What do low RBC and high monocyte count indicate in case of chest pain?

Question

Hello doctor,

I went to the ER because I had chest pain for a few days. I thought I had just pulled a muscle. I recently had blood work done, and they said everything was fine. I am 42, and I drink and smoke. Please look at my results and let me know what you think. ALT (SGPT) 11 U/L, AST (SGOT) 13 U/L, total protein 6.5 g/dL, total bilirubin 0.3 mg/dL, RBC 3.66 x 10*12/L, Hemoglobin 12.8 g/dL, MCV 99 fL, Monocytes relative 10, Basophils relative 0.9. Currently, I am taking the Adderall tablet. Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. I have downloaded the files (attachment removed to protect the patient's identity). Give me some time to read the laboratory reports and reply afterward. Thanks and take care.

Answer 2

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. Yes, the full laboratory results are not visible. Based on the available laboratory values, LFT (liver function test) is normal. However, I suggest you stop drinking and smoking for healthy well-being. CBC (complete blood count): All values are normal, including normal hemoglobin (Hb), hematocrit, MCV (mean corpuscular volume), and MCHC (mean corpuscular hemoglobin concentration).

Your RBC (red blood cell) count is on the lower side, but your Hb is normal. I would suggest you do daily morning aerobic exercise for at least 45 minutes a day and take an iron-rich diet to increase your Hb level and DLC (differential leukocyte count): All WBC components are in the range, except for mild elevation of monocytes.

It is called monocytosis. There are many causes of increased monocyte counts, indicative of your body’s immune system fighting. It can increase due to acute stress, an active infection, or inflammation. Your neutrophil and lymphocyte levels are in the range, which makes less worry for increased monocyte counts. Please answer the following questions and add detail to the medical history.

Have you had any recent fever or any infection? Do you have any acute stress or any autoimmune condition? Hope this helps. Thanks, and take care.