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Had abortion, have high ESR and low MCH and MCHC. Cause?

Mar 2013
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Answered by
Practicing since : 1998
Answered : 4029 Questions
hi doctor, i had a abortion 2 months before now i am having esr count 34 mch 22 and mchc 25.during pregancy i had normal range of mch and mchc esr count 32.wat is the reason for this.
now drvv(test) 32.50 rubella igg 13.5 high cytomegalovirus igg 22.46 high others things are normal
Posted Wed, 16 Oct 2013 in Women's Health
Answered by Dr. Aarti Abraham 15 minutes later
Brief Answer:

Detailed Answer:
Thanks for writing to us with your health concern.
MCH and MCHC indicate your hemoglobin status.
Due to the abortion, you might have had fall in hemoglobin ( also known as anemia ).
More important than MCH and MCHC is your hemoglobin level.
If your hemoglobin level is normal, then please do not worry.
Please let me know your hemoglobin level.
You need to increase the storage quantity of iron in your body.
If you are a non vegetarian, then please increase your intake of red meat and liver.
Vegetarian sources are beetroot, palak, methi, carrots, pomegranate, nuts, grains.
You should take iron supplements ( capsules / syrup ) along with vitamin C 9 capsules or sources like lemon / kiwi / strawberries / amla ).
The Ig G indicates past infection and hence immunity to any infection.
So your reports are normal regarding rubella and cytomegalovirus.
It could also indicate past vaccination.
More important is Ig M, which indicates recent and active infection, if that is normal, do not worry.
After a missed abortion, most important investigation is to send the fetus for chromosomal analysis and biopsy.
Your blood groups ( husband and wife ), viral markers, blood sugars, thyroid hormone status should be done.
Antiphospholipid antibody syndrome should be ruled out by appropriate blood tests like APA, ACA, XXXXXXX bleeding profile, ApTT test etc.
Hormonal studies ( FSH, LH, estrogen, progesterone ) should be done to evaluate that cause .
A baseline transvaginal ultrasound scan should be done.
Please do upload the reports if done, else please get them done.
Please do not plan a pregnancy for the next 6 months atleast, and take regular folic acid supplements.
All the best.
Please feel free to discuss further.
Above answer was peer-reviewed by
Follow-up: Had abortion, have high ESR and low MCH and MCHC. Cause? 5 minutes later
regarding my esr count it is high wat is the reason
Answered by Dr. Aarti Abraham 2 hours later
Brief Answer:

Detailed Answer:
A high ESR means nothing in absence of any symptoms.
It is a non specific test, raised in a variety of conditions, like fever, allergy, inflammation anywhere in the body.
If you have no symptoms, a high ESR by itself means nothing.
Take care.
Above answer was peer-reviewed by
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