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Have A WBC Of 1.7. Has Been Declining For A
Question: Have a WBC of 1.7. Has been declining for a while. Concerned about cancer. It has gone down in the past but not this low.
Have a WBC of 1.7. Has been declining for a while. Concerned about cancer. It has gone down in the past but not this low.
Brief Answer:
leucocytosis/ LEUKOPENIA
Detailed Answer:
DEAR CORONA,
THANKS FOR POSTING THE QUESTION. NOT CLEARLY MENTIONED THE COUNT, IS IT 1.7 THOUSAND OR 1,7 LAKH. BOTH ARE IN ANY CASE NOT GOOD. I FEEL YOU HAVE REDUCED NO. OF CELLS WHICH CAN BE DUE TO MANY FACTORS. CHIEFLY DEFICIENCY OF FOLIC ACID, B12, IRON AND SO ON. YOU NEED TO HAVE A FRESH HEMOGRAM WITH PERIPHERAL BLOOD SMEAR EXAMINATION TO UNDERSTAND THE NATURE OF PROBLEM ALONG WITH ALL BIOCHEMISTRY REPORTS AND RADIOLOGICAL IMMAGING WHEN IT CAN BE SUGGESTED WHETHER TO GO FOR BONE MARROW BIOPSY. THERE IS ONE CONDITION CELLED APLASTIC ANAEMIA WHICH ALSO NEEDS TO BE RULED OUT .PLEASE POST THE LATEST CBC TO GIVE YOU FINAL ADVICE.
TRULY
leucocytosis/ LEUKOPENIA
Detailed Answer:
DEAR CORONA,
THANKS FOR POSTING THE QUESTION. NOT CLEARLY MENTIONED THE COUNT, IS IT 1.7 THOUSAND OR 1,7 LAKH. BOTH ARE IN ANY CASE NOT GOOD. I FEEL YOU HAVE REDUCED NO. OF CELLS WHICH CAN BE DUE TO MANY FACTORS. CHIEFLY DEFICIENCY OF FOLIC ACID, B12, IRON AND SO ON. YOU NEED TO HAVE A FRESH HEMOGRAM WITH PERIPHERAL BLOOD SMEAR EXAMINATION TO UNDERSTAND THE NATURE OF PROBLEM ALONG WITH ALL BIOCHEMISTRY REPORTS AND RADIOLOGICAL IMMAGING WHEN IT CAN BE SUGGESTED WHETHER TO GO FOR BONE MARROW BIOPSY. THERE IS ONE CONDITION CELLED APLASTIC ANAEMIA WHICH ALSO NEEDS TO BE RULED OUT .PLEASE POST THE LATEST CBC TO GIVE YOU FINAL ADVICE.
TRULY
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
leucocytosis/ LEUKOPENIA
Detailed Answer:
DEAR CORONA,
THANKS FOR POSTING THE QUESTION. NOT CLEARLY MENTIONED THE COUNT, IS IT 1.7 THOUSAND OR 1,7 LAKH. BOTH ARE IN ANY CASE NOT GOOD. I FEEL YOU HAVE REDUCED NO. OF CELLS WHICH CAN BE DUE TO MANY FACTORS. CHIEFLY DEFICIENCY OF FOLIC ACID, B12, IRON AND SO ON. YOU NEED TO HAVE A FRESH HEMOGRAM WITH PERIPHERAL BLOOD SMEAR EXAMINATION TO UNDERSTAND THE NATURE OF PROBLEM ALONG WITH ALL BIOCHEMISTRY REPORTS AND RADIOLOGICAL IMMAGING WHEN IT CAN BE SUGGESTED WHETHER TO GO FOR BONE MARROW BIOPSY. THERE IS ONE CONDITION CELLED APLASTIC ANAEMIA WHICH ALSO NEEDS TO BE RULED OUT .PLEASE POST THE LATEST CBC TO GIVE YOU FINAL ADVICE.
TRULY
leucocytosis/ LEUKOPENIA
Detailed Answer:
DEAR CORONA,
THANKS FOR POSTING THE QUESTION. NOT CLEARLY MENTIONED THE COUNT, IS IT 1.7 THOUSAND OR 1,7 LAKH. BOTH ARE IN ANY CASE NOT GOOD. I FEEL YOU HAVE REDUCED NO. OF CELLS WHICH CAN BE DUE TO MANY FACTORS. CHIEFLY DEFICIENCY OF FOLIC ACID, B12, IRON AND SO ON. YOU NEED TO HAVE A FRESH HEMOGRAM WITH PERIPHERAL BLOOD SMEAR EXAMINATION TO UNDERSTAND THE NATURE OF PROBLEM ALONG WITH ALL BIOCHEMISTRY REPORTS AND RADIOLOGICAL IMMAGING WHEN IT CAN BE SUGGESTED WHETHER TO GO FOR BONE MARROW BIOPSY. THERE IS ONE CONDITION CELLED APLASTIC ANAEMIA WHICH ALSO NEEDS TO BE RULED OUT .PLEASE POST THE LATEST CBC TO GIVE YOU FINAL ADVICE.
