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Relative lymphocytosis & tired w/severe joint pain

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April 3rd, 2007
Dear Doctor,

i have been suffering from upper abdominal pain, headaches, constipation, and fatigue, i am not feeling well and my concentration is decreasing, i suffer from headaches that come and goes.
i have been doing CBC each year or less and each time i have relative lymphocytosis but the last CBC also Showed slight left shift (bands 7%) and my ESR is high abdominal scan was normal but i didn't have a check on colon or stomach yet.
can u please advice me with any further tests. i also sleep alot but i wake up tired and with severe joint pains.
please reply back as soon as possible. i cant perform well at work.

Thank you


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replied April 20th, 2007
Blood Disorders Answer A2577
Taken together, all these symptoms (fatigue, abdominal pain, nausea, headaches, joint pains, sleepiness, tiredness, constipation, decreased concentration…) sound like depression. Relative lymphocytosis has no significance if the other tests are normal (sedimentation, absolute number of lymphocytes etc.). From the tests that remains, you can request a gastroscopy (for stomach examination), colonoscopy (for colon examination) and an X-ray image of the joint that is the most painful. If these remaining tests are also ok, you can consult with a mental health professional.
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