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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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High WBC, Vomiting, Pain In Beck Ribs, Fatigued. What Could Be This?

My 24 year old daughter has an extremely highWBC with vomiting and pain in her back ribs but not losing weight but feels fatigued. Help I am scared! What are the possibilities of this phenomenon!! She goes for BW again tomorrow and the dr. Is very nervous about this!!! No Epstein Barr, but what could it be?? No weight loss at this point.
posted on Mon, 6 May 2013
Twitter Mon, 6 May 2013 Answered on
Twitter Mon, 6 May 2013 Last reviewed on
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Pathologist and Microbiologist,  's  Response
hi there," extremely high wbc counts" is a very misleading statement and doesn't give any indication to her condition. However when the blood counts are high a peripheral smear study is mandatory and it gives a clue to the current situation. High counts can be due to something as simple as an infection or could be much serious like a hemopoetic malignancy. Instead of getting all worked up get her blood work done including a smear study and a differential count and if required a bone marrow study. These will be able to give you a clear picture as to the cause of this leucocytosis and a treatment for the same can be started. At present you need to be positive and strong and be brave for your daughter as she may also be scared and will need your support. Don't worry and let the results come in and hope for the best. Take care.
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High WBC, Vomiting, Pain In Beck Ribs, Fatigued. What Could Be This?

hi there, extremely high wbc counts is a very misleading statement and doesn t give any indication to her condition. However when the blood counts are high a peripheral smear study is mandatory and it gives a clue to the current situation. High counts can be due to something as simple as an infection or could be much serious like a hemopoetic malignancy. Instead of getting all worked up get her blood work done including a smear study and a differential count and if required a bone marrow study. These will be able to give you a clear picture as to the cause of this leucocytosis and a treatment for the same can be started. At present you need to be positive and strong and be brave for your daughter as she may also be scared and will need your support. Don t worry and let the results come in and hope for the best. Take care.