Bloods

[pettyt65]

Can anyone explain what these mean pleaseFull blood count Rouleaux +

Lymphocytosis persists

FILM REFERRED TO CONSULTANT HAEMATOLOGIST

note raised esr and leukocytosis? underlying cause

[helvella Administrator Thyroid UK]

It seems likely you have some sort of infection/inflammation.

There are many possibilities and it might be that the lab simply cannot decide without expert input.

I'm sorry that is such a wishy-washy answer but I don't think anyone can say much more - without being trained and without seeing the sample/results.

[pettyt65 in reply to helvella]

These results I got bkHaemoglobin concentration 142 g/L [115.0 - 165.0]

Total white blood count 14.8 10*9/L [4.0 - 11.0]; Outside reference range

Platelet count - observation 473 10*9/L [135.0 - 400.0]; Outside reference range

Red blood cell count 5.10 10*12/L [3.8 - 5.5]

Mean cell volume 88.8 fL [80.0 - 98.0]

Haematocrit 0.453 1/1 [0.37 - 0.47]

Mean cell haemoglobin level 27.8 pg [27.0 - 35.0]

Mean cell haemoglobin concentration 313 g/L [300.0 - 350.0]

Red blood cell distribution width 13.6 % [0.0 - 14.0]

Neutrophil count 6.05 10*9/L [2.0 - 7.5]

Lymphocyte count 6.60 10*9/L [1.0 - 4.0]; Outside reference range

Monocyte count - observation 1.28 10*9/L [0.2 - 0.8]; Outside reference range

Eosinophil count - observation 0.66 10*9/L [0.04 - 0.4]; Outside reference range

Basophil count 0.16 10*9/L [0.0 - 0.1]; Outside reference range

Nucleated red blood cell count 0.0 10*9/L [< 0.0] Above Recommended Range

Erythrocyte sedimentation rate 25 mm/h [1.0 - 14.0]; Outside reference range

[pettyt65 in reply to pettyt65]

They keep saying inflammation but dont seem to know were this been going on for couple months now, yet getting no answers and now have to have another blood test 4th July, As my white blood cells were elevated again, I feel so drained out ,I've a cough I've had for 2 months,I have bad night sweats,out of breath all time,and so tored,its affecting my day to day life,I also work 12hr night shifts in a care home,I do 3 nights straight on n I'm in bed for 2 days after as I'm just literally body drained, I'm struggling to motivate myself,and it's starting to take its toll out of me mentally now cause I feel I not getting any response bk from anything had done, I feel almost like they think I'm being over the top with it all, x

[radd in reply to pettyt65]

prettyt65,

It is usual for lymphocytes to elevate during a Hashimotos attack, and other WBC’s can follow suit as part of the immune response, although to a lesser degree. Have you been tested for both thyroid antibodies TPOAb & TGAb? 

The process of using iron to make red blood cells and haemoglobin can be strongly effected by long term low thyroid hormones as you need adequate to drive the process. You also need enough iron and Vit B12/folate, or the body starts skewing results in its efforts to maintain homeostasis. Breathlessness is a sign of both inadequate iron levels and/or low thyroid hormone.

Elevated ESR is common in unmanaged autoimmune disease and if you have chronic inflammation from other long term conditions, these will be skewing all results further.

Are you optimally medicated with thyroid hormone? Have you had an iron panel done recently? Also folate and Vit V12 levels tested?

[pettyt65 in reply to radd]

Was is hashimoto's attack??

[helvella Administrator Thyroid UK in reply to pettyt65]

Hashimoto's thyroiditis is the autoimmune disease that causes most hypothyroidism.

The immune system destroys the thyroid gland. This can take many years to get to the point of causing hypothyroidism, and many more to effectively completely destroy the thyroid.

This is Hashimoto's attack. Though sometimes we see people having little happen for long periods and then the attack rages for a while.

[radd in reply to pettyt65]

pettyt65,

You can eliminate a thyroid (autoimmune) condition by having a comprehensive thyroid test including thyroid antibodies.

Sorry you are feeling so unwell.

[Ruby1 in reply to pettyt65]

I don't know if you have been diagnosed with a thyroid condition, but I agree with @Helvella that there is some infection/inflammation somewhere and (in my inexpert view), it may be nothing to do with the thyroid.

I'm sorry you are feeling so unwell. I'm sure they don't think you are being over the top with it all. It is plain from your results that something is not right, but they have not yet worked out what it is, and a haematology expert is needed to move forward.

Have you mentioned your cough and night sweats to the doctor? Did they give you a chest X-ray? I'm not medical at all, but I'm just thinking I would like that reassurance myself. You could perhaps call your GP and let him know how rough you are feeling and ask is there anything else that could be done. He might not realise how debilitated you are feeling.

Wishing you luck and hoping you feel better soon.