TRULY
Above answer was peer-reviewed by :
Dr. Yogesh D
See below for past and current results. Currently not taking any medication for RA except for OTC NSAIDs.
NEUTROPHILS % MAN CNT
3/20/2018 11
10/16/2018 37
6/13/2020 20.3
BAND'S % MAN CNT 0.0 - 10.0 %
3/20/2018
10/16/2018 6
6/13/2020 13.3 (H)
LYMPHS % MAN CNT
3/20/2018 28
10/16/2018 25
6/13/2020 41.6
MONOS % MAN CNT
3/20/2018 4
10/16/2018 8
6/13/2020 23
EOS % MAN CNT
3/20/2018 57
10/16/2018 24
6/13/2020 0.9
BASO'S % MAN CNT
3/20/2018 0
10/16/2018 0
6/13/2020 0.9
PMNS MAN CNT 1.80 - 7.70 x1000/mcL
3/20/2018 0.65 (L)
10/16/2018 1.85
6/13/2020 0.57 (L)
BAND'S MAN CNT
3/20/2018
10/16/2018 0.26
6/13/2020 0.23
LYMPHS MAN CNT 1.00 - 3.60 x1000/mcL
3/20/2018 1.65
10/16/2018 1.08
6/13/2020 0.71 (L)
MONOS MAN CNT 0.10 - 1.00 x1000/mcL
3/20/2018 0.24
10/16/2018 0.34
6/13/2020 0.39
EOS MAN CNT 0.00 - 0.70 x1000/mcL
3/20/2018 3.36 (H)
10/16/2018 1.03 (H)
6/13/2020 0.02
BASO'S MAN CNT 0.00 - 0.20 x1000/mcL
3/20/2018 0
10/16/2018 0
6/13/2020 0.02
PLT EST Adequate
3/20/2018 Adequate
10/16/2018 Adequate
6/13/2020 Adequate
NRBC <=0
3/20/2018
10/16/2018
6/13/2020 2 (H)
ANISOCYTOSIS
3/20/2018 Few (A)
10/16/2018
6/13/2020
NEUTROPHILS % MAN CNT
3/20/2018 11
10/16/2018 37
6/13/2020 20.3
BAND'S % MAN CNT 0.0 - 10.0 %
3/20/2018
10/16/2018 6
6/13/2020 13.3 (H)
LYMPHS % MAN CNT
3/20/2018 28
10/16/2018 25
6/13/2020 41.6
MONOS % MAN CNT
3/20/2018 4
10/16/2018 8
6/13/2020 23
EOS % MAN CNT
3/20/2018 57
10/16/2018 24
6/13/2020 0.9
BASO'S % MAN CNT
3/20/2018 0
10/16/2018 0
6/13/2020 0.9
PMNS MAN CNT 1.80 - 7.70 x1000/mcL
3/20/2018 0.65 (L)
10/16/2018 1.85
6/13/2020 0.57 (L)
BAND'S MAN CNT
3/20/2018
10/16/2018 0.26
6/13/2020 0.23
LYMPHS MAN CNT 1.00 - 3.60 x1000/mcL
3/20/2018 1.65
10/16/2018 1.08
6/13/2020 0.71 (L)
MONOS MAN CNT 0.10 - 1.00 x1000/mcL
3/20/2018 0.24
10/16/2018 0.34
6/13/2020 0.39
EOS MAN CNT 0.00 - 0.70 x1000/mcL
3/20/2018 3.36 (H)
10/16/2018 1.03 (H)
6/13/2020 0.02
BASO'S MAN CNT 0.00 - 0.20 x1000/mcL
3/20/2018 0
10/16/2018 0
6/13/2020 0.02
PLT EST Adequate
3/20/2018 Adequate
10/16/2018 Adequate
6/13/2020 Adequate
NRBC <=0
3/20/2018
10/16/2018
6/13/2020 2 (H)
ANISOCYTOSIS
3/20/2018 Few (A)
10/16/2018
6/13/2020
See below for past and current results. Currently not taking any medication for RA except for OTC NSAIDs.
