I'm a 30 year indian male, a smoker (20 cig/day) and a drinker (3 pints of a mild lager maybe thrice a week).

I was diagnosed with mild alcoholic hepatitis in august 2001. I've had a condition of a high wbc count which has varied from 15,000 to 20,000 (per cmm) and a high blood ammonia count of upto 150 mcg/dl ever since.

The elevated blood ammonia level had doctors suspect cirrosis of the liver, which an ultra-sound, ct scan & nuclear scan proved negative. The blood ammonia levels are now under control and were caused due to a reaction to a food substance (tofu, soya products).

I have a continuously high wbc count like I mentioned with a differential count of neutro=77%, eosino=1%, baso=0%, lympho=20% and mono=2%.

Recently hospitalised with palpitations, my blood pressure averaged at 160 by 110, while resting and after blood pressure medication, and my heart rate at 130. I'd like to add that I am not under

any stress of any sort and that I donot have a family history of hypertension or heart disease.

A 2d echo, ecg, etc has negated a heart disease of any sort and my blood cholesterol, lipids, triglycerides, etc counts are well within normal limits.

The tests for everything from hiv, tubercolosis, kidney function, thyroid function, etc are clear with no indication of anything amiss.

What could be the possible cause of my high wbc count? Any suggestions would be greatly appreciated.

Thank you.