Explanation Of High Leukocyte Blood Lab Results?

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Hello doctor, I am a 23-year-old Vina, I have had three days of fever, nausea, I have checked the lab, the results are leukocytes 13,000 platelets 144,000, widal results STO: 1/60, SPBO: 1/60, STH: 1/60, SP AH: 1/60, SPAH: 1/60, suppose this is normal, does it have to be okname? Thank you doctor

1 Answer:

Hello Vinayadi,


Thank you for the question.

Fever and nausea often indicate that you have an infection, for example due to a virus or bacteria. Various types of infections can cause this complaint, for example dengue fever, typhoid fever, urinary tract infections, respiratory infections, meningitis, ear infections, dental infections, and many other possibilities. One effort that can be done to determine this type of infection, in addition to conducting interviews and physical examinations, is by conducting blood tests. However, you need to know, that blood tests alone cannot always detect all types of infections. Plus, not infrequently, fever and nausea can also arise due to triggers other than infection, such as exposure to extreme temperatures, side effects of drugs, hormonal fluctuations, dyspepsia, immune disorders, intestinal inflammation, pre menstrual syndrome, and so on. Sometimes, other investigations are also needed to make the right diagnosis, such as urine tests, stool tests, ultrasound, x-rays, and so on.


Judging from the information on the results of the blood test that you had previously, it seems that all of the results of the examination are still within normal limits, it's just that your leukocyte levels are increasing (normally ranging from 4000 to 11,000 blood permicroliter cells). Increased levels of leukocytes (white blood cells) typically indicate an infection. Your widal test results that are not significant are likely to indicate the infection is not related to enteric fever, such as typhoid fever or paratyphoid fever. Your platelet level also decreases even slightly (normally between 150,000 to 450,000 blood permicroliter cells), not sure whether the infection is related to dengue fever, or various other infections.


Blood tests as you do are only supportive. To determine the right diagnosis, the results of this blood test should be confirmed by other examinations, including interviews, physical examinations, serological tests, urine tests, and so on. Therefore, the doctor who examines you is the most appropriate to decide what kind of treatment you should live, and whether it needs to be treated (hospitalized) or not. So, consult directly with your doctor or specialist in internal medicine


To recover from fever and nausea, our advice:

Take the paracetamol medication first so that the fever is reduced
Eat a little but often
Don't eat foods that trigger nausea, for example chili sauce, sour fruits, vegetables that contain lots of gas, fried foods, soda, or caffeine.
Drink more, especially water
Warm compresses on nauseous stomach
Go to bed early and regularly
Do not carelessly take other medicines without doctor's advice

Hope this helps ...

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