What is the reason for the low white ball ratio in the physical examination results

The low white ball ratio in physical examination results may be caused by malnutrition, chronic liver disease, nephrotic syndrome, multiple myeloma, autoimmune diseases, etc. It can be improved by adjusting diet, medication treatment, and controlling the primary disease.

1. Malnutrition

Long term insufficient protein intake or absorption disorders can lead to a decrease in albumin synthesis, resulting in a decrease in the white sphere ratio. Commonly found among vegetarians, patients with digestive system diseases, or overconsumption groups. It is recommended to increase the intake of high-quality protein, such as eggs, fish, and soy products, and if necessary, supplement with enteral nutrition powder or albumin injection under the guidance of a doctor.

2. Chronic liver disease

Cirrhosis, hepatitis, and other diseases can impair the liver's ability to synthesize albumin, while globulin may be elevated due to immune response, leading to an inverted white to globulin ratio. Patients often have symptoms such as fatigue and jaundice. Liver disease requires treatment, such as the use of compound glycyrrhizin tablets, silibinin capsules, and other liver protective drugs. In severe cases, intravenous supplementation of human serum albumin is necessary.

3. Nephrotic syndrome [SEP]: A large amount of proteinuria leads to the loss of albumin from urine, manifested as hypoalbuminemia accompanied by hyperlipidemia. The patient may have edema and increased urine foam. Treatment requires the use of acetate prednisolone tablets to suppress immune responses, combined with valsartan capsules to reduce proteinuria, while limiting salt intake.

4. Multiple myeloma [SEP]: Excessive proliferation of malignant plasma cells produces a large amount of abnormal globulin, leading to a significant decrease in the white sphere ratio. May be accompanied by symptoms such as bone pain and anemia. Diagnosis requires bone marrow puncture examination, and treatment often involves chemotherapy with bortezomib injection combined with dexamethasone tablets. If necessary, hematopoietic stem cell transplantation may be performed.

5. Autoimmune diseases

Rheumatoid arthritis, systemic lupus erythematosus, and other diseases can stimulate the production of large amounts of immunoglobulin, leading to abnormal white to white ratio. Patients often have symptoms such as joint swelling and pain, rash, etc. Immunosuppressants such as methotrexate tablets and hydroxychloroquine sulfate tablets should be used to control the condition, and liver and kidney function should be monitored regularly.

It was found that abnormal white ball ratio should be comprehensively judged in combination with other indicators to avoid high-fat diet exacerbating liver burden. Adequate supplementation of vitamin B and zinc elements can promote protein metabolism. Chronic disease patients need to regularly check their liver function, kidney function, and protein electrophoresis to avoid edema induced by intense exercise, and to improve circulation by raising the lower limbs during sleep. If accompanied by continuous weight loss, edema, or fever, it is necessary to seek further examination from a hematology or rheumatology and immunology department in a timely manner.