Hepatitis C Community
WBC
About This Community:

This forum is for questions about medical issues and research aspects of Hepatitis C such as, questions about being newly diagnosed, questions about current treatments, information and participation in discussions about research studies and clinical trials related to Hepatitis. If you would like to communicate with other people who have been touched by Hepatitis, please visit our new Hepatitis Social/Living with Hepatitis forum

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

WBC

After 4 weeks on the treatment, blood test results are "normal" as per my doctor.
I am not anemic (normal RBC), but the white blood cells count is low (3.3)
Before the treatment it was over 6.
Should I be concerned?
Thank you
Related Discussions
6 Comments Post a Comment
Blank
144210_tn?1273092382
Mt platelets and WBC went low on tretment and never bounced back (8 mos post). It can be a sign of portal hypertension. (I have it)
Blank
96938_tn?1189803458
go to     http://www.labtestsonline.org/

Select the test 'CBC'.  There are several pages of information dealing with what is evaluated int the CBC.  This is probably what your doc runs to evaulate your blood work.  You will see, as it applies to WBC, that there are seveal components in WBC.  Similarly, in the vein of RBC, the doc may be a little more interested in hemoglobin and platelets rather than just "RBC".  Interesting reading since it's going to be part of your life for a while
Blank
173975_tn?1216261375
There are different views on what's considered a low WBC.  I would think that if your Dr. was concerned he would contact you about it.

From what I understand, some physicians don't treat low WBC until they're less than 1.  My WBC also dropped in the first 4 weeks to less than 75% of their original level, down to 1.3 from a pre-TX count of close to 6.  My Dr. put me on neupogen, which I have taken twice a month for the past 11 months.  WBC never bouced back to normal but at least it's not lower than 1.  Now it hovers around 2 - 2.5.

Becuase of the low WBC and ANC I now have neutropenia and leukopenia and apparently ithat can cause a susceptibility to infection.

Sounds like your levels have dropped 50% but 3.3, from what I understand, isn't considered too bad.

Some studies say low WBC don't need to be treated until .5.

wyntre
Blank
233616_tn?1312790796
I think some drop is considered normal mainly because you begin treatment, and before beginning your body was fighting the infection all on it's own, suddenly it has a big boost and usually a commensurate drop in viral load. some people drop 2 logs in a week!!
however fast of slow you drop, (mine dropped 2/3 in the first month) that means your own bone marrow doesn't have to work quite so hard at fighting a virus it's fought on it's own for a long time. So it will slow down, take a break, from making so many white cells for a bit. It usually will return to more normal levels after tx.
the main thing to watch is your platelet and iron levels, also, I believe it's the basols that go up in cancer.
In any event, a good doc will keep a close eye on all those numbers. Make sure you get a monthly test though, (I read where someones doc waited 12 weeks to retest)...it's very important to head off any really dangerous changes quickly, while they can be remedied.
your white blood cells deal mostly with infections/cancer/toxins, not nourishment or oxygen like the red ones,....a good liver guy will keep track of your t-cells and all that good junk.

one thing I do, is have the lab mail me the results from every test. If anything looks out of normal range (normal range is printed on the sheet right next to your results), then get on the phone and find out why this is so, and whether anything should be done.

the docs and staff will tend to keep a better eye on your labs if they know you also are monitoring their analysis.
Blank
Avatar_m_tn
Thanks all for the information
I'm also supposed to get back the first viral count in a few days - they took the blood but results are taking longer than regular blood work
Blank
Avatar_m_tn
Low WBC is normal on treatment. My doc, like many, don't actually focus on WBC, but on the WBC fraction called ANC (absolute neutrophils). WBC and ANC values considered normal on treatment are different from values considered normal off treatment. A good liver specialist should know what is within range, so that's probably why your doc says your value is "normal".

- Jim
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Hepatitis C Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
9 hrs ago by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank
Top Hepatitis Answerers
Avatar_m_tn
Blank
willbb
317787_tn?1373214989
Blank
Dee1956
DC
1747881_tn?1358189534
Blank
hrsepwrguy
Greeley, CO
163305_tn?1333672171
Blank
orphanedhawk
Rural Mural, CA
Avatar_m_tn
Blank
can-do-man
IN
Avatar_m_tn
Blank
copyman