Blood test results

[scotty2canuck]

My daughter just turned three.  for the last year she has had a pea sized lump in her neck below her ear.  has not changed in size and is movable.  dr has described this as a lymph node.  she tends to have a constant runny nose - majority of the time it is clear mucous.  she coughs a few times a day - two doctors have said that this is just an over production of mucous and that it will clear in a few years.

got some blood work done with our naturopathic doctor.  results are:

*HEMOGLOBIN 126    range 115 - 135 g/L
*HEMATOCRIT 0.37     range  0.34 - 0.40 L/L
*WHITE BLOOD CELL COUNT 13.1       range  5.5 - 15.5 x E9/L
*RED BLOOD CELL COUNT 4.71 HI       range   3.90 - 4.60 x E12/L
*MCV 79.4     range  75 - 87 fL
*MCH 26.8        range 24 - 30 pg
*MCHC 337   range  305 - 360 g/L
*RDW 14.4    range 11.5 - 14.5 %
*PLATELET COUNT 555 HI    range  150-400 x E9/L
*ABSOLUTE: NEUTS 5.6    range 1.5 - 8.5 x E9/L
* (A) LYMPH 6.4    range  2.0 - 8.0 x E9/L
* (A) MONO 0.8    range 0.3 - 1.0 x E9/L
* (A) EOS 0.3    range 0.0 - 0.5 x E9/L
* (A) BASO 0.0   range  0.0 - 0.2 x E9/L
*RBC NORMAL
*WBC NORMAL
*PLATELETS INCREASED MODERATELY
*IGA 1.35 HI    range  0.20 - 1.00 g/L

So  Red blood cell count, platelets and IGA are high.

what could cause this.  I am concerned about cancer or other serious disease.     what should i do next

thanks
H/C
O
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[J.M. Keyes, MD]

Hi there,
It is very likely that the results were a transient thing, likely due to an infection or inflammatory process. The fact that they are coming down is very reassuring.  I tend to be on the conservative side, and if it were my child I would have it rechecked one more time in 2-4 weeks to make sure everything is back to normal.  That's not to say that no followup is an unreasonable suggestion- it is also reasonable, but like I say, I tend to be conservative, especially when it comes to children.

Good luck,
JMK MD

[scotty2canuck]

I should add that at the time of the blood test she had swelling on the uppen and lower eye lids which was belived to be most likely an inflamatory process.

[scotty2canuck]

sorry should also add that she had just (i.e by a few days) recovered from a cold

[scotty2canuck]

just to add more info,

a repeat blood test showed


rbc 4.63
platlets 465

everything else was within range and the dr told me he had no concerns regarding any of the results.   i did comment that the platlets were still on the higher end but he did not seem worried and did not suggest any follow up.  what are your thoughts.

thanks

[Peterbndrs]

Consult an oncologist and also take a second opinion from a doc u trust