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740419 tn?1309281786
elevated monocytes and eosinophils, intestinal worms, abdominal/pelvic pain
Hi, I'm a 45-year-old, 155-lb, 6-ft Caucasian male, over the years I have had muscle burning/twitching, 4 weeks ago I eliminated a 4-in intestinal roundworm and took Albenza 400mg, 1 dose. Two weeks later I had bloodwork done, please see below (consistent with what I got in previous years, to which no doctor has reacted). My chief complaint is that my abdomen/pelvis feels inflamed, as do  other muscles (e.g., the buttocks twitch and feel uncomfortable when I sit down). I also have been having some actual pain in the abdomen, CT scans and MRIs revealed nothing. All my ova & parasites tests over the years negative, no way to verify actual worm elimination.

I am wondering if my condition could be a reaction to the toxins released (possibly over the years) by the intestinal worms, or if there is something wrong hematologically (I do feel that I am missing some essential nutrient that I cannot replace no matter what and how many supplements I take). I am particularly concerned with what to me appear as elevated monocytes (11.5%) and eosinophils (4.4%). Any suggestion/information would be appreciated, thank you for your time, sorry about the lengthy message, bloodwork results follow.

GLUCOSE 80 mg/dL
BUN 17 mg/dL
CREATININE 0.97 mg/dL
eFGR >60 mL/min/1.73m2
SODIUM 139 mmol/L
POTASSIUM 3.7 mmol /L
CHLORIDE 102 mmol/L
CARBON DIOXIDE 25 mmol/L
CALCIUM 9.5 mg/dL
PROTEIN, TOTAL 7.4 g/dL
ALBUMIN 4.8 g/dL
GLOBULIN 2.6 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 1.8 (calc)
BILIRUBIN, TOTAL 0.8 mg/dL
ALKALINE PHOSPHATASE 38 U/L
AST 23 U/L
ALT 21 U/L

WBC 5.7 Thousand/uL
RBC 4.89 Million/uL
HEMOGLOBIN 15.5 g/dL
HEMATOCRIT 45.6 %
MCV 93.3 fL
MCH 31.8 pg
MCHC 34.0 g/dL
RDW 13.3 %
PLATELET 158 Thousand/uL
NEUTROPHILS 2542 cells/uL 44.6 %
LYMPHOCYTES 2212 cells/uL 38.8 %
MONOCYTES 656 cells/uL 11.5 %
EOSINOPHILS 251 cells/uL 4.4 %
BASOPHILS 40 cells/uL 0.7 %
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