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What could be causing my mother's high WBC count, abdominal pain, and fever in the hospital?
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Infectious Illnesses
Question #30157
19 hours ago
14

What could be causing my mother's high WBC count, abdominal pain, and fever in the hospital? - #30157

Client_76cd8d

My mother (57/60 yrs female) is currently admitted in FH Medical College due to fever, weakness, dizziness, abdominal/flank/back pain and very high WBC count. Latest CBC shows TLC 50,950 with Neutrophils 82.9% and Absolute Neutrophil Count 42,240. Hemoglobin is 10.0, ESR 35 and platelets were previously around 9.7 lakh. Patient has intermittent fever around 100°F, stomach pain on touch, weakness and occasional breathing discomfort. Ultrasound whole abdomen showed Grade 1 fatty liver, multiple tiny right renal concretions and 3.1 mm left renal calculus without hydronephrosis. Urine routine shows pus cells 30–40/hpf, protein ++ and RBC 3–4/hpf. KFT is normal (Creatinine 0.66), LFT mostly normal and sugar levels increased during illness (235–300+ on glucometer). Doctors have started antibiotics and other supportive treatment, but they are also discussing possibility of leukemoid reaction vs leukemia because of very high TLC/neutrophils. PBS and CRP reports are awaited. Please guide what this picture most likely suggests according to these reports and symptoms.

How long has your mother been experiencing these symptoms?:

- Less than 1 week

Has she had any recent infections or illnesses prior to this hospitalization?:

- No, this is the first illness

How would you describe the abdominal pain?:

- Sharp and severe

Has she experienced any changes in her appetite or weight?:

- No changes

Has she had any issues with urination, such as pain or frequency?:

- No, urination is normal

Has she had any recent changes in her blood sugar levels?:

- Yes, slightly higher

Is she currently taking any medications or treatments for other conditions?:

- No, not currently

Has there been any family history of blood disorders or cancers?:

- No known history
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
31 minutes ago
5

Hello dear See as per clinical history it seems Severe infection with leukaemia reaction not leukaemia Differential diagnosis includes Sepsis Bone marrow dysorder Iam suggesting some tests for confirmation Please share the result with concerned physician only for better clarity and for safety please donot take any medication without consulting the concerned physician CBC Esr LDH Rft Urine analysis Lft PBS Bcr-abl test Hemogram Serum tsh Serum ferritin Hopefully you recover soon Regards

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