What's wrong with high white blood cell count during physical examination

The high white blood cell count found during physical examination may be caused by infection, inflammatory response, stress state, blood system diseases or drug factors. Intervention can be carried out through anti infection treatment, medication adjustment, blood disease screening and other methods.

1. Infection

Bacterial or viral infection is a common cause of leukocytosis, which may be related to respiratory infections, urinary system infections, etc. It is usually accompanied by symptoms such as fever, local redness, swelling, and pain. When bacterial infection occurs, antibiotics such as amoxicillin capsules, cefixime dispersible tablets, and levofloxacin tablets can be used according to medical advice. For viral infection, antiviral drugs should be used in combination.

2. Inflammatory response

Non infectious inflammations such as rheumatoid arthritis and acute gout attacks can stimulate the release of white blood cells from the bone marrow, which may manifest as joint swelling, elevated skin temperature, and other symptoms. To control the primary disease, anti-inflammatory drugs such as ibuprofen sustained-release capsules and celecoxib capsules can be used in the acute phase, while immunosuppressants should be taken regularly in the chronic phase.

3. Stress state

Intense exercise, emotional tension, or postoperative recovery period may lead to physiological white blood cell elevation, usually without special symptoms and with mild numerical abnormalities. It is recommended to have a follow-up examination 24-48 hours later. During this period, avoid overexertion and maintain sufficient sleep and water to recover on your own. 4. Hematological disorders such as leukemia and bone marrow proliferative tumors can cause abnormal proliferation of white blood cells, which may be accompanied by anemia, bleeding tendency, and lymph node enlargement. Complete bone marrow puncture examination is required, and after diagnosis, targeted drugs such as imatinib mesylate tablets, cytarabine injection, or chemotherapy regimens should be used according to the classification.

5. Drug factors

Long term use of glucocorticoids such as prednisone acetate tablets and leukocyte stimulating drugs such as recombinant human granulocyte colony-stimulating factor injection can lead to elevated values. It is necessary to evaluate the necessity of medication, adjust the dosage or replace alternative drugs under the guidance of a doctor, and regularly monitor changes in blood routine.

The discovery of elevated white blood cells requires a comprehensive judgment based on clinical symptoms and other examinations. Mild elevation without discomfort can be rechecked 1-2 weeks later. If there are persistent abnormalities or accompanied by symptoms such as fever and fatigue, timely medical attention should be sought from the hematology department. Daily attention should be paid to recording changes in body temperature, avoiding intense exercise and trauma, maintaining a balanced diet, and appropriately increasing foods rich in vitamin B12 and folate such as animal liver and dark green vegetables, which can help regulate hematopoietic function. 24 hours before the re examination, it is necessary to fast from high-fat diet and ensure sufficient sleep to avoid detection errors.