High WBC, Low lymphocytes

[SCARED307]

My 12yr old son had some blood work done in the ER, we were there due to some severe abdominal pain. They found nothing on the Cat-scan and could not explain the pain. After about six hours and vomiting once the pain in stomach did get better.
The ER Dr. told me that she was concerned about his labs and printed it off for me.
these are the things that are flagged

WBC 16.2 (H)
Segmented Neutrophils 92.1 (H)
Lymphocyte 3.7 (L)
Lymphocyte Absolute 0.6 (L)
Absolute Neutrophil 14.9 (H)

He has always been a super healthy kid. He seems to be feeling better however his appetite has decreased and he is very pale and seems to not be quite as energetic as normal. We just moved to a new town so I am in the process of finding a new Dr for him to see, so it may be a day or so before I can get him in for an appointment. Any advice that anyone could give me would be great. I am not sure how concerned I should be because I don't know what these labs mean.

Thank you so much

[cahajo]

My daughter is about the same age and has chronic low lymphocytes results when her blood is drawn. She was diagnosed about 7 years ago with Celiac Sprue, which is an autoimmune disorder. It took over a year to get her diagnosed. She would present with abdominal pain and vomiting, especially in the early a.m. hours (4-6a.m.). Once the vomiting stopped she would feel better. She would also run high fevers during the epsidoes of abdominal pain and vomiting which would return to normal after about 4-6 hours. I had her to the clinics and ER's almost 16 times in 3 months and actually had a physician tell me to "calm down, it's just a virus."  She was 5 years old at the time.  Finally, one trip to the ER she was evaluated for appenditicitis because of the severe abdominal pain and high fever. When her labs came back, the surgeon said there was no way it could be appendicitis because of her low lymph. I broke down and started to tell him the ER physician the past year's path we had taken and they finally sent us to our state's Children's Hospital where she had a work up and was found to have Celiac Sprue. It is a life changing condition, but a huge relief as once she started on a gluten free diet she was a different child within a few days.  I would ask for your son to be evaluated for celiac disease or other auto-immune disorders.  Thanks, A Mom whose been there.

[James_18]

The WBC is high meaning two things either infection or leukemia, lymphoma.

Since your son had severe abdominal pain an enlarge spleen, or other inflamed organs can be explained by leukemia since he's young ALL.

Radiologist misread CT-Scans, MRI all the time just because it's not subttle doesn't mean it's not there.

go to the doctor and ask for a CBC and Chem 7, along with a blood smear. If those come back unnormal have the doctor do a Bone Marrow Biopsy, and a new CT-Scan of abdomin (abdomen), chest, and head; along with a regular chest x-ray.

Try not to worry that much it could be nothing so ask the doctor for every imaginable test to be administered to see and diagnose with a doubt what it really is.

[James_18]

P.S. if your son developed bruises, a rash petechiae, has severe pain, or a high fever 100.5 or higher. take him to the doctor right away I hope its nothing but if it is cancer the sooner the diagnoses is made the better for the prognosis and treatment options. I recieved a Bone Marrow Transplant after 3 relapses of Acute Myleocytic Leukemia and have been in remission for over 5 years

But I had some of the symtoms you describe look at Platelete count usualy labeled PLT in the lap work if it is below 150 labeled then it probably is leukemia

example WBC 17 and PLT 40

[flicky33]

hi iv just been two the doctors four my full blood count reasults four the second time in two weeks the first test was 13.6 which is high four white sell count the second test i got results four today was 14.9 so its gone up quit alot in a week the doctor check my ear thrut chest water every thing was fine so havent got infections the doctor is sendin me up the hospital tomorrow four more test a scan xray anoughter full blood count its the neutrophia thats high its sopost to be 4 to 11 and mines 14.9 please help whats wrong with me

[TonyBob]

hi, it sounds like just an infection, though the site of the infection isn't known yet.

WBC of 15 isn't super high.

The neutrophils are the first soldiers in your immune system to go to war against bacteria or fungus.

[jay0325]

neutrophils is  0.51-0.67  mine is 0.75
lymphocyte 0.25 - 0.33 mine is 0.25
my rbc is low
what does this mean??
ive been diagnose of ptb

[jayjay1205]

My  son  is  3 turning  4  in  december . for  the  past  year  or  he   has  had  enlarged  lymphnodes  to  one  side  of  his  neck  when  i  told  the  dr  can  that  be  a sign  of  lymphoma   she   believed  the  lymph  nodes  have  to  bee  much  larger  and immovable  but  he  has  low  grade  fever   when  he  sleeps  he  has   night  sweats  from  since  he was  born , and  he  has  itchy  skin am i  over reacting or  should  i take  him  to a different  dr  for a  second opnion ?

[TonyBob]

hi, it's likely something other than lymphoma, but another opinion wouldn't hurt

sorry I can't be of more help

btw, is the itching severe?