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Eosinophilia on Cbc since 2 months
Since November end on Cbc , Absolute eosinophil count is 1367 and in January end it is 1416, My dad got pneumonia in November end and was treated for the same with Faropenam for 7 days and Clarithromycin for 5 days orally . He has recovered well. But 15 days after the treatment , he developed burning sensation in mouth and stiffness, we watched for a few days for it to subside but when it didnt we showed an ent and he diagnosed it as oral lichen planus , and gave steroid cream, which reduced his symptoms a lot. Now in January mid he started having digestive issues, he had bloating and nausea and incomplete evacuation on again off again,no diarrhoea, especially after having fermented foods like idli dosa , not with curd though. Now in January end I got cbc done and it still shows aec of 1416.
How do I proceed?
Answers (13)
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Do the following,
1. Blood tests: Blood film, Immunoglobulins, ANA, ANCA, IgA-Aspergillus, HIV, LFT, KFT, Calcium
2. CT thorax abdomen and pelvis (Q1-any cavitating lung lesion Q2- any increase in size of lymph nodes spleen and liver)
All the best.
J G S R clinic
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You need to evaluate properly first, please consult me on practo for further management and evaluation.
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Tab Hetrazan100 three times after food for 3 weeks.
Montek lc one at night.
Better to consult superspecialist like dermatologist/ homeopathy.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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1️⃣ Confirm it’s persistent
• Repeat CBC with differential (2 readings ≥1–2 weeks apart)
• Look at trend (rising? stable?)
⸻
2️⃣ Common causes to rule out first (MOST IMPORTANT)
A. Parasitic infection (very common in India)
Even without GI symptoms.
• Stool routine & microscopy ×3
• Strongyloides IgG (if available)
• Empirical deworming is reasonable
Treatment (empiric, if no contraindication):
• Albendazole 400 mg once daily × 3 days
• OR single dose, repeat after 2 weeks
• If Strongyloides suspected → Ivermectin 200 µg/kg/day × 1–2 days
⸻
B. Drug-induced eosinophilia
Review last 2–8 weeks:
• Antibiotics (penicillins, cephalosporins)
• NSAIDs
• Antiepileptics
• Herbal / Ayurvedic meds
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Some additional tests are needed.
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Based on ur Symptoms and History, it is looking like a autoimmune Disorder kindly consult a Endocrinologist if u need more..
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An absolute eosinophil count around 1300–1400 is a mild to moderate eosinophilia and is most commonly seen with allergies, parasitic infections, or post-infection inflammatory reactions. It is not usually dangerous by itself, but since it has persisted, it should be evaluated systematically.
Your digestive symptoms may or may not be directly related. I would suggest the following next steps:
• Stool examination (routine and for parasites)• Serum IgE levels• Repeat CBC after 3–4 weeks• Review for any allergy history (food, dust, medications)
For now, maintain a simple, non-irritating diet, avoid fermented/spicy foods if they worsen symptoms, and stay well hydrated. A short course of probiotics can help with bloating and gut discomfort.
Next Steps
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Dr. Rohit Bakshi
General Physician
11 yrs exp
Jammu
It seems he has landed with irritable bowel now and is very much common with fermented foods and dairy. Though fermented foods are trigger for your case.
Avoid them and give him probiotics like Yakult and coconut water.
If symptoms persist you please consult doctor, a single tab for 3 days and all gone.
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Esinophila shows there are chances of mild irritable bowel
Health Tips
Consult if symptoms persist
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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