NEUTROPHILS % MAN CNT
3/20/2018 11
10/16/2018 37
6/13/2020 20.3
BAND'S % MAN CNT 0.0 - 10.0 %
3/20/2018
10/16/2018 6
6/13/2020 13.3 (H)
LYMPHS % MAN CNT
3/20/2018 28
10/16/2018 25
6/13/2020 41.6
MONOS % MAN CNT
3/20/2018 4
10/16/2018 8
6/13/2020 23
EOS % MAN CNT
3/20/2018 57
10/16/2018 24
6/13/2020 0.9
BASO'S % MAN CNT
3/20/2018 0
10/16/2018 0
6/13/2020 0.9
PMNS MAN CNT 1.80 - 7.70 x1000/mcL
3/20/2018 0.65 (L)
10/16/2018 1.85
6/13/2020 0.57 (L)
BAND'S MAN CNT
3/20/2018
10/16/2018 0.26
6/13/2020 0.23
LYMPHS MAN CNT 1.00 - 3.60 x1000/mcL
3/20/2018 1.65
10/16/2018 1.08
6/13/2020 0.71 (L)
MONOS MAN CNT 0.10 - 1.00 x1000/mcL
3/20/2018 0.24
10/16/2018 0.34
6/13/2020 0.39
EOS MAN CNT 0.00 - 0.70 x1000/mcL
3/20/2018 3.36 (H)
10/16/2018 1.03 (H)
6/13/2020 0.02
BASO'S MAN CNT 0.00 - 0.20 x1000/mcL
3/20/2018 0
10/16/2018 0
6/13/2020 0.02
PLT EST Adequate
3/20/2018 Adequate
10/16/2018 Adequate
6/13/2020 Adequate
NRBC <=0
3/20/2018
10/16/2018
6/13/2020 2 (H)
ANISOCYTOSIS
3/20/2018 Few (A)
10/16/2018
6/13/2020
NEUTROPHILS % MAN CNT
3/20/2018 11
10/16/2018 37
6/13/2020 20.3
BAND'S % MAN CNT 0.0 - 10.0 %
3/20/2018
10/16/2018 6
6/13/2020 13.3 (H)
LYMPHS % MAN CNT
3/20/2018 28
10/16/2018 25
6/13/2020 41.6
MONOS % MAN CNT
3/20/2018 4
10/16/2018 8
6/13/2020 23
EOS % MAN CNT
3/20/2018 57
10/16/2018 24
6/13/2020 0.9
BASO'S % MAN CNT
3/20/2018 0
10/16/2018 0
6/13/2020 0.9
PMNS MAN CNT 1.80 - 7.70 x1000/mcL
3/20/2018 0.65 (L)
10/16/2018 1.85
6/13/2020 0.57 (L)
BAND'S MAN CNT
3/20/2018
10/16/2018 0.26
6/13/2020 0.23
LYMPHS MAN CNT 1.00 - 3.60 x1000/mcL
3/20/2018 1.65
10/16/2018 1.08
6/13/2020 0.71 (L)
MONOS MAN CNT 0.10 - 1.00 x1000/mcL
3/20/2018 0.24
10/16/2018 0.34
6/13/2020 0.39
EOS MAN CNT 0.00 - 0.70 x1000/mcL
3/20/2018 3.36 (H)
10/16/2018 1.03 (H)
6/13/2020 0.02
BASO'S MAN CNT 0.00 - 0.20 x1000/mcL
3/20/2018 0
10/16/2018 0
6/13/2020 0.02
PLT EST Adequate
3/20/2018 Adequate
10/16/2018 Adequate
6/13/2020 Adequate
NRBC <=0
3/20/2018
10/16/2018
6/13/2020 2 (H)
ANISOCYTOSIS
3/20/2018 Few (A)
10/16/2018
6/13/2020
Brief Answer:
LEUKOPENIA
Detailed Answer:
DEAR SIR,
THANKS FOR REVERTING. THERE IS DEFINITE HYPOACTIVITY OF THE BONE MARROW. PRIOR TO BIOPSY IT IS NECESSARY TO KNOW IF YOU HAVE ANY ASSOCIATED PROBLEMS
FOR THIS VIT D, B12. FOLIC ACID LEVELS, SERUM IRON STUDIES ARE NEEDED. HIV ASSAY, HCV ASSAY, RH FACTOR. IF WE FIND ANY DEFFICICIENCY OF THESE, THEY CAN BE CORRECTED AND YOUR PROBLEM IS OVER. IF THEY TURN OUT TO BE NORMAL THEN I ADVISE BONE MARROW STUDY.
TRULY
LEUKOPENIA
Detailed Answer:
DEAR SIR,
THANKS FOR REVERTING. THERE IS DEFINITE HYPOACTIVITY OF THE BONE MARROW. PRIOR TO BIOPSY IT IS NECESSARY TO KNOW IF YOU HAVE ANY ASSOCIATED PROBLEMS
FOR THIS VIT D, B12. FOLIC ACID LEVELS, SERUM IRON STUDIES ARE NEEDED. HIV ASSAY, HCV ASSAY, RH FACTOR. IF WE FIND ANY DEFFICICIENCY OF THESE, THEY CAN BE CORRECTED AND YOUR PROBLEM IS OVER. IF THEY TURN OUT TO BE NORMAL THEN I ADVISE BONE MARROW STUDY.
