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Doctor insights on: Cause Of Low Lymphocytes In Blood

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Dr. Dan Fisher Dr. Fisher
Internal Medicine
23 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
1
Dr. Martin Raff Dr. Raff
Internal Medicine - Infectious Disease
52 years in practice
University of Texas Medical Branch School of Medicine
2

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Do recent or current flu and cold and fever cause monocyte to be too low in a blood test with too high lymphocyte in the same test?

Do recent or current flu and cold and fever cause monocyte to be too low in a blood test with too high lymphocyte in the same test?

WBC differential: Yes, this can happen. But you are taking lab tests too seriously out of the context of your current illness. Do not worry about these values, they will correct.

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
3

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I have high neutrophils (74.6) and low lymphocytes (18.5) on two different sets of blood work (march and oct.) is this cause for concern?

I have high neutrophils (74.6) and low lymphocytes (18.5) on two different sets of blood work (march and oct.) is this cause for concern?

Need units of: Measurement. If the counts were 74.6 and 18.5 thousand per cubic mm, both would be high. Generally it is best to consult the doctor who ordered the tests. If the actual counts are 7.46 and 1.85 thousand per cubic mm, both are about normal and would not be cause for concern.

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
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Blood results off my co2 was low, my neutophil% was high, & lymphocyte% low. I'm on meds for thyroid & depression. What is cause & how do I fix?

Blood results off my co2 was low, my neutophil% was high, & lymphocyte% low. I'm on meds for thyroid & depression. What is cause & how do I fix?

Need more info: It would be useful to have the actual values. All lab results need to be interpreted in the clinical context and your doctor is in the best position to do that and you discuss the matter with her/him.

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
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I'm wondering why would my lymphocyte level be low on my blood test?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it may be helpful to know the actual counts. A low count within normal limits is still normal.

Dr. Michael Michaels Dr. Michaels
Urology
49 years in practice
University of Alexandria Faculty of Medicine
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Good evening, I am concerned because I just have my blood count back and my hematologyst told me my lymphocytic count is low, what does that mean?

Good evening, I am concerned because I just have my blood count back and my hematologyst told me my lymphocytic count is low, what does that mean?

Many causes: There are many causes of lymphocytopenia (low lymphocyte count). Your hamatologist should talk to you about further testing depending on how low the count is and if it has always been present (inherited diseases) or is it a new finding. Talk to your doctor. There must be a reason you were referred to a hematologist. Good luck.

Dr. David Cohen Dr. Cohen
Internal Medicine
38 years in practice
University of Delhi, University College of Medical Sciences and GTB Hospital
7
Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
8

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What does a low lymphocytes, absolute on a blood work mean?

How low?: If they are just a bit below the range (which is what most people have), but above 1000, and your physician isn't concerned, then you should not be either. If lower, repeat. Stress can bump them either up or down. Glad you're being proactive.

Dr. Steven Ginsberg Dr. Ginsberg
Internal Medicine - Hematology & Oncology
33 years in practice
State University of New York Downstate Medical Center College of Medicine
9

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Low white blood count be low but lymphocytes high?

Low white blood count be low but lymphocytes high?

Calculate absolute #: It is not the percentages of blood cells that determine if they are high or low, but, rather the absolute count. For example, if your total white blood cell count is 3000 and the lymphocytes are 60%, the total lymphocytes are 1800, which s normal.

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
10

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What can lead to a low reading of absolute lymphocytes in a blood test?

What can lead to a low reading of absolute lymphocytes in a blood test?

Many possibilities: What is the absolute count? It may be low yet still within the normal limits. Causes of low lymphocyte count, not in any particular order are: active tb, uremia, lymphomas, hodgkin's disease, autoimmune disorders, immune deficiency syndromes, chemotherapeutics, glucocorticoids, malnutrition and more. It would be prudent to consult the doctor who ordered the test.

