[31F] With high WBC, platelets, constant nausea, and migraines

Patient Description

A 31-year-old female presents with elevated white blood cell count and platelets, alongside persistent tiredness, constant nausea, and sharp, constant migraines affecting the whole head, rated 9 out of 10 in severity. The nausea has been ongoing for over six months and worsens with acidic foods, with nausea medications providing limited relief. The patient reports recent weight gain and decreased appetite, alongside upper abdominal pain from the bellybutton to the lower rib cage. A fever occurred about a week ago. Family history includes breast, lung, and brain cancer, and heart attacks. The patient had pneumonia recently but is unsure of the medications used. Medical history includes endometriosis (diagnosed in 2024) and IBS (diagnosed in 2018). Allergies include Tylenol 3 and contrast. Current medications are Adderall 30mg daily, Tramadol 50mg four times daily, Baclofen, Propranolol, Abilify (lowest dose), Prozac 60mg daily, and Xanax 0.25mg twice daily, along with B12 supplements. These have been taken for over a year.

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Arora's Assessment

What might be happening

Your symptoms could be related to several conditions:

  1. High White Blood Cell (WBC) and Platelet Counts:

    • These can indicate an infection, inflammation, or a more serious condition like a blood disorder. Since you recently had pneumonia, your body might still be responding to that infection.
    • Further testing, such as blood tests or imaging, might be needed to determine the exact cause.
  2. Constant Nausea and Tiredness:

    • These symptoms can be related to gastrointestinal issues like IBS or side effects from medications.
    • Hormonal imbalances or chronic conditions like endometriosis could also contribute.
  3. Migraines:

    • Migraines can be triggered by stress, certain foods, or changes in your routine. They might also be related to your other symptoms or medications.

What you can do

High WBC and Platelets:

  • Follow up with your healthcare provider for further evaluation and testing.
  • Keep track of any new symptoms or changes in your condition.

Nausea and Tiredness:

  • Try eating smaller, bland meals and avoid acidic foods.
  • Stay hydrated and rest as needed.
  • Consider discussing your medications with your doctor to see if adjustments are needed.

Migraines:

  • Maintain a regular sleep schedule and manage stress.
  • Avoid known migraine triggers and consider keeping a headache diary to identify patterns.

General Health:

  • Use MDandMe to journal your symptoms and track progress. This can help provide insights and share information with your healthcare provider.

What you should look out for

  • Seek medical attention if you experience severe abdominal pain, unexplained weight loss, or any new or worsening symptoms.
  • Be aware of any signs of infection, such as fever or chills, and report these to your doctor.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask


What could cause elevated white blood cell and platelet counts?

Elevated white blood cell and platelet counts can be caused by infections, inflammation, or more serious conditions like blood disorders. Since you recently had pneumonia, your body might still be responding to that infection. Further testing may be needed to determine the exact cause.


How can I manage persistent nausea and tiredness?

To manage persistent nausea and tiredness, try eating smaller, bland meals and avoid acidic foods. Stay hydrated, rest as needed, and consider discussing your medications with your doctor to see if adjustments are needed.


What are common triggers for migraines and how can they be managed?

Common triggers for migraines include stress, certain foods, and changes in routine. Managing stress, maintaining a regular sleep schedule, and avoiding known triggers can help. Keeping a headache diary may also help identify patterns.


When should I seek medical attention for my symptoms?

Seek medical attention if you experience severe abdominal pain, unexplained weight loss, or any new or worsening symptoms. Also, be aware of signs of infection, such as fever or chills, and report these to your doctor.


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