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High RDW And Low RBC Count. Should I Be Concerned?

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Posted on Wed, 24 Apr 2013
Question: I have had consistently high rdw-cv and and rdw-sd with low red blood cell counts over the years dating back to 2008. Is this a concern?
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Answered by Dr. Robert Galamaga (3 hours later)
Hello and thank you for sending your question.

Your question is a good one and I will work on providing you with some information and recommendations.

You have a very slightly abnormal RDW Which has fluctuated right around the normal range in your previous blood tests. It does not look like you have any kind of anemia although I do not see any hemoglobin results on your blood tests.

Sometimes a very high RDW Can reflect some type of deficiency such as iron or vitamins. You have had your vitamin B12 level and Froehlich acid level checked and these look normal. You might request that your doctor check your iron level to see if that might explain some of the fluctuation on your blood tests.

Otherwise there is no need for concern at this time.

Thanks again for sending your question. Please let me know if you have any additional concerns.

Sincerely,

Dr. Galamaga
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Robert Galamaga

Oncologist

Practicing since :2002

Answered : 2635 Questions

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High RDW And Low RBC Count. Should I Be Concerned?

Hello and thank you for sending your question.

Your question is a good one and I will work on providing you with some information and recommendations.

You have a very slightly abnormal RDW Which has fluctuated right around the normal range in your previous blood tests. It does not look like you have any kind of anemia although I do not see any hemoglobin results on your blood tests.

Sometimes a very high RDW Can reflect some type of deficiency such as iron or vitamins. You have had your vitamin B12 level and Froehlich acid level checked and these look normal. You might request that your doctor check your iron level to see if that might explain some of the fluctuation on your blood tests.

Otherwise there is no need for concern at this time.

Thanks again for sending your question. Please let me know if you have any additional concerns.

Sincerely,

Dr. Galamaga