Question 1

Dear Doctor, I had tonsillitis last week, and my WBC was 17x10000/L. After taking the prescribed medication and no longer experiencing a sore throat last Thursday, I repeated my blood test on Tuesday, and my WBC has decreased to 13x10000/L. Although it has come down, it is still above the normal range. Could you please advise if this rate of reduction is normal and whether I should be concerned?

Question 2

Hi, my son is 3 years old and weighs 15 kg. He had no problems at birth. Last month, he was having wheezing sounds in his chest, and the doctor prescribed an inhaler for 14 days. Now he is fine. Today, his blood report shows mild eosinophilia with an absolute eosinophil count of 584, eosinophils 8 percent, monocytes 9 percent, lymphocytes 51 percent, absolute lymphocyte count 3723, platelets adequate, and the remaining values, including IgE, are normal. We stopped the inhaler today as per the doctors prescription. I want to know what mild eosinophilia means, what the treatment is, and whether we should stop or continue the medicine since he currently has no cough or cold?

Question 3

Last year I had dengue, and again 3 months ago, I contracted dengue. To monitor my health, I usually get a CBC done every 30 to 45 days, and I have noticed that my lymphocyte count is gradually increasing, initially it was 20.6 percent, then 36 percent, and now it is 48 percent, which is worrying me. My current symptoms include numbness and cramps in the hands, occasional pain in the armpits, and ear pain. I also go to the bathroom 2 to 3 times a day, usually after breakfast or lunch. Please guide me on whether this is serious, the further steps I should take, and if possible, suggest a diet to maintain healthy lymphocyte levels. I am attaching my CBC lab reports for your reference.

I have lab results of WBC 12.4, platelets 470, MPV 7.1, lymphocytes 3.5. Is this a cause of concern? Please note I also have allergies and I did have a flu shot right before having the blood work done.

Mild elevations could be due to allergy, recent flu shot, or infection. MPV slightly low, not worrisome. No major issue seen.

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