A low white blood cell count usually means your body is not making enough white blood cells. It can increase your risk of getting infections.
How you get a low white blood cell count
Common causes of a low white blood cell count include:
- cancer treatment, like radiotherapy and chemotherapy
- antipsychotic medicines
- medicine for an overactive thyroid
- some cancers, like leukaemia
- infections such as HIV or hepatitis
- autoimmune conditions like rheumatoid arthritis
Agranulocytosis and neutropenia are conditions that cause a low white blood cell count.
Check if you have a low white blood cell count
A low white blood cell count does not always cause any symptoms.
The main symptom is getting frequent infections. Signs of an infection may include:
- a high temperature
- chills and shivering
- sore throat
- mouth sores that keep coming back
- toothache
- skin rashes
- tiredness
- flu-like symptoms
A blood test can tell you if your white blood cell count is low.
Treatment for a low white blood cell count
Treatment for a low white blood cell count depends on what's causing it. Treatment often includes antibiotics.
If it's caused by a medicine or other treatment you're having, you may need to stop the treatment or change your dose.
You may also need specific treatment:
- to boost your white blood cells
- if you've got an infection
Occasionally, infections can lead to a life-threatening condition called sepsis.
Non-urgent advice: See a GP if:
- you know you're at risk of a low white blood cell count and you get an infection
- you keep getting infections
Things you can do to avoid infections
If you have a low white blood cell count caused by illness, cancer treatment or medicine, it's important to take steps to avoid infections.
Do
-
avoid close contact with people who are sick
-
store and prepare food properly to avoid food poisoning
-
wash your hands with soap and warm water regularly
-
use an electric shaver instead of a razor
-
avoid shared hot tubs
Don’t
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do not share food, cups, utensils, toothbrushes or make-up
-
do not eat raw foods like meat, shellfish and eggs
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do not change cat litter or handle animal poo
-
do not change nappies
-
do not walk outside barefoot
-
do not swim in ponds, lakes and rivers
Page last reviewed: 28 July 2023
Next review due: 28 July 2026