I have allergic rhinitis, and my blood report shows increased lymphocytes and MPV. Why?

Question

Hi doctor,

It has been 18 months since I have been suffering from allergic rhinitis. Some doctors are saying I do not have allergies. The problem is I keep sneezing even when I take Dymista. Now I am taking Allergodil (Azelastine) nasal spray. I also got some blood tests done to detect if I have an allergy. I have attached my reports.

Kindly review my report, and help me know if I should be concerned by these results.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

The attached report (attachments removed to protect the patient's identity) noted that monocyte and MPV (mean platelet volume) are slightly low. Do not worry about that non-specific finding. If they are elevated, then we can think further. But do not worry about its borderline low level. It does not indicate any leukemia or any blood disorder.

Your lymphocytes are slightly increased. It could be due to a temporary viral nasal infection. So, it also does not indicate any blood cancer.

However, after completing your medicine for allergies, I suggest you repeat your CBC (complete blood count) after one week. If lymphocytes are elevated even after one week, then we will investigate further. Do not worry. Mostly in one week, the lymphocyte count will be normal.

Do not worry much about leukemia. Follow up with a repeat CBC after one week. The high IgE (immunoglobulin) value in the attached report suggests that there could be some form of allergy as well in your body.

I hope this was helpful.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I saw your report (attachments removed to protect the patient’s identity).

High MPV (mean platelet volume) has significance only when the platelet count is low. If the platelet count is low and MPV is very high, it could be due to an underlying etiology like dengue, malaria, ITP (Idiopathic thrombocytopenic purpura), etc. But your platelet count is within the limit. So, do not worry about borderline high MPV.

However, your lymphocyte count is slightly higher than that, which is significant. We will follow up on that. After one week, repeat CBC (complete blood count), and if the lymphocytes are still high, we will think further.

Do not worry about cancer. It does not seem like blood cancer.

I hope this was helpful.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

The eosinophil percentage is slightly high in the attached report (attachments removed to protect the patient's identity). So you can have a type-1 hypersensitivity allergic reaction. Your MCV (mean corpuscular volume) is not much higher, and hemoglobin is within range. So, the chances of anemia or vitamin B12 deficiency are lower.

I have already commented on lymphocyte count. It is slightly high. But does not indicate blood cancer. Repeat it after one week, and if the lymphocytes are high even after one week, we will discuss further.

You have been prescribed an anti-allergy medicine, which can be continued.

I hope this was helpful.

Thank you.

Answer 4

Hello,

Welcome back to icliniq.com.

If the lymphocytes remain high, investigate further with a peripheral blood smear to check for any abnormal lymphocytes. But mainly after a week, lymphocytes will become normal. It does not seem like blood cancer.

I hope this was helpful.

Please get back if you have further doubts.

Thank you.

Answer 5

Hello,

Welcome back to icliniq.com.

You have to tell the laboratory to do a peripheral blood smear examination report. It is done from 2 ml EDTA (ethylene diamine tetra-acetic acid) blood or finger-prick blood. Yes, wait for one week. Mostly, it takes seven to ten days for the lymphocytes to settle down to the normal range in case of a temporary viral infection.

In the attached report (attachments are removed for the patient's identity), the lymphocyte percentage is borderline high and not elevated to the level we urgently need to investigate. So, do not worry.

I hope this was helpful.

Thank you.

Answer 6

Hello,

Welcome back to icliniq.com.

In some patients, it can be elevated for many days. However, if it remains high after a week, then we will investigate with a peripheral blood smear examination report.

I hope this was helpful.

Thank you.

Answer 7

Hello,

Welcome back to icliniq.com.

Please get back if you have further doubts.

Thank you.

Answer 8

Hello,

Welcome back to icliniq.com.

The inflammation of the liver is called hepatitis. Fatty liver also causes liver inflammation.

Taking the tablet Udiliv (Ursodeoxycholic acid) can be helpful. But before that, kindly visit a nearby gastroenterologist for a physical examination and for prompt management.

