Question

I am presently 24 year old man and 20 days ago, I went to a doctor for some anxiety related issues. He took my weight and it was the same as 6 months ago. It had not changed. He asked me to get a cbc test done as a part of routine checkup. I got it done 3 days ago and got the reports. I saw something truly abnormal and unexpected which has shocked me. My rbc is 6.0, hemoglobin 13.70,platelets 1.95, hematocrit 41.7%, rdw is slightly high at 16.8%, low mcv, low mch and normal mchc values. What's scary is the abnormal wbc count 11.50, lymphocytes 47%, neutrophil 44%, eosinophil and monocyte, basophil normal. The serious cause of concern is the absolute lymphocyte which is 5.17.that's alarming. Plus there is no apparent reason for these abnormal wbc values. I do not have any visible cause like fever or viral infection to which I can attribute this outcome. For the past 3 days, I am having moderate continuous pain in the area near my right elbow. Just above right elbow on the backward side of the arm. I suspect it to be plans with lymph nodes at that region. The pain often goes up towards right and upper back of shoulder and neck. Do not know whether it is muscular pain or serious pblm with lymph nodes. I feel tired, dizzy and had been diagnosed with acute vitamin d deficit in october 2018. My appetite is gone and I do lack proper nutrition. I feel lethargic and am extremely panicked. For some time around 4 days, I am feeling internally feverish and having body aches. My body temp was at 99.2 2 days ago but came down and now is around 98 or 98.6.i am scared about whether this is lymphoma because my grandma died 2 years ago of leukemia. And I read that lymphoma causes pain in lymph nodes and abnormal lymphocytes. But, I do not observe any inflammation of right elbow area to the naked eye. The method in which the cbc was done is flowcytometry and microscopy and nothing was mentioned about abnormal lymphocytes. Could it be lymphoma? Before going to a specialist, I would beg for an advice here.

Dr.K V Anand · Accepted Answer

Dear user, nervousness or anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and continuous practice of the changed behavior cure anxiety. I suggest anxiety education, progressive counseling and progressive psychotherapy. I assure you complete cure.

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