<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello SirMadam, My dad 58 yrs has high TLC 12600 High Neutrophils 79. He is diabetic under control, has cholesterol under control, is obese. He had edema in his legs for which he was put on Torsemide 10mg from 18th May 2014. But, his Serum Creatnine S. Urea are high 1.43 46.4 respectively. He was put on Levofloxacin-Azithromycin too 5 days but that didn t reduce the TLC. What could be wrong?  <response>: Reclothe TLC is 12600 CMM normal 4000-10000 or 11000 CMM, while neutrophils count is 7940-75.However, these both reading are slightly elevated but not alarming and also non-specific. Even in elderly, diabetic patient mild infection may elevate up to this level, so specially no treatment require for this. However, periodical check up of these two reading are important in every 3 months, if further increase then consult a physician. Now about serum creatinine and blood urea level, although both levels are normal but upper limit. Your father is taking horsehide horsehide and the side effects of horsehide are :electrolytes disturbance, confusion state, loss of appetite, INCREASED SERUM URIC ACID, GLUCOSE, UREA CREATININE, LIPIDS. Also increases Lots. So for serum creatinine and urea level need not worry. Once you stop the horsehide, as long as no medical concern, these levels will come down. Hope this will help you. 