instruction: hello doctor first of all I feel just fine I have no issues with infections cold and cannot recall the last time when I was sick I do have allergy induced asthma and I take advair and flunisolide I had a abc recently and all values were normal except for abc which is 9 my pop ordered a repeat abc with the differential count this time my abc is 2 absolute neutrophils 54 reference 8 absolute lymphocytes 05 reference 2 2 eosinophil 10 reference 3 monocytes 4 reference 8 my nrbc were immature neutrophils and absolute neutrophils low end of normal for the past eight years my abc were fine but 10 years ago they were 9 and 5 your advice is appreciated
output: hello welcome to the icliniq com I can understand your concern absolute neutrophil count is slightly low as per the provided report temporary associated viral infection along with allergic inflammation can lead to low neutrophil count here main concern is high eosinophil count normally if allergic inflammation is under control then eosinophil count is not high you are taking steroid nasal spray and salmeterol plus steroid combination inhaler but as eosinophils are high you can be prescribed montelukast plus fexofenedine combination drug as an antiallergic medication for seven to ten days asthma confirmation and severity can be assessed by spirometry investigation you can investigate with allergy testing to know the allergen that leads provocation of an asthma attack repeat abc after one week of taking antiallergic medication consult a pulmonologist for examination and spirometry and discuss my answer with him I hope this helps