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10931687 tn?1413913377

hematologist visit necessary?

My doctor is concerned about my low WBC, and has referred me to a hematologist.

9/2013:
Neutrophils: 1425 cells/uL
Leukocytes: 3.5k/uL

Because that was low, they requested a re-test, which showed normal range.
10/2013:
Neutrophils: 1816 cells/uL
Leukocytes: 3.8k/uL

This year, I was low again:
10/2014:
Neutrophils: 1047 cells/uL  [1500-7800 normal]
Leukocytes: 2.9k/uL [3.8-10.8 normal]

I am young, healthy, athletic, and show no symptoms.  I don't get sick often, or have infections.

I notified my doctor that I felt this was benign ethnic neutropenia, because upon inquiry I learned that both parents have a history of this, and my older brother has had it, and we are of middle-eastern descent.  One other factor may be that I have a history of low B12, which may be dietary (I don't eat much meat, red or otherwise).

The doctor insisted and said "Your white count seems to be fluctuating. I would actually recommend a hematologist evaluation to get a second opinion and see what their thoughts are."  

I thought I'd check the forum to see what opinions or experience others have had.
2 Responses
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Avatar universal
I have the same issue with low wbc for over twenty years. Last year mines was 2.6.  For the first time in years I got a respiratory infection.  I never get sick. I have not seen a hematologist. I have not had a bone marrow. I have just been watching it over the years. My brother has a low wbc also . So far since everything else is ok , I will continue to monitor it. If I was having cumulative things going on affecting my quality of life, then I would dive deeper in search for an answer to my low WBC.
Helpful - 0
612551 tn?1450022175
I think I would go for a second opinion.  It may be that you genetics are such that you get by fine with low WBC..but i think the goes hand-in-hand with a more vulnerable defense system.

That said, being "just" below normal may really be no different than at lower normal, i.e., that low level is high enough.

There are very expensive shots available that boost WBC, it is commonly used in patients undergoing chemo therapy,, a therapy that kills WBCs.
Helpful - 0
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