Increasing tlc

2024-12-29 12:05:29
Sir My mother had severe diarrhea on 26 nov .got her admitted .They put her on inj monocef inj metrogyl as crp and tlc was high.ultrasound was ok.she got discharged after 3 days. After 12 days she again had severe diarrhea no fever again got admitted this time again cro and tlc were high.tlc 15700. Ccet was done showed mild inflammation in intestines She was on meropenem and metrogyl and rifagut this time.her tlc on day 1 was 8500 Day2 9500 Day5 9900 Now after one week 10100 and crp 4.5 We know tlc is in limit but why it is increasing again day by day.. What if tlc shoots up again..please guide
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Recurring diarrhea with increasing total WBC count and CRP indicates intestinal infection.Antibiotc induced diarrhea caused by c difficle should be considered and other causes as well.She may need specific stool tests and blood tests.

Answered2024-12-31 01:30:18

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Dear Patient, Your mother's recurrent severe diarrhea, accompanied by elevated total leukocyte count (TLC) and C-reactive protein (CRP), suggests an ongoing inflammatory or infectious process. The initial improvement followed by a gradual increase in TLC, despite being within normal limits, warrants further investigation to identify the underlying cause. Potential Considerations: Infectious Etiology: Persistent or recurrent infections, including Clostridioides difficile (C. difficile), can cause similar symptoms. A stool test for C. difficile toxin is advisable, especially considering recent antibiotic use. Inflammatory Bowel Disease (IBD): Conditions like ulcerative colitis or Crohn's disease could present with these symptoms. Elevated inflammatory markers such as CRP and TLC are common in IBD. Fecal calprotectin testing can help assess intestinal inflammation and guide the need for further endoscopic evaluation. GASTRO.ORG Medication-Induced Diarrhea: Some medications, including certain antibiotics, can cause diarrhea. Reviewing her medication history may help identify potential culprits. Recommended Next Steps: Comprehensive Stool Analysis: Testing for pathogens, including C. difficile, and assessing fecal calprotectin levels can provide insights into infectious or inflammatory causes. Colonoscopy with Biopsy: If stool studies are inconclusive, a colonoscopy can help visualize the colon and obtain tissue samples to diagnose conditions like microscopic colitis or IBD. Medication Review: Evaluate her current medications with her healthcare provider to identify any that might contribute to diarrhea. Consult a Gastroenterologist: A specialist can provide a thorough evaluation and recommend appropriate diagnostic and therapeutic interventions. It's important to monitor her symptoms closely. If she experiences increased diarrhea, abdominal pain, fever, or other concerning symptoms, seek medical attention promptly. If you have further questions or need personalized advice, feel free to contact me directly on WhatsApp at 80098213 three two . Best regards

Answered2024-12-30 17:35:55

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Hello, Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399. Thanks.

Answered2024-12-30 08:10:46

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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.

Answered2024-12-29 17:02:35

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Kindly connect physician for proper treatment.

Answered2024-12-29 15:20:09

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Need few more details Kindly consult

Answered2024-12-29 14:21:45

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need more information kindly consult

Answered2024-12-31 05:56:47

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Kindly connect.

Answered2024-12-30 17:04:57

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Need detailed history, you may consult online .

Answered2024-12-30 10:57:28

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Need more information

Answered2024-12-30 08:31:32

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Complete course of antibiotics, get stool examination done Consult online will guide u

Answered2024-12-30 07:04:04

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If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Answered2024-12-30 04:31:42

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Kindly consult once for discussion

Answered2024-12-30 04:15:40

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Kindly connect

Answered2024-12-30 01:08:26

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Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Do connect and consult

Answered2024-12-29 14:43:57

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If pt is symptomatic pls have physical examination with nearby doctor and have a follow up.

Answered2024-12-29 14:27:43

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2024-12-29 14:25:14

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Due to intestinal inflammation

Answered2024-12-29 14:19:45

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