7 doctors weighed in:
My total WBC and neutrophils are high and rising. What kind of diagnostic avenues should I look at?
7 doctors weighed in

Dr. Pavel Conovalciuc
Family Medicine
2 doctors agree
In brief: Work up
If your WBC and neutrophils are rising, then someone ordered those tests and he/she needs to have a work up in mind if those are elevated.
Usually, elevated WBC and neutrophil counts indicate infection, provided the rest of the differential is normal. There are some blood disorders that are manifested with wbc/neutrophil elevation. Steroid hormones may cause elevation of the same.

In brief: Work up
If your WBC and neutrophils are rising, then someone ordered those tests and he/she needs to have a work up in mind if those are elevated.
Usually, elevated WBC and neutrophil counts indicate infection, provided the rest of the differential is normal. There are some blood disorders that are manifested with wbc/neutrophil elevation. Steroid hormones may cause elevation of the same.
Dr. Pavel Conovalciuc
Dr. Pavel Conovalciuc
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Dr. Charles Crabbe
Internal Medicine
2 doctors agree
In brief: High WBC Count
An elevated white count can be benign such as from use of a steroid medication, moderate concern as with an active infection or high concern as with a developing hematologic disorder like leukemia.
Reviewing medications, looking for infectious sources such as endocarditis is important. Lastly, a consultation with a hematologist is required for a probable bone marrow biopsy to assess for a cancer.

In brief: High WBC Count
An elevated white count can be benign such as from use of a steroid medication, moderate concern as with an active infection or high concern as with a developing hematologic disorder like leukemia.
Reviewing medications, looking for infectious sources such as endocarditis is important. Lastly, a consultation with a hematologist is required for a probable bone marrow biopsy to assess for a cancer.
Dr. Charles Crabbe
Dr. Charles Crabbe
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Dr. Agos Luca
Pathology
In brief: See below...
You may have an infection or an inflammatory state even in the absence of symptoms.
If you do have some symptoms, i recommend repeating the CBC to make sure values are returning to normal; however, other explanations are possible including serious diseases like leukemia, more specifically chronic myelogenous leukemia. Please consult your doctor or a hematologist.

In brief: See below...
You may have an infection or an inflammatory state even in the absence of symptoms.
If you do have some symptoms, i recommend repeating the CBC to make sure values are returning to normal; however, other explanations are possible including serious diseases like leukemia, more specifically chronic myelogenous leukemia. Please consult your doctor or a hematologist.
Dr. Agos Luca
Dr. Agos Luca
Thank
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