blood work

[SarahB79]

I have listed my CBC results for the last year to show the trend I have been having.  

I am a 30 year old, slightly overweight (wasn't until I got the tumor), female.  

Symptoms include fatigue, dizziness, stomach upset, loose stools, depression, etc.  I do have Hashimotos Thyroid and a Pituitary tumor, but both are controlled with medication...  Any help or advice anyone could give would be much appreciated!

October 2008
Total WBC 10.5 (in range) 3.8-10.8
Neutrophils 69.3%  H  42-63
Lymphocytes 24.7%  L  25-40
Absolute Mono 116 (.116) L  200-950
Absolute Eosin  515 (.515) H 15-500
Absolute Neutro  7500 (7.5) 1500-7700 (1.5-7.7)

December 2008
Total WBC 11.5 H 3.8-10.8
Neutrophils 74.69% H 42-63
Lymphocytes 19.3% L 25-40
Absolute Neutro 8500 (8.5) H 1500-7700 (1.5-7.7)

March 2009
WBC 11.8 H
RBC 5.2 H
Absolute Neutrophils 9346 H

July 2009
WBC 9.3
Segs (Neutrophils) 76.4% H 42-63 range
Lymphs 16.4% L 25-40 range

October 2009
WBC 10.2
RBC 4.86
Segs (Neutrophils) 77.9% H 42-63% range
Lymphs16.7% L 25-40% range
Absolute Neutrophils 8000 H 1.7-7.7 range

Other October 2009 test that caused my dr. to alert me…

• Glucose is high at 128 morning fasting – I am diabetic
• Triglycerides high 288 mg/dl – should be less than 150
• HDL is low 38 mg/dl should be between 40-60
• Prolactin is in range… yay!  (pituitary tumor – treated with cabergoline)
• TSH – is 2.47 and she likes to keep me around 1… so my Synthroid is being increased to 88 mcg.

Several tests, including Celiac aren’t back yet…

[SarahB79]

Thank you for your help!  

Should I be concerned of any cancers with the high Neutrophils?  Or should I be concerned about HIV with the low Lymphocytes?  

My endocrinologist said she was considering referring me to a hematologist.  

[Dr. Kokil Mathur]

Hi
Welcome to the forum!
An increase in absolute neutrophil is expected when there is inflammation in the body. There is Hashimoto’s thyroiditis to contribute towards it. Along with loose stools and stomach upset, celiac disease, Crohn’s disease, IBS should be ruled out. These can incease the neutrophil count (which shows recent infection or inflammation). Anemia and low blood pressure should also be ruled out as cause for dizziness.
It is difficult to comment beyond this at this stage. Once all your tests are through a complete picture will be available. Please let me know if there is any thing else and do keep me posted. Take care!