OpenHealth Q&A

Get answered by medical professionals

Lab Results Dilemma

9/9/2025, 2:30:21 PMMale25-34

Recently, I visited the hospital due to severe abdominal discomfort. Fortunately, tests ruled out conditions like appendicitis and gallstones. However, I was alarmed to discover that my white blood cell count was elevated, and several other tests appeared abnormal on my online health records: neutrophils, eosinophils, immature granulocytes, and eosinophils per 100 leukocytes. What could be the reason for these elevated levels? My temperature was recorded at 37°C.

FibromyalgiaCrohn's DiseaseInternal Medicine

Answers (1)

Cony

9/9/2025, 2:30:52 PM

OpenHealth AI

Elevated white blood cell counts can indicate that your body is responding to a factor that's causing inflammation or infection. The specific types of white blood cells that are elevated can provide more insight into the underlying cause. Let's break this down for clarity.

Explanation of Elevated White Blood Cell Counts

  1. White Blood Cells (WBCs): These are crucial for fighting infections. An increased count often means your body is reacting to something—this could be an infection, an allergic reaction, or other inflammatory conditions.
  2. Neutrophils: Typically respond to bacterial infections or inflammation. Elevated neutrophils can suggest your body is fighting off a bacterial issue.
  3. Eosinophils: These often rise in response to allergies or parasitic infections. Increased eosinophils can indicate an allergic reaction or an infection caused by parasites.
  4. Immature Granulocytes: Higher levels of these can indicate a more intense or immediate response to infection.

Given the absence of severe conditions like appendicitis or gallstones, your elevated levels could indicate:

  • A mild viral or bacterial infection
  • An allergy
  • An inflammatory process related to conditions like Crohn’s disease or even a benign condition

Next Steps

  1. Symptom Monitoring: Carefully track any new or worsening symptoms. This includes changes in abdominal pain, fever, or other discomforts.
  2. Hydration and Diet: Drink plenty of fluids and consider a bland diet to ease any gastrointestinal discomfort. Avoid foods that you know cause irritation.
  3. Follow-Up Testing: If symptoms persist beyond a week, or if you experience other concerning symptoms (like persistent fever or significant pain), further testing may be necessary. Consider lifestyle factors that might contribute to inflammation, such as stress and dietary habits.
  4. Allergy Consideration: If allergies are suspected, review any recent exposure to potential allergens (new foods, medications, environmental factors).
  5. Avoid Self-Diagnosis: While it may be tempting to look for specific conditions, focus on your symptoms and response to any changes you make.

Reassurance

It’s understandable to feel concerned when you see elevated lab results, but many transient factors can cause this and may not be serious. Keep in mind that your healthcare provider is there to guide you through the results and analyze them comprehensively based on your overall health and symptoms. If you need more details or tips, don’t hesitate to reach out!

Related Questions

Could a Missed Snake Bite Be the Culprit?

