"My question is, do you think this what’s causing my high WBC & Neutrophils?"
That might be related to the long term high WBC from high lymphocytes. But not to the recent short term spike in neutrophils.
"Will they see if it’s cancerous on the Ultrasound?"
Yes. The US can tell the difference between cancer and being "reactive".
"Absolute Eosinophils: 0.22 (normal is 0-0.6)"
Since they are normal, then yes that is irrelevant.
Here is a paper that argues (with evidence) that CBCs should be taken fasting -- even though it is so commonly said these days that fasting is not necessary.
Impact of Fasting on Complete Blood Count Assayed in Capillary Blood Samples 2017
" so he told me that can’t be the reason of my High WBC since it’s been 3 weeks"
Well, this says the opposite:
"A New Type of Chronic Wound Infection after
Wisdom Tooth Extraction" 2020
delayed onset of weeks, persistent, hard to detect by standard means... and resistant to antibiotic [so the abx might not work for you after all]
it's rare, but it's a possibility
"But thank you Ken for taking time to answer my questions. I appreciate it so much. God bless you!"
Thanks for saying that, Kay. Write again if/when the occasion arises. And let me know how it goes.
"Thank you for answering Ken."
I'm glad to help.
"My GP doesn’t seem to understand and he can’t explain it to me."
Well then, you have to guide the GP to do what you want. Don't just go along.
"when I went to the Hematologist he wasn’t concern he just asked me why I am there"
I think that's his way of saying "you shouldn't have been sent to me, there was no solid justification".
"My GP told me that if it doesn’t go low from the antibiotics I will have to see the Oncologist again"
Well, on principle I never tell anybody not to go to a doc...
"Do you know what can be done for them to check what’s going on with my WBC and neutrophils?"
Yes, the trial of antibiotic is a test in a way, and it will probably work.
As far as the lymphocytes being always high normal? High normal is still normal. Keep doing the fasting and weight loss and get a CBC in a month or two. It's nothing to lose sleep over, it's no immediate danger; but it's for long term health.
"I did had my wisdom tooth extraction 3 weeks ago"
Bingo. I think that solves the current-neutrophilia puzzle. Regardless of "my follow up said I don't have any inflammation or infection on the site", which I'm not sure what that means exactly. But having no abscess formation doesn't mean there is no immune reaction at all.
If you do see a hema/onc, absolutely mention this.
When you saw the onc back when, their thinking was probably: "I don't believe she has any serious problem, but there is an oddity there so I have to rule out cancer to be on the safe side - and not get sued."
Well then it seems you are generally high-normal through the years in both. Then there is this current breakout of high neutrophils, probably from some infection.
Have you had a cough or colored mucous coming up? Chest/lung pain?
Have you noticed any reactions/sensitivity to any foods?
It's good that you are so methodical. That helps a lot.
Now let's instantly leap to a higher level of understanding, which should alleviate your worries a very lot.
I did CBC 2 days ago-
Abs Neutrophils: 10.79
May 2021 my test came out
Abs Neutrophils: 6.41
Abs Lymphocytes: 3.94
Now, it's your neuts that are high. But back then in 2021, it was the lymphocytes. There is no cancer that would behave like that.
The problem was thinking in terms of WBC, when that is only the first step. Only looking at the WBC obscures the underlying truth. We should graduate to looking at what subtype of cell, neutrophils or lymphocytes, are the actual cause.
What you likely have is chronic "lymphocytosis" because of some inflammation. The cause can be discussed. But you now have neutrophilia, which is probably short term and could be reversed with the antibiotic. Neuts usually go high because of a bacteria, and antibiotics kill bacteria.
Can you post your complete history of abs neutrophils and lymphocytes, and the dates?
Hi, Kay. First off, there is no reason to suspect leukemia. We can discuss why, if you like.
There is every reason to think there is merely some inflammation, from a slight infection or otherwise.
However, you did have an appointment with an oncologist last year, which would usually require more than just an elevated WBC. So I'm guessing there is also something else going on.
I applaud you for doing the intermittent fasting. Obesity tends to make the WBC go somewhat higher, because obesity is pro inflammatory. Fasting tends to make it go lower, because fasting is anti inflammatory. As a twist, eating after fasting might make it go a little higher, temporarily. For your next CBC, I'd do it fasted - even though that is not typically recommended. If you are in the US, you can even order that CBC online yourself in most states, for about $35. Your blood sample goes to the exact same test labs, as if a doctor had ordered it.
Your ESR is just a little high-ish, which goes along with inflammation. Your hematocrit might be due to dehydration.
I wouldn't worry. Btw, neutrophils are usually what fight bacteria, so your antibiotic might have made your count go lower already.