Absolute Lymphs and Absolute Neutrophils high

[Missy1018]

I recently had some blood work and the following was found out.  I was told to go to my primary care physician immediately.  Should I be worried?  WBC High 14.4; RDW High 16.1; Neutrophils (Absolute) High 9.3; Lymphs (Absolute) High 4.0 also Alkaline Phosphatase High  146.  
Any answers would be greatly appreciated.  Thank you!

[Missy1018]

Agreed!

[Ken_PA]

Well then, that certainly carries more weight and so the situation should certainly be investigated as they recommended - but that doesn't necessarily mean that something very bad will be uncovered. There are various other possibilities besides blood cancers - and probably some immune conditions are more likely than cancer.

Keep in mind that a doctor always has to consider the worst possibilities, but that doesn't mean at all that the worst possibilities are the most likely. Good luck.

[Missy1018]

No - it was not an automatic message computer generated on the CBC report.  It was a telephone call from the specialty doctor that I had seen recommending that I go to my primary care ASAP.  

[Ken_PA]

Hi, was that message automatically computer-generated on the CBC report?

Probably your slightly elevated counts would not be much cause for alarm - except that the liver enzyme being elevated might suggest a blood disorder. I'd just call your family doc and ask if you should come in or not. If you have chronically elevated AP (from a liver problem or a medication, etc), then that might just be confusing the reason for the rise in WBCs.

I believe that neutrophils contain AP. Maybe the rise in neuts was enough to just push your AP into the high range, just guessing.