My 92-year-old grandfather has been shuffled between various specialists over the last month due to an alarming set of symptoms including sudden swelling, discomfort, and blistering on his foot. The situation began when he stepped into his garage, experiencing acute pain in his foot. Initially, he thought he had been bitten by a spider, a conclusion that seemed questionable to me. Shortly after this incident, he began to notice significant swelling, widespread bruising, blister formation, and intense pain. Early photos suggested he might have petechiae, but it’s important to note that he was already diagnosed with moderate to severe thrombocytopenia prior to this event and is receiving anticoagulant therapy following a recent stent insertion in his coronary artery. Given these factors, I doubt there was a thorough evaluation of his symptoms or lab results. He was first hospitalized and diagnosed with cellulitis, but after two days, the infectious disease specialist concluded there were no signs of infection and recommended a consultation with a hematologist. The hematologist expressed no worries and advised him to resume antibiotics. Although he has adhered to this treatment for some time, with only limited improvement and increased pain, he ended up being readmitted due to suspected arteritis. The vascular surgeon attempted a stent placement in his leg but stated there was nothing to stent, indicating that his heart wasn’t functioning well enough. Just this week, the cardiologist assessed his heart health and dismissed any concerns about inadequate perfusion. Currently, he is undergoing a tissue biopsy to pinpoint any underlying infectious agent, with plans to modify his antibiotic treatment if necessary, as all previous cultures—both blood and wound—have returned negative. He is feeling drained, frustrated, and in considerable pain. Our family desperately seeks a definitive diagnosis. I can't shake the worry that a potential snake bite could have been overlooked, especially given his age and medical background. Residing on the Texas Gulf Coast, he is in an area where encounters with pit vipers are not unusual. Moreover, he has a complicated medical history that includes a-fibrillation, coronary artery disease with stent insertion, giant cell arteritis resulting in blindness in one eye, and thrombocytopenia. While I am unaware of his precise medications, I know he is taking an anticoagulant, undergoing steroid treatment for GCA, and is currently on antibiotics. Recently, one unit of platelets was also administered to him.

ArthritisLupusCrohn's Disease
Male25-34
5 minutes ago

Is There a Connection Between Transverse Myelitis and Vitamin B12 Deficiency? Female, 31

Greetings, I'm reaching out in hopes of gaining some insight. Up until recently, I was in good health, only taking iron supplements in the past and maintaining my vitamin D levels. As a mother to two children, both delivered via c-section within the last three years, I’ve been focused on my family. ### Overview of My Situation - **Before Symptoms Began (November 2024)**: I struggled with continuous fatigue, mental fog, and memory lapses, which I attributed to low ferritin and vitamin D levels, as corroborated by lab tests showing I had deficiencies. At that time, I was about a year postpartum. - **Symptoms Emerged (June 9)**: I awoke to find numbness and tingling sensations extending from my hips down to my feet, roughly 1.5 years after giving birth. - **Initial Diagnosis (June 16)**: At this point, I was diagnosed with a vitamin B12 deficiency, with a serum level of 213 identified. Given my limited meat intake, this diagnosis made sense. - **Commencement of Treatment (Starting June 16)**: I was prescribed B12 injections (cyanocobalamin) three times a week. Initially, I received shots twice weekly, which showed some improvement in my symptoms, although I noted a spread of numbness to my waist during that first week. After 7 weeks of adhering to the B12 regimen: - Tingling and numbness saw enhancement of approximately 70%, primarily localized to my feet by this point. - Both brain fog and fatigue significantly diminished. - **First Emergency Room Visit (June 24)**: I sought emergency care due to an escalation of my symptoms, particularly the spreading numbness. They prescribed a spinal MRI, but it was scheduled for seven weeks later. Throughout this waiting period, I continued the B12 injections, which helped alleviate my symptoms further. - **MRI Results (July 27, available July 30)**: The MRI revealed several T2-weighted hyperintense lesions on the spinal cord from T3 to T8, with specific findings including: - At T3–T4: patchy enhancement in the central area. - At T4–T5: lesions at the right and mid-dorsal regions. - The most significant lesion appeared at T5–T6 on both the central and left sides with patchy enhancement, while T8 was noted as mid-dorsal. - There was no compression observed on the spinal cord. - **Second Emergency Room Visit & Neurology Admission (August 18)**: After returning from travel, I was admitted for a comprehensive evaluation. Numerous tests, including a brain MRI, lumbar puncture, and autoimmune antibody tests, yielded negative results. The brain MRI appeared normal with no signs of oligo bands. - **Follow-Up MRI**: A subsequent spinal MRI indicated multiple T2 hyperintense lesions from T3 to T8, showing a slight decrease in both size and quantity compared to the July scan, and no longer indicating enhancement (suggesting no active inflammation). - **Treatment Adaptations**: I underwent three days of IV steroid treatment, which resulted in minimal symptom changes. In stark contrast, I noticed that stopping B12 injections led to a notable intensification of numbness and tingling. - **Treatment Complications**: I had to suspend my B12 injections due to experiencing a spinal headache post-lumbar puncture, necessitating a blood patch that ultimately alleviated the headache. Currently, I am dealing with back pain which has delayed my return to B12 treatment. - **Present Symptoms**: I continue to have numbness and tingling that improve with B12 but worsen in its absence. Recently, I've encountered sporadic twitching around my cheek near the nose and intermittent tingling in one finger. ### My Inquiry I am wondering if a vitamin B12 deficiency could potentially cause transverse myelitis. My neurologists have indicated that this level of spinal cord damage is unlikely to stem from B12 deficiency alone. However, given that my symptoms significantly improved during the 7 weeks of B12 treatment before my MRI and intensified upon discontinuation, I wonder if there is a potential connection between my low B12 levels and the observed spinal cord lesions/neurological symptoms. I have been referred to a specialist at an MS clinic for further assessment, but the appointment is scheduled four months away. This wait has been incredibly frustrating as I seek answers to my condition.

