Hi,
The blood picture that you have shared is normal and the values are pretty good compared to most females. Usually, women tend to have
Hemoglobin nearer to 10 and
Hematocrit nearer to 40.
The rare reactive
lymphocyte is a confusing term and it is not clear what the lymphocyte is reactive to.
However, based on the symptoms you have mentioned a few possibilities are -
Thyroid related disease
Other endocrinological diseases.
Many women start developing risk or develop
thyroid disease in their 30s and getting a Thyroid level test would be a good way to determine this. Some neck swelling may also be seen in some types of thyroid disease.
In case these tests are also normal, getting a full physical exam and a full body checkup would help.
A few tests the doctor may suggest include -
ECG
Blood test
Liver function
Kidney function
Treadmill test
Ultrasound
Glucose test
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Vignan Rachabattuni, General & Family Physician