Doctor insights on:
White Blood Count Low Bilirubin High
It depends: There are dozens of reasons for any one blood test to be above or below the normal value. Blood test need to be interpreted in light of the patients symptoms and physical examination findings. If unsure why a blood test falls outside of the normal range ask your doctor. ...Read more
Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more
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. ...Read more
Leukopenia: Recent infection such as flu, chemotherapy, radiation therapy, aplastic anemia, hiv, lupus, hodgkin's lymphoma, cancer, typhoid, malaria, tb, sepsis, folate deficiency, copper & zinc deficiency, medications such as wellbutrin, (bupropion) depakote, lamictal, clozapine, minocycline, flagyl, interferone, arsenic toxicity. ...Read more
Low CPK high white count low bilirubin and ALT high monocytes high neutrophils and low lymphocytes should I be concerned?
Need more info: 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. Do you have any symptoms? Why were these tests done? The issue may not be appropriate for this forum and likely requires an in-person evaluation. ...Read more
Blood tests show high mean platelet volume, low platelet count, high urobilinogen, high WBC, high clumpy platelet morphology. Related? conerns?
Why the tests?: 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 might have helped to have the actual values rather than high and low. Why were the tests done? It would be prudent to discuss these with the doctor who ordered the test as s/he knows more about your health. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more
More info needed: High blood and platelet counts may mean nothing, but need to evaluate based on examination, white blood cell count and how high red cell count and platelet counts are. Iron deficiency can increase platelets as can inflammation; high altitude and smoking can raise the red count---a good history and physical are needed. Good luck. ...Read more
Low MCV high red blood cells with abnormal morphology with low neutrophils and high lymphocytes counts?
Means nothing alone: In isolation from the patient story, lab tests mean nothing. This is especially true since we have no actual numbers. The low MCV and high rbc would make any physician think of a thalassemia, but it would be criminal to speculate further without knowing more about the person. If this is a you or a family member, you have a right and a duty to request your doctor's thoughts, or get consultation. ...Read more
Infection: Elevated WBC count is usually a response to an infection. The elevated monocytes may mean that you have a chronic infection or an autoimmune condition. You are taking methylprednisolone which is also used to treat the symptoms of an autoimmune condition so the elevated monocytes may be due to the condition that you are taken that med for. Check with your doctor. ...Read more
Many: Depends on how low the count is and what other symptoms and signs are associated with it and what caused the low count. A common risk is propensity to infections. See this site for more info. http://www.mayoclinic.com/health/low-white-blood-cell-count/my00162. ...Read more
Elevated indirect bilirubin, normal direct bilirubin, low red blood cell count, normal white blood cell count, iron overload (83), enlarged spleen?
Need more informatio: We can not comment on these blood tests without knowing your hemoglobin and hematocrit andtotal rbc level.Total iron, iron binding capacity and most important ferritin level also need to know the values of liver enzymes;level of indirect bilirubin i suggest you consult your doctor who may have all this information and can tell you if anything needs to be done or just follow up. ...Read moreSee 1 more doctor answer
HIGH WBC >10.5k: A normal white blood count (WBC) is in the range: 4k--10.5k (4000-10, 500) in most labs around the country. So any WBC >10.5k is elevated. I see elevated wbc's all the time, so i recommend following it closely (perhaps rechecking in 1 month with 'a differential') . If you have symptoms of a blood disorder you may need further testing, now. ...Read more
Hematology workup: The elevation of these 2 parameters of the CBC (complete blood count) may reflect infection or inflammation. However, depending on the chronicity and extent of rise, it may also be associated with bone marrow problems such as myeloproliferative diseases. I suggest a hematology consultation and workup to sort out the underlying cause(s). ...Read more
Need to know the: Actual results. Low hb may indicate blood loss and it needs to be investigated to rule out bleeding in the stomach and intestine, especially need to rule out colon cancer. Are you on any medication or drink excessively? Either of these could be the cause. All lab results need to be evaluated in the clinical context and your doctor is in the best position to do that. ...Read more
Depends: The primary purpose of white blood cells (wbcs) is to fight infection. So, people with low white blood cell counts could be more susceptible to infections. However, it depends on why the wbcs are low. Some people simply have low WBC counts and live normal lives. Others could have an underlying problem causing the low counts. ...Read moreSee 1 more doctor answer
Need more info.: It would be useful to know the actual values and also the levels of other blood components. It would be preferably to discuss the results with the doctor who ordered the test as s/he has more info on your health and lab tests need to be interpreted in the clinical context. ...Read more
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