Multiple SclerosisCrohn's DiseaseThyroid Disorders
Male25-34
14 minutes ago

Shoulder Concerns from a 28-Year-Old Fighter

Hey everyone, I’m a 28-year-old practitioner of Muay Thai and Brazilian Jiu-Jitsu, standing at 177 cm and weighing about 180 lbs. I don’t smoke cigarettes, but I do enjoy smoking marijuana fairly regularly. A while back, I underwent surgery due to an ACL tear, but currently, I have no other health issues aside from what I’m inquiring about. Lately, I’ve been feeling some discomfort in my left shoulder, particularly on the front side, just below the collarbone, and in the region where my neck meets the back of my trapezius muscle. I’m a bit worried because I’ve noticed this shoulder pain following training sessions. During the day, I mostly feel fine, and the discomfort is minimal, but it does intensify slightly after I train. I train around six days a week, although I don’t push myself to the limit every single day; typically, I’m operating at about 50-70% intensity in my drills throughout the week. However, during my weekend sessions, I tend to train at full intensity. I suspect my shoulder might have sustained some strain on Saturday, but I felt okay on Sunday morning, so I decided to go to training. Later that evening, I felt a bit of discomfort, so I opted to take a break on Monday morning. I felt much better that morning, so I returned to class. While I’d say I’m about 95% okay, I’m experiencing some clicking and slight pain when I move my shoulder around. On a scale of 1 to 10, the pain fluctuates between 0 and 4, characterized by a sharp sensation followed by stiffness that usually eases after a click in the joint. Additionally, I feel a dull ache in the rear part of my trapezius. I wanted to ask if anyone here has dealt with similar shoulder pain and found relief through methods like rest, ice, and compression. I’ve ordered a shoulder brace that should arrive by Thursday. After doing some research, I got pretty anxious about the possibility of a rotator cuff tear. I’m curious—do you think I might be in serious trouble, or is it possible I’m just overthinking this? Given my prior ACL injury in 2022 that required surgery, I’m eager to avoid going through something like that again. I’m contemplating whether to go to the clinic tomorrow morning. If I do decide to go, I will definitely inform my coach about the situation, but ultimately, the decision is mine to make.

