I'm looking at my blood work results and I have a few concerns. It mentions predominantly normocytic normochromic with ovalocytes, and the platelets seem adequate on the smear. There's a bunch of numbers too: WBC is 8.74, Neutrophils are 59.7, Lymphocytes 34.9, Monocytes 2.5, Eosinophils 2.4, and Basophils 0.2. Then it lists the absolute counts like Neutrophil absolute count at 5.22 and Lymphocyte absolute count at 3.05. My RBC is 5.24 and Haemoglobin is 15.5. Platelet count is 155, with some measurements called PDW at 18.2, MPV at 12.8, and PLCR at 46.1. Is there something here to be cautious about? Do I need any treatment or should I be focusing on anything specific regarding these results? I'm not on any medications at the moment.

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

Consult Now

Low HB (9.8) and RBC (3.89) indicate anemia.

High ESR (88) suggests inflammation or infection.

Possible causes:

Chronic infection (e.g., TB, osteomyelitis)

Autoimmune disorders (e.g., rheumatoid arthritis, lupus)

Chronic inflammatory diseases (e.g., Crohn's, ulcerative colitis)

Malignancies (e.g., lymphoma, multiple myeloma)

Consult a hematologist or a general physician to:

Investigate underlying causes

Conduct further tests (e.g., iron studies, vitamin B12, folic acid)

Develop a treatment plan

Dr. Dhankecha Suggests...

Consult a Haematologist

Find a Haematologist

Answered 04/07/2025

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I'm a bit worried about the results of my ultrasound-guided FNAC on my left cervical neck. The report mentions polymorphous lymphoid cell population, which includes mature lymphocytes, centrocytes, controllers, and histiocytes, but no granuloma or necrosis was seen. It's noted as reactive lymphoid hyperplasia. I've already completed a 7-day course of Augmentin, but Im uncertain what my next steps should be or what kind of treatment is needed. Can you help clarify this for me?

Reactive lymphoid hyperplasia is usually a benign condition, often caused by an infection or inflammation. The treatment depends on addressing the underlying cause, which could be infectious, inflammatory, or even related to other benign conditions. If you've completed your course of antibiotics and the swelling persists or you have other concerns, please follow up with your healthcare provider for further assessment and management.

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I'm a bit worried because my blood test came back showing my monocyte level is zero, but everything else is normal. What could this mean for my health? Should I be concerned?

#NAME?

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I'm a bit worried because my B12 level is 50, suggesting a deficiency, but all my CBC measurements are in the normal range. Should I be concerned about anything specific? Also, since it seems like I've had this B12 deficiency for years, what kind of effects might this have had on my body?

yes

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