Hello All I was given a 6 week radiation treatment after my BCR at rt iliac lymph node.
Since then my wbc count has been decreasing. Initially i was told that its a temp.effect of the radiation and will be normal after a month or so.
But now its been a year since the radiation, and my last wbc done in end of september 24, is at 3400 below the range which in my country is 4000.
Did anyone have a similar effect and have they recovered? Does it point to something worrisome?
Why is it not increasing and coming back to normal? In terms of my other values in my CBC report, my Hb varies from 12.5 to 13.5, and platelet count is healthy.
The low wbc is due to low neutrophils which are 1700 et now.
Any inputs are welcome.
Hello Warrior68 .
There are many reasons why you can have low neutrophils so the easiest is to give you a link.
https://www.webmd.com/cancer/white-blood-cell-count-low
A question is whether you have started to take the steroids as this can affect the whites. Changes to any medication. Have you got a chronic (long term) infection of any kind. Are your B12 levels ok. Are you getting enough protein in your diet. Vaccinations.
There is an injection to boost the white bloods if the doctors think it is necessary.
At the moment just take extra precautions to avoid infections like hand washing and keeping away from people with bugs.
The best thing of course is to discuss this with your consultant as I don’t want to say anything that could reassure you, when there could be a problem and you don’t follow it up. But saying that my partners white blood cells were down after RT for some time, his bilirubin was way off and several other readings bounced about for a while. At the time we discussed it with his consultant and he reassured us that it was quite normal after this amount of RT . He had his RT June 2023 and the first time he had a blood test and liver function test that was totally in the [normal] zone was about 4 months ago, so it took roughly a year to completely settle. Also coincidentally he reached his Nadir ( lowest point PSA) at the same time. Which I guess makes sense in a way.
hope that helps in some way, but definitely have that discussion at your next meeting.
Best wishes L
Hi Warrior68
I've had 8 weeks of RT totalling 74gy to the pelvis (prostate and lymph nodes) 6 months ago , my total white cell count is good (latest was 6 when norm is 4-10), but lymphocytes are very low (0.35 when normal range is 1-3).
I found a reference to this possibly remaining for a long term both on a PCRI video and research
https://youtu.be/i8Hsog9gBJI?si=vKpPq7rZtG0kPA1u&t=1029
Hope this helps
G
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