Some blood results - any people in the know?

[Lougle]

Thanks in advance if any of you are blood savvy.

So, DD1 has been ill constantly since September. She has amassed 54 days off school this academic year so far.

The most recent 'episodes' have been as follows:

Cold (2 weeks off)
back for 1 week looking poorly.
Following Monday, Tuesday, lethargic, looks poorly.
Wednesday bounds into school
Wednesday evening - school phone - she's been sick in the hydropool.
Thursday, Friday off (seems ok in herself, but 48 hr rule)
Saturday fine
Sunday - 2pm complains of sore eye, nothing to see. 4 pm red line on eyelid. Piriton given.

Monday morning - grossly swollen, taut red eye, glued shut. GP sends us to hospital for paed review. IV antibiotics. Inpatient but released on 'ambulatory leave'.

Over the weeks, I've been to the GP. She ran a set of bloods. They are as follows:

1.Anti-tissue transglutaminase level (ttg) = Patient has low IgA level so may not be reliable. We have tested IgG Endomysial antibodies to test for coeliac disease instead.

IgM 0.8 g/l
IgA 0.3 g/l (Low)
IgG 0.5 g/L

Basophils:
Count 0 10*9/L (0.0-0.1)
0%

Eosinophils
Count 0.1 10*9/L (0.1-0.2)
1%

Monocyte
Count 0.4 10*9/L (0.2-1.0)
6%

Lymphocyte
Count 2.4 109/L (6.0-9.0*)
39%

Neutrophil
Count 3.3 10*9/L (2.0-8.0)
54%

Mean Corpusc. Hb. Conc. (MCHC)= 32.5 g/dL

Mean Corpusc. Haemoglobin (MCH)= 25.1 pg

Mean Corpuscular volume (MCV)= 77 fL

Red Blood Cell (RBC) count = 5.38 10*9/L (High) (4.00-5.20)

Haematocrit = 0.42 (High)

Platelet count = 371 10*9/L (200-450)

Total White Cell Count = 6.2 10*9/L (5.0-15.0)

Haemoglobin estimation = 13.5g/dL

Plasma C-Reactive Protein

Just a guess, you would need to seek further medical advice if your worried, if bloods are fine, could it possibly be ME (chronic fatigue syndrome)?

It could be, I suppose, Reeny..I had it as a teen/early adult, and have never really recovered. But would ME give low lymphocytes, etc.?

Maybe not, but there can be many reasons for low lymphocytes. Sometimes a virus or bacteria infection can reduce them (but in most cases they are raised) and antibiotics can have an effect too.

Even though the doctor you seen wasn't concerned, if your still worried ask for a second opinion and see a different doctor.

How old is she?
It's quite common for some children to catch all sorts of bugs and infections especially if they go to play groups / nursery / school age, and catch a lot of them (as they may never have been exposed to them before)

2 weeks is a lot of time off from school for a cold?

DD1 is 6.6, and started preschool at 2.6, so has been exposed to lots of children & their bugs for 4 years.

2 Weeks is a long time for a cold. She was sent home on a Tuesday with a fever (38.8°c). A virus was doing the rounds. Her teacher suggested I keep her off for the rest of the week, because she doesn't tend to bounce back. The following Tuesday (There was a Bank Holiday), she was still needing naps and was just sitting watching TV. (DD1 goes to special school and is normally hyperactive, so sitting still for long periods indicates she doesn't feel well) She remained pale and exhausted for the rest of that week, returned to school the following week, but barely copied with the school day. So, in all, it took her 3 Weeks to get over the cold. By contrast, her sister had it, and had 2 days off school, but probably would have been fine to return after one day.

When she had Chicken pox this year, she was absolutely covered in spots, 40°c temperatures, hallucinations, delirium, much of the day in bed. She was really poorly for 2 weeks, and took at least two more to return to normal. But interestingly, she wasn't itchy at all. Her 2 year old sister had about 8-10 spots, was fine in herself, no temperature to speak of and itched like mad. Her 4 year old sister didn't even seem to catch Chicken Pox.

Those are the basic full blood count, perhaps it needs further investigation
Ds turned out to be severely deficient in vit d and is now a different child
I'm not sure it sounds the same but I would just go back and ask where you can go from here -(I'd ask for vit b12, ferritin, thyroid test also?) - it's worth pursuing
Does she take any meds that could cause deficiencies?

Those are the basic full blood count, perhaps it needs further investigation
Ds turned out to be severely deficient in vit d and is now a different child
I'm not sure it sounds the same but I would just go back and ask where you can go from here -(I'd ask for vit b12, ferritin, thyroid test also?) - it's worth pursuing
Does she take any meds that could cause deficiencies?

Thanks, she has had thyroid & ferritin done, but I wasn't given that print out. They are normal, though apparently.

No meds at present. Previously epilepsy meds and melatonin.

It took DD1 about 6 months to recover from Chicken pox. Very tired and catching everything in sight (with mild to high fever for almost nothing).
The body never really gets rid of the pox virus that why you can get shingles later on (reactivation of the latent virus).
So it might be just that.
Does she takes a kid multivitamin? It could help (it won't hurt)

If you are still concerned, you should get referred to someone else.