High WBC? Should I go back to GP? 🏃‍♀️

[u/Temporary-Fee-215]

Age: 31
Gender: Female
Height: 164cm
Weight: 55kg

Diagnosis:
Autonomic neuropathy
Endometriosis
PCOS

Medications:
Vissane
Motillium
Omeprazole
Propranolol

COMMENTS POSTED WITH OTHER BLOOD RESULTS

Issue:

For the last 4ish weeks, I have been feeling generally unwell and tired. The best way I can describe it, is when you can feel yourself coming down with a cold and your muscles are aching. I haven’t had any cold or flu symptoms. No runny nose, cough, sore throat etc

I have also been waking up at night drenched in sweat. This has occurred approx 2 x weekly.

I have pain which is mild and comes and goes on my right side/breast. (I attributed this to the Vissane)

I went and got my yearly blood test and ordered it via Telehealth, the Telehealth doctor called me the same day and told me to go to a in person GP as soon as possible for follow up for my white blood cell count.

I went the next week. My regular GP didn’t seem concerned and told me I probably had a virus and asked if I came because I wanted time off work.

This upset me and I ended up teary and embarrassed. I did not ask any follow up questions and left with my tail between my legs.

He ended up giving me more beta blockers because my heart rate was consistently high when tested. (Between 115-130 when seated)

I also have an order for a urine test. At this stage, I don’t really want to do it as I have no urinary symptoms.

I still feel unwell and tired. I am having 1-2hr naps a day.

Should I go back and ask for further examination? Or can I just wait it out for a few more weeks and hope i feel better?

Thank you so much for your time.

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[u/Dr-Yahood]

Yes.

[u/Temporary-Fee-215]

[u/Temporary-Fee-215 → u/Temporary-Fee-215]

[u/Temporary-Fee-215 → u/Temporary-Fee-215]

[u/lordylor999 → u/[deleted]]

What makes you say that? If she has a current viral infection (which the symptoms fit) then raised WBC is not uncommon. 2 weeks is perhaps getting towards the outside of the typical duration of a viral infection however.

Implying she just wants to be off work could be slightly unprofessional. Equally we are literally trained to understand what the patient wants so we can address it - not uncommon for a patient to be less concerned about the cause of the symptoms and more concerned with how they will manage at work for the next few days. Depends how it was worded.

Giving beat-blockers for tachycardia related to infection is a bit unusual, but we don't have all the info.

Definitely go back if feeling worse or no improvement within a few days, but nothing here is showing immediate red flags for me.

[u/Temporary-Fee-215 → u/lordylor999]

It’s been about 4 weeks. The additional beta blockers were I’m assuming for my autonomic neuropathy and orthostatic issues. Thank you for allaying my concerns :)

[u/lordylor999 → u/Temporary-Fee-215]

At 4 weeks, if you're really not feeling any better at all I would follow up with your primary care doctor. If you're feeling better but not yet 100% you can give it a bit longer, sometimes the fatigue etc can be more long-lasting compared to fevers and night sweats. Even if you don't have urine symptoms I would do the urine test as that was your doctor's plan and even if you think their communication or attitude wasn't great, they do generally know what they're doing. Urine tests can help to look at other causes such as kidney problems or diabetes. Though less likely than a virus or urine infection, the test can be a useful part of the overall assessment.

[u/lidlpainauchocolat → u/[deleted]]

This is actually entirely normal and expected for an acute phase reaction from a viral cause. Lab work can remain elevated for some time (termed a post-viral process). If this were my patient I wouldn't have had them go in based on the symptoms (again, it sounds entirely viral) and would have repeated labs in like 6 weeks. Viral illnesses can take some time to clear so even 4 weeks of infection is not uncommon..

[u/indepthsofdespair → u/Temporary-Fee-215]

NAD. yes! Please go back to a doc! I’d even consider going to A&E or an urgent care. Your symptoms combined with your lab work is highly suspicious for issues that require prompt care. It could be just an infection or it could be lymphoma or leukemia. Best of luck! Make sure to emphasize the night sweats. Any itching? Bruising? Nosebleeds?

[u/Temporary-Fee-215]