TRULY
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
LEUKOPENIA
Detailed Answer:
DEAR SIR,
THANKS FOR REVERTING. THERE IS DEFINITE HYPOACTIVITY OF THE BONE MARROW. PRIOR TO BIOPSY IT IS NECESSARY TO KNOW IF YOU HAVE ANY ASSOCIATED PROBLEMS
FOR THIS VIT D, B12. FOLIC ACID LEVELS, SERUM IRON STUDIES ARE NEEDED. HIV ASSAY, HCV ASSAY, RH FACTOR. IF WE FIND ANY DEFFICICIENCY OF THESE, THEY CAN BE CORRECTED AND YOUR PROBLEM IS OVER. IF THEY TURN OUT TO BE NORMAL THEN I ADVISE BONE MARROW STUDY.
TRULY
LEUKOPENIA
Detailed Answer:
DEAR SIR,
THANKS FOR REVERTING. THERE IS DEFINITE HYPOACTIVITY OF THE BONE MARROW. PRIOR TO BIOPSY IT IS NECESSARY TO KNOW IF YOU HAVE ANY ASSOCIATED PROBLEMS
FOR THIS VIT D, B12. FOLIC ACID LEVELS, SERUM IRON STUDIES ARE NEEDED. HIV ASSAY, HCV ASSAY, RH FACTOR. IF WE FIND ANY DEFFICICIENCY OF THESE, THEY CAN BE CORRECTED AND YOUR PROBLEM IS OVER. IF THEY TURN OUT TO BE NORMAL THEN I ADVISE BONE MARROW STUDY.
TRULY
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Base on the results, how concerned should I be for cancer? No symptoms as far qs i can tell. Rheumatologist told me the WBC is too low for it to be caused by RA.
Base on the results, how concerned should I be for cancer? No symptoms as far qs i can tell. Rheumatologist told me the WBC is too low for it to be caused by RA.
Also what is the correlation of the increase in bands?
Also what is the correlation of the increase in bands?
Brief Answer:
LEUKOPENIA
Detailed Answer:
AS I TOLD YOU THAT THERE IS HYPOPLASIA OF BONE MARROW.. THERE ARE MANY CAUSES FOR IT. WE HAVE TO RULE OUT OTHER FACTORS FIRST WHICH I HAVE ALREADY ADVISED. ONC FOUND NORMAL WE HAVE TO GO FOR BONE MARROW EXAMINATION. THAT WILL ESTABLISH THE CAUSE. WE SHOULD DEFINITELY FEEL CONCERNED ABOUT YHE CAUSE WHICH WE HAVE TO FIND OUT FINALLY BY NONE MARROW STUDY.
TRULY
LEUKOPENIA
Detailed Answer:
AS I TOLD YOU THAT THERE IS HYPOPLASIA OF BONE MARROW.. THERE ARE MANY CAUSES FOR IT. WE HAVE TO RULE OUT OTHER FACTORS FIRST WHICH I HAVE ALREADY ADVISED. ONC FOUND NORMAL WE HAVE TO GO FOR BONE MARROW EXAMINATION. THAT WILL ESTABLISH THE CAUSE. WE SHOULD DEFINITELY FEEL CONCERNED ABOUT YHE CAUSE WHICH WE HAVE TO FIND OUT FINALLY BY NONE MARROW STUDY.
TRULY
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
LEUKOPENIA
Detailed Answer:
AS I TOLD YOU THAT THERE IS HYPOPLASIA OF BONE MARROW.. THERE ARE MANY CAUSES FOR IT. WE HAVE TO RULE OUT OTHER FACTORS FIRST WHICH I HAVE ALREADY ADVISED. ONC FOUND NORMAL WE HAVE TO GO FOR BONE MARROW EXAMINATION. THAT WILL ESTABLISH THE CAUSE. WE SHOULD DEFINITELY FEEL CONCERNED ABOUT YHE CAUSE WHICH WE HAVE TO FIND OUT FINALLY BY NONE MARROW STUDY.
TRULY
LEUKOPENIA
Detailed Answer:
AS I TOLD YOU THAT THERE IS HYPOPLASIA OF BONE MARROW.. THERE ARE MANY CAUSES FOR IT. WE HAVE TO RULE OUT OTHER FACTORS FIRST WHICH I HAVE ALREADY ADVISED. ONC FOUND NORMAL WE HAVE TO GO FOR BONE MARROW EXAMINATION. THAT WILL ESTABLISH THE CAUSE. WE SHOULD DEFINITELY FEEL CONCERNED ABOUT YHE CAUSE WHICH WE HAVE TO FIND OUT FINALLY BY NONE MARROW STUDY.
TRULY
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
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