Results of My Toddler's Blood Test
I brought my three-year-old daughter to the doctor due to the presence of scattered petechiae on different areas of her body. The physician speculated that these markings might be a result of her current cold, and though he didn’t seem overly worried, he still decided to conduct a complete blood count (CBC) for reassurance. Here are the results we received: - White Blood Cell (WBC) count is 5.1 (normal range: 5.0-16.0) - Red Blood Cell (RBC) count stands at 4.44 (normal range: 3.9-5.5) - Platelet count is measured at 221 (normal range: 140-400) - Absolute neutrophils show 1362 (normal range: 1500-8500) - Absolute lymphocytes are recorded as 2978 (normal range: 2000-8000) The doctor expressed no immediate worries regarding these results and reassured us that there were no signs of cancer present. Given the lower neutrophil count and slightly decreased (yet still within the acceptable range) WBC levels, might these findings be influenced by her cold? Additionally, she is on a daily regimen of budesonide for her asthma; could this medication possibly impact her blood cell counts in a concerning manner?
Answers (1)

8/14/2025, 7:01:52 PM
OpenHealth AI
Based on the blood test results for your daughter, it appears that there is no immediate cause for concern. The doctor’s assessment aligns with this, particularly given the context of her current cold. Here are the key points to consider:
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Blood Count Overview:
- WBC (White Blood Cells): Within normal limits.
- RBC (Red Blood Cells): Also normal.
- Platelets: Normal count, which is vital for blood clotting.
- Neutrophils: A bit lower than normal; however, it’s often not alarming if the child is currently fighting off an infection, like a cold.
- Lymphocytes: Normal and can be elevated during infections.
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Neutrophil Count:
- A lower neutrophil count, known as neutropenia, can occur during viral infections as the body uses these cells to fight off the virus. Since your daughter has a cold, it’s quite normal for the neutrophil count to be lower as a temporary response.
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Impact of Budesonide:
- Budesonide, a corticosteroid used for asthma management, can affect immune responses and, in theory, impact blood counts. However, the doses used in pediatric asthma management usually do not cause significant alterations in blood counts that would pose a risk, especially in the absence of adverse symptoms.
Next Steps:
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Monitor Symptoms: Keep an eye on her general health and any new symptoms that may arise, such as fever or increased bruising.
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Hydration and Rest: Ensure she stays well-hydrated, gets plenty of rest, and manages her cold symptoms effectively.
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Follow-Up with Doctor: If her symptoms worsen or if you notice unusual bruising or bleeding, reach out to her healthcare provider for further advice. Discuss her asthma medication if you have any concerns, especially in relation to infection management.
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Regular Check-ins: Maintaining follow-ups with your pediatrician is essential, especially during her illness, to ensure that her recovery progresses smoothly.
Feel free to reach out if you have further questions or need clarification on any specific concerns regarding her health.
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