High Neutrophils and low Lymphocytes doctors help?!


Question: High Neutrophils and low Lymphocytes doctors help?
Hi I'm 34 years old and since last november I been having low grade fever that comes and goes.. Never passes 100.1 and when I get blood work done at the ER I always have a high Neutrophils count always in the range of the 70.0 to 85.0 my highest goes up and down and my Lymphocytes is low under 20.0 same goes up then back down and at times my WBC is high and sometimes normal..? I'm so confused about this the doctor said my blood work is always normal but then I look at the report myself and it says either a H next to it or L meaning high and low. My question is can any cancer be causing this? Tumors? Lymphoma or leukemia? I'm been very concer cause I been not feeling myself well lately but no doctor finds anything wrong with me? I feel lumps on my neck had MRI ct scan etc and all comes back fine. Had an ultrasound done. They found a Subcentimeter nodule on my left lobe doctor says very low rusk.. That same side I can feel a lump foc says a muscle another says lymph node scans says it's fine? Also my wife has had HPV 3 years backs when tested I don't know if this has anything to do with any of this I been scared and so stressed with no answers any doctors can tell me should I be worried with my blood work the lumps etc?? I weight almost 200lbs my weight seems to always go up and down lately last I checked was 195lb when I eat goes up and the next day goes back down I do drink alot of water and sometimes I do eat once or twice a day don't know if that is related but someone anyone plz help if you can thank you! Much peace and love! God bless!
Also forgot to mention I do feel lumps on the sides of my stomach I been told your not suppose to feel lymph nodes there unless they are very very very super large but they feel small grape size some pea size.. I don't get night sweats or very high fever either..

Answers:

I'm a paramedic and while I do have general knowledge of hematology and blood count values, I'm not a doc or a specialist. That being said, I'll tell you what I know.

Your blood counts do not sound abnormal to me. The reason it's a little problematic for laypeople to read lab reports is that those reports don't take into account benign deviations from the norm. While your report said that your Neutrophil count is high, a value of 70 to 85% is barely considered out of the ordinary (usual reference range is 40 to 75%). In any case, it's not elevated enough to be responsible for your symptoms. The same is true of your Lymphocytes count which you stated as below 20. Unless it's below 10 I wouldn't suspect it as the culprit either. Even then, a slight abnormality in one of the five types of WBCs isn't characteristic of any blood disorder I'm aware of, which is probably why your doc's aren't concerned about the lab reports. You have 5 types of WBCs, the levels of which are represented on a lab report by percentages. These are relative percentages related to the total WBC count. This means that if your WBC count is 12000, then you would have between 8400 and 10200 Neutrophils and around 2160 Lymohocytes. This is normal. The last thing to be aware of in regards to the lab printout is that the reference ranges noted on the lab sheet are not there to determine exactly what number separates healthy from sick. Reference ranges are there to give health care providers some direction in interpreting lab reports so they can scan them quickly. The range is simply where most healthy people happen to fall when given that particular test. Healthy people can still fall slightly outside of the range, just like in anything else. Different labs also use different reference ranges depending on their testing equipment, and while the ranges are similar, small differences are common. What is completely normal on one range may be slightly high or low on another. That's true of your case. Your counts would measure normal on more than half of the ranges. If you had something like leukemia your WBC count would be in the neighbohood of 30,000 or higher, and you'd have much more abnormal results on the differential. I can tell you with confidence that you most certainly do not have leukemia.

What you might have is some type of infection, or problem with your immune system. You said you've had a low grade fever, swollen lymph nodes, and generally not feeling well. These are classic symptoms of infection, usually viral. This could be something like Mono, Epstein Barr, or even adult CMV. Before you worry, none of those are serious, just annoying because they take forever to go away. If you're still concerned about this, ask your doc about those viruses, and see if he'd be willing to test for those and possibly to check your antibody levels to see if your immune system is functioning properly. There are some rare problems with the immune system that can manifest in this way. I think you'll be fine in the end, but I can definitely understand why you're concerned about this. I hope everything turns out well for you, and I hope this information helps you. :)

education and experience as a critical care paramedic




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