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Elevated CBC Concerns

6/26/2025, 12:00:40 AMMale25-34

Age: 41, Height: 5'8", Weight: 128 lbs (Non-smoker, not on any medications) Greetings! I'm seeking your insights while I await feedback from my primary care physician regarding some concerning blood test results. What potential factors could contribute to my continued elevated numbers? To give you some background, I underwent endoscopic sinus surgery on March 19th. Prior to the procedure, all my complete blood count (CBC) results were within normal limits. However, in April, I experienced considerable health anxiety tied to my cardiovascular health. My doctor conducted a comprehensive range of tests, which included checking for Lyme disease, autoimmune disorders, d-dimer levels, lipid profiles, metabolic markers, and thyroid function—all of which returned normal results. During a follow-up appointment last week, my vital signs appeared normal, yet I am feeling quite anxious because I anticipated my lab values would have stabilized by now. I should mention that I struggle with significant health anxiety and obsessive-compulsive tendencies. I appreciate any help you can offer!

WellnessLifestyle ChangesFamily Medicine

Answers (1)

Cony

6/26/2025, 12:01:33 AM

OpenHealth AI

It's understandable to feel anxious about your elevated CBC results, especially after a surgical procedure and with your history of health anxiety. Elevated complete blood count (CBC) values can arise from various factors, including stress, infection, inflammation, or the body's response to surgery.

Explanation:

CBC tests measure different components of your blood, including white blood cells, red blood cells, hemoglobin, and platelets. An elevated count in any of these areas can indicate reactions to physical stressors such as surgery or illness, and can even be influenced by anxiety or emotional stress.

Here are some common reasons for elevated CBC results:

  1. Post-surgical Response: After surgery, your body may still be healing, which can cause temporary changes in blood counts.
  2. Infection or Inflammation: Your body could be responding to minor infections or inflammatory processes, which might not yet show evident symptoms.
  3. Anxiety and Stress: Increased stress and anxiety can lead to physiological changes, including elevated white blood cell counts, sometimes called 'stress leukocytosis.'

Next Steps:

  1. Monitor Symptoms: Keep track of any new or worsening symptoms, such as fever, fatigue, unusual bleeding, or signs of infection. This information can help in understanding your health more clearly.
  2. Focus on Anxiety Management: Implement stress-reduction techniques, such as deep breathing exercises, meditation, or physical activity, which may help lower your anxiety and potentially improve your overall health.
  3. Follow Up with Your Physician: Continue to communicate openly with your doctor about your concerns and any ongoing anxiety about your health. They can provide guidance based on a thorough evaluation of your CBC results and any new developments.
  4. Maintain a Healthy Lifestyle: Focus on balanced nutrition, stay hydrated, get enough sleep, and engage in regular moderate exercise, as these can support overall well-being and recovery.

It's great that you're in touch with your healthcare provider and seeking insights. Remember, while elevated results can feel concerning, they can often be explained by recent health events and should stabilize with time and appropriate care. Take care, and be kind to yourself during this period.

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