ArthritisCOPDInternal Medicine
Male25-34
35 minutes ago

Seeking Guidance for Shoulder Pain

Greetings, I appreciate any assistance as I prepare to consult with a healthcare professional promptly. I am a 38-year-old male, standing at 5 feet 10 inches and weighing 200 pounds. Two years ago, I sustained an injury to my left shoulder while at work. While I was transporting a heavy item alongside a colleague, he advanced too swiftly after navigating some debris. I was still traversing the rubble when I felt and heard a distinct popping sound, accompanied by a sharp pain concentrated at the ball of my shoulder, particularly near the bone's center. Initially, the pain was intense but subsided within a few hours. In the aftermath, my left shoulder began to click during rotational movements, occasionally accompanied by short-lived pain flare-ups, though they were infrequent. Currently, I am recuperating from back surgery, and returning to the gym has significantly aided my recovery. As part of my routine, I incorporated exercises targeting my upper body and shoulders in hopes of preventing any future injuries. After a physically demanding job, I took a week to rest, during which I experienced no pain or injuries. Upon returning to the gym for a week, I adhered to my typical upper and lower body workout schedule, ensuring adequate rest. I opted for lighter weights, as I was still adjusting post-job. My workouts were pain-free until last Friday, when I awoke with discomfort in the mid upper spine, predominantly on the left side. The tightness progressed, with discomfort radiating toward my neck. Although I was able to sleep on my right side, Saturday morning brought severe agony in my left shoulder, localized right on the bone, accompanied by muscle spasms in my left pectoral area and shoulder blade. The persistent ache was debilitating, yet I maintained full range of motion and strength. I attempted several self-diagnostic stretches, all of which I could perform without aggravating the condition, although some did intensify the pain afterward. Over the last four days, the pain may have slightly lessened, but spasms continue almost unabated, and the discomfort remains constant. Lying on my left side exacerbates the pain dramatically. The discomfort seems to radiate down my left arm, suggesting it follows the tendon pathway, also affecting the left shoulder blade area. However, the primary discomfort feels deeply situated within the shoulder itself. I would greatly appreciate any insights regarding the nature of my condition and recommendations on activities I should or shouldn’t engage in prior to my medical appointment. I have managed a few light cardio sessions using the elliptical and have been alternating between heat and ice for relief. Should I discontinue the heat treatment? Additionally, I have a leg day workout scheduled for tomorrow; should I refrain from lifting weights or push through this pain? Is it possible that this is tendonitis? Why might the pain have surfaced so abruptly and with such intensity? Any advice would be welcomed and appreciated.

ArthritisFibromyalgiaInternal Medicine
Male25-34
55 minutes ago

Why Did My Nose Become Crooked Three Months After Surgery?

At 19 years old, I underwent a septorhinoplasty six months ago to correct a fractured nose and enhance my breathing, alongside some cosmetic refinements. Initially, I was thrilled with the results; during the second day after the cast removal, approximately two weeks post-surgery, my nose appeared flawlessly straight. I genuinely believed that this was the final outcome, and I was satisfied with its appearance. However, around the two to three-month mark, I started to notice a shift. The midsection began to deviate to one side, just beneath the bridge, while the bridge remained aligned. The midvault area started pushing outward, creating an asymmetry in the centerline. Additionally, the area on that side feels firmer, while the slope appears broader in contrast to the opposite side, accompanied by significant difficulty breathing from that nostril. I have a comparison of images: one taken roughly three months post-surgery, and another from day twelve after removing the casts, illustrating the shift. Now, at six months post-op, the appearance seems unchanged from that three-month snapshot, showing no advancement in its condition. To be frank, I wasn't diligent with the aftercare, which likely contributed to the situation. Nonetheless, I am aware that factors such as cartilage memory and the formation of scar tissue can lead to alterations, even with proper post-operative care. Hence, I have a few questions: 1. What might explain this transformation from initial straightness to a crooked appearance after two to three months? 2. What structural issues could underlie this change? Is it likely linked to scar tissue, cartilage repositioning, valve dysfunction, or something entirely different? 3. Has anyone experienced a similar situation, and did your nose continue to evolve beyond the third month, or did it stabilize? 4. For those who opted against revision surgery, did any remedies (like sprays, rinses, steroid injections, fillers, etc.) offer relief or improvement? Ultimately, I’m eager to understand the potential causes of my nose's current state and explore any non-surgical options that might help without resorting to a revision procedure.

Multiple SclerosisThyroid DisordersInternal Medicine
Male25-34
55 minutes ago