I hope that this information will be beneficial to you.

Thank you.

Answer 9

Hello,

Welcome back to icliniq.com.

Excess use of multivitamins can harm the liver, so SGPT (serum glutamic pyruvic transaminase) remains elevated. It is advisable to stop taking multivitamins for a few days. You can take the tablet Augmentin (Amoxicillin and Clavulanate) for the prescribed duration.

I hope this will help you.

Thank you.

Answer 10

Hello,

Welcome back to icliniq.com.

Yes, fatty change of the liver can cause an elevation in SGPT (serum glutamic pyruvate transaminase). You can make the following changes in your life to reduce SGPT.

1. Take a low-fat diet and less processed food.

2. Drink more fruit juice.

3. Take more lemon water and orange juice.

4. Citrus fruits can be taken more often.

5. You can also include green leafy vegetables in your meal.

6. Do not eat junk foods anymore.

7. You can start taking Ursodeoxycholic acid tablets for your liver problem.

8. Do mild to moderate exercise like brisk walking, running, or swimming for 30 minutes daily.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Answer 11

Hello,

Welcome back to icliniq.com.

In some cases, fatty liver can present even with normal cholesterol. SGPT is specific to liver pathology. So, it indicates a problem in the bile canaliculi of the liver. And so, I suggested doing a USG (ultrasound) scan and visiting a gastroenterologist.

You can take the tablet Ursodeoxycholic acid to slow down liver inflammation.

I hope it helps.

Thank you.

Answer 12

Hi,

Welcome back to icliniq.com.

The attached report shows mild fatty change in the liver. For that, you can make lifestyle changes and take the Ursodeoxycholic acid tablet. Lymphocyte elevation might be temporary due to viral infection. Do not be worried. It does not seem to be cancer.

If the lymphocyte count becomes elevated again after a few days, repeat the CBC and investigate further with a peripheral blood smear examination report to look for any abnormal lymphocytes.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Answer 13

Hi,

Welcome back to icliniq.com.

A peripheral blood smear is done from finger-prick blood or EDTA (Ethylenediaminetetraacetic acid) blood. It is a simple test in which the RBC (red blood cells), WBC, and platelet studies are done in detail, which is not possible in CBC. Lymphocyte counts are not related to liver health. Usually, it remains elevated in viral infections.

Yes, in the attached report (attachments are removed for the patient's identity), the absolute lymphocyte count is normal. There is a slight elevation of eosinophils, which might be caused by allergic inflammation. Do not worry. Repeat your CBC after a few days. For high SGPT, follow the lifestyle change mentioned above.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Answer 14

Hi,

Welcome back to icliniq.com.

My further opinions on your questions are as follows:

1. You can repeat CBC with peripheral blood smear after ten days. EDTA blood is needed for that.

2. CBC does not study cell morphology and manual differential count.

3. In a peripheral blood smear, the pathologist will prepare the slide and will see cell morphology, especially white blood cell morphology, in detail. So, I recommend doing that test also.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Answer 15

Hello,

Welcome back to icliniq.com.

In the attached reports (attachments are removed for the patient's identity), lymphocyte falls within the normal range, which was elevated initially. Your monocyte count and eosinophil value are borderline high. So, do not worry about it. It does not indicate specific pathology, as all other values of the CBC are within the normal range.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Answer 16

Hi,

Welcome back to icliniq.com.

There is no need for a PS (peripheral smear) examination, as other CBC values and lymphocytes are within range.

I hope it helps.

Thank you.

Answer 17

Hello,

Welcome back to icliniq.com.

I have seen your reports (attachments are removed for the patient's identity). Your peripheral smear report does not show any abnormalities in WBC.

In case of leukemia, immature cells will be seen. Here, immature cells are absent. So it does not seem like leukemia. Macrocytic RBC means an increase in RBC size, which is a benign condition and commonly seen in B12 deficiency.

I hope it helps.

Thank you.