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High lymphocytes chronic anemia
My lymphocytes count is high and got anemia...basophil is also high plus esr is 42...taken test for tb and autoimmunity disease all are normal...what should I do next.getting chills and bone pain.. arthritis test is also normal...
Answers (26)
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Hi,
You need a proper evaluation to understand what is happening. Information in bits and pieces will not help.
I would suggest either of the two
1. Visit a physician with all your reports and get a consult
2. Connect with me with all your reports . It will.be a long call as I would ideally try and get as much information from you regarding your symptoms. Do connect after 8 pm tonight.
Thank you
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+109
Could be due to undergoing bone marrow pathology ..consult with your physician
Next Steps
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Get another complete blood count, if parameters still abnormal, I would suggest a clinical examination to look for any lymph node enlargement and x-ray chest.
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Micro nutrition supplements and analgesics
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Your symptoms and test results suggest there may be an underlying chronic inflammatory or viral condition, even though TB and autoimmune disorders are ruled out. Hereâs a simple breakdown and what you can consider next:
ð Current Findings:
High lymphocytes: May suggest a viral infection or chronic inflammation.
High basophils & ESR: Points toward ongoing inflammation.
Anemia: Could be due to chronic disease, nutritional deficiency, or bone marrow suppression.
Chills + bone pain: Need evaluation for viral illness, early hematological issues, or inflammatory conditions.
â
Next Steps:
Consult a hematologist for:
Peripheral smear review.
Serum ferritin, iron studies, B12, folate.
Bone marrow test if symptoms persist or worsen.
Repeat CBC & ESR in 1â2 weeks to see trend.
Viral panels like EBV, CMV, or Parvovirus B19 may be advised.
If bone pain persists, consider Vitamin D3, calcium levels, and imaging if needed.
Consider a second opinion if current evaluations are inconclusive.
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Avoid fried food and spicy food
Water intake more than
Green leafy vegetables and fruits
Do connect and consult
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Esr high chronic inflammation which u mention all.
Tab augmenting duo625 three times a day after food for ten.
Tab zerodol sp three times a day after food for five ton7 days.
Livogen z one cap at night after dinner for 2 months for hb. Stool color will change times brown or other. Don't. Worry.
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Can be some chronic infection. Connect and consult
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Kindly connect
Need few more details.
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Start antibiotics course hopefully it will be correct otherwise connect me 9818seven27667
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Hi, there are multiple reasons ESR, lymphocytes and basophils can be elevated. We need more detailed history to narrow down the diagnosis.
Its easy to prescribe another list of investigations but unless we narrow down to the cause through more detailed history we would running around in circles.
Kindly contact for a detailed consultation.
Next Steps
Peripheral smear, iron studies, renal function tests
Health Tips
Kindly do not take pain medications without assessing renal status.
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High lymphocyte count, ESR suggests infection. Kindly take an instant consultation and share all symptoms or contact me at 9999x104x408 for prompt diagnosis and full treatment.
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Connect
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Dr. Pragati Bhole
Internal Medicine
25 yrs exp
Nagpur
Needs further evaluation
Next Steps
Consult hematologist
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Nalini Kumari
Diabetologist
16 yrs exp
Hyderabad
More suggestive of viral infections and more evaluation required for high basophil and ESR. Tuberculin test can be suggestive
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details. Kindly consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated.
Do consult.
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Amna Nakheeba
General Practitioner
5 yrs exp
Bangalore
A detailed history and examination is required before suggesting more tests. You can consult an internal medicine doctor for it.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
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.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
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Dr. Arushi Goyal
General Physician
7 yrs exp
Sirsa
Tb can't be rule out on the basis of investigations only , patient history is very important in such scenario,
Anemia should be treated on priority basis and it is very important to treat any underlying cause if present.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.