Dr. Jack Rubin Dr. Rubin
Internal Medicine - Nephrology & Dialysis
44 years in practice
State University of New York Downstate Medical Center College of Medicine
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My recent blood test indicated low polymorphs and high lymphocytes. What does this means?

Abnormal blood: Please give us the total white blood cell (WBC) count, the percentage of polymorphs and lymphocytes you had reported on the test result form. This will give us more information to answer your questions. Another way to get the answer quicker, would be to speak to the physician (p) who ordered it. The p will give you more informed information much quicker. Good luck.

Dr. Cesar Sturla Dr. Sturla
Internal Medicine
31 years in practice
National University of Pedro Henriquez Urena
12
Dr. Ryan Stanton Dr. Stanton
Emergency Medicine
14 years in practice
East Tennessee State University James H. Quillen College of Medicine
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When your blood work comes back saying that your seg is high that my lymphs are low and that my abs lymphocytes are low and my tp is high

Depends: It depends on the symptoms and situation. You are describing an immune response, but this can be anything from bacterial infection to pain.

Dr. Gregory Thompson Dr. Thompson
Internal Medicine
28 years in practice
University of Louisville School of Medicine
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I noticed on blood work done a few years ago, lymphocytes were total 2.9 at 33% total and 5 months later total 1.6 and 21%. What could cause that drop? Or normal variation? Blood test done a month later lymphocytes were 1.9.

I noticed on blood work done a few years ago, lymphocytes were total 2.9 at 33% total and 5 months later total 1.6 and 21%. What could cause that drop? Or normal variation? Blood test done a month later lymphocytes were 1.9.

Probably normal: Different blood cell types will fluctuate within a "normal range, " but common reasons that blood counts and cell types will fluctuate include all types of physical stress, like injury and inflammation, bacterial and viral infections, including influenza and the common cold. There may also be fluctuations as your immune system responds to environmental factors of which you might not even be aware.

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Dr. David Lipkin Dr. Lipkin
Internal Medicine
48 years in practice
Howard University College of Medicine
15

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Should I be worried if my lymphocytes are low (14.8 L) and my eosinophils are high (6.9 H) but all other blood work looks great?

Should I be worried if my lymphocytes are low (14.8 L) and my eosinophils are high (6.9 H) but all other blood work looks great?

Not necessarily: Although your result is out of normal range, it's difficult to know the significance of the finding without knowing your medical history and the reason the lab was done. If it was done as part of a routine lab screen and you are feeling healthy the abnormalities do not necessarily mean you have a problem. Some patients can fall out of the normal range for years without evidence of illness.

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Dr. Stephen Noga Dr. Noga
Internal Medicine - Oncology
30 years in practice
Johns Hopkins University School of Medicine
17

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What is the relationship of hepatosplenic t-cell lymphoma and low lymphocyte levels in the blood?

Retained in spleen: The spleen can be quite large and contain really high numbers of malignant lymphocytes. In these cases, both normal and malignant lymphocytes can be low in the peripheral blood.

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Dr. Michael Dugan Dr. Dugan
Internal Medicine - Hematology
years in practice
Indiana University School of Medicine
18

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Would it be relevant to see a hematologist for 2nd opinion on what blood work rheumy did? Lymphocytes are low & rheumy says its ok

Maybe: But many rheumatologic drugs work by immune suppression, so your doc may be underwhelmed because they know it is an expected med effect.

Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
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My blood test results show that my total white blood count is low, 2.7 10*9/l and lymphocyte count also low, 0.6 10*9/l, should I be concerned?

Yes: You total WBC count is low. Why did you have the test done? All lab results need to be interpreted in the clinical context and your doctor who ordered the test is in the best position to do that.

Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
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My blood test shows: fraction immature reticylocytes high. 19, RBC low 3.82, MCV high 382, MCH high 34.3, lymphocyte low 24%. What could be wrong?

B12/folate deficient: You need to be checked out for vitamin B12 or Folic Acid deficiency. I wonder why the doctor who ordered the blood test did not recommend getting these tests done. If these values were normal, then further studies will be required.