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What does my blood test report indicate?

Q: I am a 31 years old man and am worried about my health. I was having body ache and feeling sick for the last month so I got done my blood test of complete haemogram. The report stated the following: total leukocytes - 7.2 x 103/cu mm, neutrophils - 65.9 %, lympho - 29.6 %, mono - 2.1%, eosinophils - 2%, basophils - 0.4%, total RBC - 5.83 x 106/cu mm, haemoglobin - 15.4 g/dl, mean corpuscular vol. - 83.9 fl, mean corpuscular haemoglobin - 26.4 pq, mean corpuscular haemo. conc - 31.4 %, red cell distribution width rdw cv - 19.4 fl, platelet –105 x 103/cu mm, platelet distribution width - 15.9 %, mean platelets volume - 11.5%, ESR - 2 mm/hr. Platelet reduced in smear, rechecked and confirmed. Is my haemogram report all right? Is there any symptom of cancer? Please advise.

A:We can summarise the blood report as under:

Parameter Value Ref. range
Total leucocytes 7.2 x 1000 4.0-11.0 x 1000
Neutrophils 65.9% 40-80%
Lympho 29.6% 20-40%
Mono 2.1% 2-6%
Eosinophils 2% 0-6%
Basophils 0.4% <01%
Total RBC 5.83 x 1000000 5-7 x 1000000
Haemoglobin 15.4 GMS 14-18 GMS
Mean corpuscular vol. 83.9 fL 80-100
Mean corpuscular haemoglobin 26.4 pq 25-33
Mean corpuscular hemo conc 31.4 % 31-37
Red cell distribution width rdw cv 19.4 fL 11.5-14.0
Platelet 105 x 1000 150-450
Platelet distribution width 15.9% <12.0
Mean platelets volume 11.5% 7-9
ESR 2 MM/HR <10
As per the report, the parameters out of range are platelet count, PDW and MPV. Since you have had body-aches, you must have taken painkillers. These have some effect on the platelet count causing their reduction and to counter this effect the body tries to produce large platelets, which increase MPV and PDW.

Haematologicaly otherwise there is nothing abnormal. Based on the reports again there is no evidence of cancer.

However, a close follow up is suggested for platelet counts after you have stopped any painkiller drugs.

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