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Hemogram interpretation - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   really high rdw on cbc test what does that mean

Doctor :   Hi
Doctor :  
Let me ask you few questions
Doctor :  
Hello are you with me?
User :   yes
Doctor :  
May I know the entire lab reports so that I can interpret better
User :   wbc 6.9
Doctor :   Fine

Doctor :  
RDW means the red cell distribution width...a high distribution means that there is a wide variation as to the size of the red blood cells.
User :   rbc 5.0, hgb 11.8, hct 36.5, mcv 73.6, mch 23.8, mchc 32, rdw 30.6, plt 386, mpv 7.79,
Doctor :   Ok
Doctor :  
FIne these
Doctor :  
are ok
Doctor :  
What is your problem
Doctor :  
There is slight anemia
Doctor :  
WHat is your age, gender
User :   isn't 30.6 too high for rdw
User :   40 female
Doctor :   RDW is high yes

Doctor :  
but it means that there are many immature forms of RBC which have just formed
Doctor :  
There are many resons for this
User :   should I be concerned?
Doctor :  
May I know your symptoms first to be able to say if it is worrisome or not?
Doctor :  
Why were the tests done?
User :   just for a routine check
Doctor :  
No need to worry then
Doctor :   but there seems to small size of the RBC

Doctor :  
which generally indicates a nutritional deficiency or blood loss
Doctor :  
So you need to approach a dietician for a better diet
User :   can heavy periods cause this?
Doctor :  
yes
Doctor :  
so more RBC needs to be formed with good amount of Hemoglobin
Doctor :  
which need Iron and Vitamin C
Doctor :  
Most do not realise the importance of the diet
User :   I have been taking 65 mg of ferrous sulfate iron for about 2 weeks and 500mg of vitamin c everyday
User :   I was taking this before the test
Doctor :  
Good but ofcourse your Doctor should have told you diet is better than medication
User :   I took an iron pill the day of the test would that effect the results
Doctor :  
Not really
Doctor :  
Would you like to take the help of a Dietician to plan for your Diet online?
Doctor :  
You may want to approach our online dietician here
Doctor :  
WWW.WWWW.WW Doctor :  
Hello are you with me?
User :   yes, I think you have answered my question, I was just concerned about that rdw result because it was twice as much as it should be
Doctor :  
yeah my answer is if there are many immature RBC just in the phase of formation
Doctor :  
then the RDW increases
Doctor :  
Why are so many immature RBC?
Doctor :  
This is because your body is asking Bone marrow to produce more RBC
Doctor :  
which are immature
Doctor :  
they become mature after few process
Doctor :  
liek addition of Iron, Folic acid and Vit C

Doctor :  
Thanks for consulting me
Doctor :  
Bye for now
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