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What Causes Fatigue, Dizziness, Tiredness And Swollen Tonsils?

Posted on Mon, 23 Feb 2015

Question: History:
Sept '14 Tonsilitis
Bad cold started 01/12/15 lasted through 1/20/15, no fever
Experiencing fatigue, dizziness, tiredness, swollen tonsils but not painful
BP is usually 110/80 and pulse usually 90's

I've noticed some labs have been increasing:
Immature granulocytes
Immature granulocyte absolute

As well as other lab results, but those are not out of the norm. They are just increasing or decreasing, such as platelet count, lymphocyte, monocyte, white blood cell count at the top of the range, etc - you will see on the results.

I've been unable to get a hold of my doctor's office and need to know if I should be concerned and whether I should have follow up blood work.

Thank you

Answered by Dr. Shailja Puri (59 minutes later)

Brief Answer:
Repeat blood work up not required.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
Immature granulocytes accounting for less than 1% is not of any consequence and not dangerous either.
Few immature granulocytes can be present in circulating blood and can be picked up by analysers so do not worry.
All other parameters in your blood work up are normal so do not worry.
You do not require another blood testing without any specific indication or until your doctor advised you to do so.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Shailja Puri (18 hours later)

Thank you for your response. My physician ordered a follow up CBC with differential. I noticed my white count is now above normal range. (lab attached, Lab 4)

1. Could this be a chronic infection in my tonsils?

Or

2. Could this be something else?

Thank you

Answered by Dr. Shailja Puri (15 minutes later)

Brief Answer:
High WBCs and immature granulocytes do not suggest chronic infection

Detailed Answer:
Hello and welcome again,
An increase in white blood cell count is accompanied by granulocytic preponderance.
Absolute granulocyte count is higher than normal range and there is increase in immature granulocytes.
These features and not due to any chronic inflammation.
These features suggest an acute infection.
Tonsillitis could be a cause of increased number of white blood cells and granulocytes.

Thanks and take care
Dr Shailja Puri

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj