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Eosinophilia
My absolute eosinophil count is 1660(20%). No symptoms, did cbc to check Hb only. Last month eosinophil count was 380 only. Why the sudden rise? I have no symptoms now. I'm breastfeeding my 6 month old. Family history of bronchial asthma. Had allergic rhinitis in past,was given fluticasone nasal spray at 13 yrs of age. Eosinophilia has never crossed 600 in past
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An absolute eosinophil count of 1660 indicates moderate eosinophilia. In an otherwise asymptomatic patient, the most common causes are allergic conditions or parasitic infestation. Given your personal and family history of atopy (allergic rhinitis/asthma), an allergic flare is a likely contributor, even if symptoms are minimal at present. Sudden fluctuations in eosinophil count can occur and are not always clinically significant if transient.
Breastfeeding itself is not a known cause of eosinophilia. For more information kindly consult me on practo
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Take tab bandy plus tablet Single dose before sleep at day one
Tab Vitaresp-Fx120 OD for 1 month
Continue your nasal spray
Next Steps
review cbc aftar 2 weeks
Health Tips
If u need detailed discussion and appropriate consultation. consult online with complete detailed history
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1/1 people found this helpful
Allergic condition
Humidity.
Swimming
Wall humidity where u leave.
So n so.
Tab Albendazole400 one to chew finely before breakfast with a glass of water on first day.
Tab Hetrazan100 three times a day after food for 3 weeks.
Tab montek lc one at night for 3 weeks.
Repet this course one second n third month with Albendazole400
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
Answered
1/1 people found this helpful
Little raised eosinophil level...no need to worry about it...they will settle in few days...you need to repeat CBC again in 2weeks...if it persists and you feel any symptoms...then need medications for it..
Consult for better and further management
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1/1 people found this helpful
Your Absolute Eosinophil Count (AEC) = 1660 cells/µL (20%)
Normal:
Next Steps
Step 1: Repeat CBC in 2–3 weeks
Sometimes it normalizes spontaneously.
Step 2: Do these basic tests:
• Stool routine & ova/cyst (3 samples if possible)
• Serum IgE
• Peripheral smear review
• ESR/CRP
If:
• AEC stays >1500 for more than 1 month → needs evaluation.
• AEC crosses 3000 → further workup needed urgently.
Step 3: Check for subtle symptoms:
• Night cough?
• Wheeze?
• Skin itching?
• Sinus congestion?
• Loose stools?
Even mild symptoms can explain this.
Health Tips
• Avoid self-starting anti-parasitic drugs without doctor advice.
• Avoid unnecessary steroids.
• Ensure good hydration.
• Eat well — postpartum nutritional deficiency can alter immune patterns.
• Avoid new medications/supplements temporarily.
• If you recently had infection or allergy flare, this could be reactive.
Breastfeeding itself is not harmful with this eosinophil level.
⸻
When to worry urgently:
• Fever
• Weight loss
• Persistent cough
• Breathlessness
• Skin rash with swelling
• Enlarged lymph nodes
⸻
At present, this looks most likely reactive eosinophilia, not something dangerous — but it should be properly evaluated if persistent.
Since you are breastfeeding and postpartum, I would recommend a structured evaluation rather than ignoring it.
If you’d like, you can share your full CBC report and I can review it in detail to guide you safely — we can plan this properly in a consultation to avoid unnecessary anxiety and testing.
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2/2 people found this helpful
Dear Patient,
Your absolute eosinophil count of 1660 is elevated. A sudden rise compared to last month can occur even without obvious symptoms. The most common causes are allergy related conditions subclinical infection or parasitic infestation. Since you have past history of allergic rhinitis and family history of asthma your body may have an allergic tendency and counts can fluctuate. Breastfeeding does not cause eosinophilia.
Possible reasons
Allergic exposure such as dust pollen food sensitivity or seasonal change
Recent or mild parasitic infection even without stomach symptoms
Skin allergy or drug reaction
Transient variation sometimes seen in lab reports
What you should do
Repeat CBC with absolute eosinophil count after 2 to 3 weeks
Do stool examination for ova and parasites
Check serum IgE if counts remain high
Observe for symptoms like cough wheeze itching rash or sinus issues
Treatment is not always needed if you are asymptomatic but if counts remain above 1500 evaluation is advised. Deworming medicine is sometimes given depending on stool report and assessment and is generally safe in breastfeeding when prescribed appropriately.
consult doctor urgently
Persistent eosinophil count above 1500 on repeat test
Breathing difficulty wheezing chronic cough or rash
Unexplained fever weight loss or lymph node swelling
For further guidance and personalized treatment you may text me on Practo anytime.
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