Patient's Query
Hi doctor,
What can be causing a chronic elevation in WBC? I did some blood tests last week, and the results showed a moderately elevated WBC of 14.91 with an increased absolute count of neutrophils and lymphocytes. All other elements of the complete blood count are within the normal range. Before that, at the previous blood test, the same elevated WBC (15.4) was present, with no other abnormalities found in the CBC. I had no fever or any symptoms of infection at the time of both tests, but my WBC is constantly elevated. I do not take any medicines, and sometimes I have back and muscle pains and feel lightheaded. I am worrying now that I might have leukemia, lymphoma, or another type of cancer. What could be causing this persistent elevation of the WBC and the increase of neutrophils and lymphocytes? What tests do I need to do to find out the cause?
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
There are a couple of findings: high WBCs (white blood cells) and raised CPK (creatine phosphokinase). High WBCs are found in infections (especially asymptomatic viral or urogenital tract infections), physical stress, steroid therapy, and autoimmune disorders. I suggest you get LDH (lactate dehydrogenase), an ESR (erythrocyte sedimentation rate) test, and an abdominal ultrasound report. CPK is raised in muscle injury, especially after physical stress or strenuous exercise. Your data, however, does not indicate any leukemia or lymphoma.
I hope this helps.
Thanks and take care.
Patient's Query
Hi doctor,
Thank you for your reply.
I did the additional tests you recommended (LDH, ESR, and abdominal ultrasound). I have attached the results for all three. Do any of these findings indicate a possible cause for elevated WBC? I have no idea what else to do to find out the cause. Is there anything else you might recommend? I do not take any medications, I have no fever, and my only symptoms are some back pains and muscle or joint pain on some days and feeling tired, but I put that on aging and the fact that I have gained some weight in the previous two years due to COVID lockdown.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
Your laboratory investigations (attachment removed to protect the patient's identity) are normal and do not show any cancerous process. The patients taking hormone pills also have high white cell counts. WBCs (white blood cells) should be ignored if there is no fever or organ enlargement.
I hope this helps.
Thanks and take care.
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Answered byDr. Mubashir Razzaq Khan
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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