Hello! I have been a doctor for 21 years. My name is Georgy Olegovich Sapego. In this article I will tell you about what will happen if you made yourself a paid blood test and found it there.
In the last article, we discussed eosinophils and how they can harm us. Now someone has decided that he has many eosinophils in his blood. I explain.
People are sometimes given a complete blood count with a leukocyte count. There, the number of eosinophils is indicated as a percentage of the total number of leukocytes. And the norms are written there. Something like "less than 6%".
In fact, the absolute number of eosinophils is important to us, not the percentages. There should be no more than 500 eosinophils per microliter.
Let's imagine a conventional blood test, in which the leukocytes are 6 to ten to the ninth degree in a liter and of which 7% are eosinophils. Is this a lot of eosinophils?
No, not much. There are only 420 of them per microliter. That's less than 500.
We already discussed in the last article that eosinophils do not like to swim in the blood. They sit in tissues and organs. Therefore, there may be few of them in the blood, but in the tissues there will already be a real slaughter. True, if there are more than 1500 eosinophils in a microliter of blood, then most likely there will be a whole breakthrough in the tissues.
The number of eosinophils usually fails to diagnose. But in some cases, the range of alleged sores is very narrowed. If 20,000 (twenty thousand) eosinophils were found in one microliter of blood, then this is some kind of bone marrow tumor or a brutal reaction to any medication, but definitely NOT bronchial asthma, NOT allergic rhinitis, and NOT atopic dermatitis.
Deceit
Eosinophils can be very cunning creatures and god knows where they come from. Sometimes we see a child with atopic dermatitis, or an adult who returned from the tropics, where there are many worms, but it turns out that the eosinophils came out for a completely different reason. Therefore, even if you have an allergy, you can turn inside out in search of some other disease.
Even worse
If you seem to have found the reason for the increase in eosinophils and began to treat them, then you have to be very careful. Because when treatment does not help to reduce them, then the reason may be some very brutal. There are many very dangerous diseases in this area of medicine. Half of these sores are named by the names of scientists, and there is no point in examining them here.
What will happen
If 1500 or more eosinophils are found in one microliter of blood, you will have to be examined. Such figures already exist with hypereosinophilic syndrome, from which you can die. This thing is done by hematologists. Not allergists-immunologists, but hematologists, that is, specialists in blood cancer.
If a person is not worried about anything, then the likelihood of hypereosinophilic syndrome is very low, but you still have to be examined.
If you find 5000 eosinophils in a microliter of blood, you also need to get to the hematologist, but very quickly (by running).
If a person has slightly increased eosinophils in the blood, but there is pain in the chest, or something is found on an x-ray of the lungs, then hematologists will immediately take him into circulation.
If a person has less than 1500 eosinophils in a microliter of blood, and nothing bothers him, then you can wait a month. Then you need to repeat the blood test. This approach is justified if the person has not traveled to a place where helminths prevail, does not get sick with anything related to the lungs, and he does not have examination results suspicious of oncology.
Suspicious changes include:
- anemia;
- a very low level of platelets in the blood;
- enlarged spleen;
- lymph nodes that have crawled out in different parts of the body.
Complicated? Yes, it's difficult. And this is just the beginning of the story. There's still a whole lot more in this thread. But you don't need to bother with the details. If you did a blood test for yourself without a doctor's prescription, then there is a chance that you will have to run to different doctors. Excessive analyzes do not lead to good.
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