d and b12 is this tx okay?

28 yr down syndrome wbc 2.8 diff, platlets norm vit b12= 220 vit d 9 put on vit d and b12 is this tx okay?

Neutropenia, low: White cell count, occurs 1/3rd of people with DS;macrocytosis, large red blood cells persist in 2/3rds & are not usually related to B 12 deficiency. A borderline level of B12 warrants obtaining levels of folic acid, methylmalonic acid, homocysteine, Free T4 & Ultrasensitive TSH. Low Vitamin D levels are associated with obesity, common in DS. Further evaluation by a hematologist is warranted. ...Read more

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Last 2 Cbc in order WBC 6.4, 5.1 neutr 65%, 72% lymphs 21%, 19% does the fact that neut% went up to 72% have effect on my lymphs abs # to go down to 1.0?

Last 2 Cbc in order WBC 6.4, 5.1 neutr 65%, 72% lymphs 21%, 19% does the fact that neut% went up to 72% have effect on my lymphs abs # to go down to 1.0?

Yes. Simple math.: If total WBC's count is fairly stable, pretend we have 10, 000 WBCs, with 40% neutrophils and 30% lymphocytes, that means there are 4000 neut and 3000 lymph. The numbers are the machine's counting of what is in the blood. Likewise, if there are 1000 kids at school, 40% boys means 400 boys (if one leaves and is replaced by a girl, there will be 399 boys, or 39.9% boys, and 60.1% girls). ...Read more

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25f, leukemia (aml) since 2011, can't go bk into remission, WBC is now 53.7. They started me on hdyrea, is this going to help my WBC go down?

25f, leukemia (aml) since 2011, can't go bk into remission, WBC is now 53.7. They started me on hdyrea, is this going to help my WBC go down?

AML and Hydrea (hydroxyurea): Hydrea (hydroxyurea) can definitely make white cells lower and will help calm down the aml, but it doesn't have the ability to put AML into remission. Its effects are usually temporary. Have a long talk with your oncologist about all possible options at this point so you can make an informed decision. Please consider stopping smoking in the meantime, because cigarettes are one of the things that can cause aml. ...Read more

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Cellulitis, was on keflex for 4 days now and steroids, just had CBC and WBC is normal. Does WBC go down that fast? I thought that would be elevated

Cellulitis, was on keflex for 4 days now and steroids, just had CBC and WBC is normal. Does WBC go down that fast? I thought that would be elevated

It can: Depending on the seriousness of the infection and the bacteria involved, the WBC count can go down in several days. With steroids though, this usually increases the WBC count. ...Read more

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Is this dengue? Lymps and WBC are normal. Platelets count is going down. Also 5 days ongoing fever.

Too vague: There are many causes for fever and low platelet count. If you have not been to an endemic area, this is not dengue. You need to see an infectious diseases specialist if your doctor is unable to figure it out. ...Read more

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Have back pain, back spasms that go down my legs and curl up my toes. I also have had a high wbc since june. Did 24 hrs urine it was neg. Pain l side?

Have back pain, back spasms that go down my legs and curl up my toes. I also have had a high wbc since june. Did 24 hrs urine it was neg. Pain l side?

See specialist: Given the severity and persistence of your back symptoms I would make an appointment to be seen by a back specialist for further workup and evaluation. Could be a bulging disc with sciatic nerve pain. Will likely need imaging studies to be certain. ...Read more

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My 2 yo was diagnosis w/mono. Symptoms for 2/3 wk. Ldh is 900, WBC still going up now 30k. Spleen size down. Liver enzymes up. Fever gone. Are labs consistent w/dx? How long until labs down? Could it be leukemia?

My 2 yo was diagnosis w/mono. Symptoms for 2/3 wk. Ldh is 900, WBC still going up now 30k. Spleen size down. Liver enzymes up. Fever gone. Are labs consistent w/dx? How long until labs down? Could it be leukemia?

Not exactly...: Your son should have had a mono spot test, heterophile antibody test, of formal ebv titers ($$$$). You have not listed any of these definitive tests. A shrinking spleen size is a good sign no matter what, but many illnesses could cause the labs your son has: even malaria, other parasites, hepatitis, or congenital inborn errors. Your son deserves more tests. ...Read more

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In july, my WBC count was 11600, october 4 it was 11500, today it is 12000. Finished antibiotics and it went up not down. What is this?

In july, my WBC count was 11600, october 4 it was 11500, today it is 12000. Finished antibiotics and it went up not down. What is this?

Consult: You have provided little information about what other symptoms you may have had, why antibiotics were prescribed, and which type of white cell was elevated. As a lab physician I am always telling colleagues to look at the person, not the numbers; anything from a myelodysplastic syndrome to a perinephric abscess to a subtle osteomyelitis are possibilities & there are many more. Good luck. ...Read more

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Na and chl down (na=127) -also dropping creatinine / sed 33/ WBC dropping +left shift ig/baso abs#/ normocy anem. Retic. Indx 2.1 can marrow be issue?

Na and chl down (na=127) -also dropping creatinine / sed 33/ WBC dropping +left shift ig/baso abs#/ normocy anem. Retic. Indx 2.1 can marrow be issue?

Don't treat numbers: Serum sodium of 127, a "left shift", and a reticulocyte index of 2.1 are all worrisome. This isn't the place to try to diagnose disease with only labs; labs mean nothing in isolation. This is anything from serious disease to a runner who drank a whole lot of water. These are items you should discuss with your physician, who's familiar with your entire medical history. ...Read more

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My WBC levels the past 3 yrs. Neutro trending down 43 to 33.8 to 30.1. Eos up 9 to 9.3 to 11.1 and lymph up 43 to 47.5 to 48.2. I’m 26 and no past HX?

Not: Enough information to make a recommendation Variations in CBC differentials are not enough to reach any conclusions. If concerned about any illness request your MD to do a specific test ...Read more