Fluctuating Neutrophil Count. Is It Normal?

Posted on Mon, 11 Jun 2012

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 11 Jun 2012 Answered on

Sat, 14 Jul 2012 Last reviewed on

Question : i am african my neutrophils count 1.69 out of1.80 on the 01/06/2012 done the test agin on the 08/06/2012 it was 1.43 out of 1.80 is that normal

Answered by Dr. Ketan Vagholkar (48 minutes later)

Hi,
Thank you for writing in.
Neutrophil count changes continuously. It depends upon the presence of associated infections in the body in which it is raised.
I would like to know if the rest if your counts are within normal range. I would also like to know if you have any other symptoms like fatigue, loss of appetite, malaise or fever. If you do not have any other symptoms then you need not worry. You can get the counts repeated after a month. I would suggest that you upload the reports of your tests. I would be in a better position to advise you.
The count variation which you have described is within the normal variation.
I hope this answers your query.
With regards

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Ketan Vagholkar (2 hours later)

wbcs 5.2 x101 (4.5-11.0)
rbcs 5.27 x1021 (4.50-5.90)
hb 16.5 g/d1 (13.0-17.5)
haematocrit 0.59 1/1 (0.410-0.510)
mcv 96.5 f1 (78.0-100.0)
mch 31.3 pg (26.0-34.0)
mchc 32.4 g/d1 (31.0-36.0)
red blood cell distrabution width 13.0 (11.8-14.8)
platelet count 208 x101 (140-450)
mean blatelet volume 13.1 f1
neu trophil count low 1.43 x101 (1.80-7.70)
lymphocyte count 3.00 x101 (1.10-4.80)
monocyte count 0.45 x101 (0.20-0.80)
eos. 0.00 x10^91 0.30 x101 (0.00-0.40)
baso. 0.00 x10^91 0.02 x101 (0.00-0.20)

Answered by Dr. Ketan Vagholkar (1 hour later)

Hi,
Thank you for sending in the report.
The report reveals normalcy of the Hemoglobin,RBC and platelet count.
Regarding the WBC count , the count is normal. Therefore a variation in one of the cell lines is of no clinical significance as you do not have any associated symptoms.
The cell volumes are also normal.
I hope this relieves you of your anxiety pertaining to the report.
With regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ketan Vagholkar (52 minutes later)

you think that i shouldn't worry about it. it's all normal to you?

Answered by Dr. Ketan Vagholkar (14 hours later)

Hi,
As it stands now it is normal because you do not have any associated symptoms as well as the sum total of all WBC's is normal(5.2). If the sum total declines then it should be a cause for concern requiring further investigation.
I hope this answers your query.
With regards

Above answer was peer-reviewed by : Dr. Aparna Kohli