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Suggest Treatment For Mild Abdominal Bloating And Pain

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Posted on Mon, 22 May 2017
Question: Hi I had a blood test which signified target cells 1+ and acantocytosis1+I am healthy and never had this show up on auto differential before. Not sure if manual diff done in past. Last test about 3 was before pretty close to normal (auto diff). What would cause these to appear? I was getting over a virus when I took the test.


Is sickle cell, thelessemia (sp?), liver, or spleen problems a concern. Had some mild bloating and pain 2 times in last 10 years on right side of abdomen. They couldn't find anything except a few hemigiomas on ultrasound.
doctor
Answered by Dr. Geeta Sundar (3 hours later)
Brief Answer:
Sometimes after a viral infection there can be changes in blood picture

Detailed Answer:
Hi welcome to Health care magic,
Sometimes after a viral infection there can be changes in blood picture temporarily.These usually come to normal in a fortnight.
It does not seem like sickle cell/thallasemia/liver or spleen problem.
I would want you to repeat your blood counts every week. If there is progressive negative trend then a bone marrow test should be done to rule out bone marrow suppression.
If it improves---continue testing till it returns to normal
Also take folic acid 5 mg a day for a couple of months.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Geeta Sundar (3 hours later)
What does 1+ mean when applied to blood morphology? Thanks for the answer.
doctor
Answered by Dr. Geeta Sundar (1 hour later)
Brief Answer:
Hi it means mild.

Detailed Answer:
Hi it means mild.
regards
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Geeta Sundar (2 days later)
They said I have hemoglobin C abnormalities. I saw this accounts for target cells but how about ANISOCYTOSIS?
doctor
Answered by Dr. Geeta Sundar (30 minutes later)
Brief Answer:
Anicocytosis means there are cells of different sizes.

Detailed Answer:
Hi Anicocytosis means there are cells of different sizes. This happens when the bone marrow has to work fast to compensate loss of cells as happens after any illness. In an effort to produce large volumes, it makes some mistakes. These changes are normally temporary. But if they persist, it means there is a more serious problem that needs investigation with bone-marrow biopsy.
regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Geeta Sundar (1 hour later)
Is anicocytosis related to Hemoglobin C issues?
doctor
Answered by Dr. Geeta Sundar (3 hours later)
Brief Answer:
microsperocytes, and target cells are described but not anisocytosis

Detailed Answer:
Hi microsperocytes, and target cells are described but not anisocytosis in Haemoglobin-C.

Regards


Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Geeta Sundar (2 hours later)
Thanks-another result just came in:

HGB A2 QUANT 4.1 % 2.0 - 3.3 %
HGB F QUANT 0.4 % 0.0 - 0.9 %
HGB A 61.3 % 95.8 - 98.0 %
VARIANT, M2383 34.2 = Hb C % No abnormal variants %
INTERPRETATION, HGBINT SEE COMMENTS
Reviewed by Phuong L. Nguyen, M.D.

Hb A and Hb C are present. If recent transfusion is
excluded, this is consistent with Hb C trait. Hb C levels
in isolated Hb C trait typically range from 30-45%. If the
variant percentage is low, an accompanying alpha
thalassemia mutation or iron deficiency might be
considered. Hemoglobin C trait is a harmless condition
that causes considerable target cell formation and slight
microcytosis, but neither anemia nor splenomegaly.
Classification of hemoglobin disorders by electrophoretic
methods is precluded by recent transfusion (less than 4
months).


I haven't been able to find an answer for people with low A but C hb present. Any ideas on this?
doctor
Answered by Dr. Geeta Sundar (5 hours later)
Brief Answer:
you have Hb C trait only which is quite harmless.

Detailed Answer:
Hi

from Dr Nguyen's report I can deduce that you have Hb C trait only which is quite harmless. It does not lead to thallasemia, enlarged spleen or anemia.
Your blood picture may show some microcytes or target cells.
A few random anisocytes do not matter.
I think you should not worry.
You can repeat peripheral smear after a fortnight to see whether the anisocytosis has cleared.

Regards
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. Vaishalee Punj
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Answered by
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Dr. Geeta Sundar

Internal Medicine Specialist

Practicing since :1975

Answered : 1329 Questions

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Suggest Treatment For Mild Abdominal Bloating And Pain

Brief Answer: Sometimes after a viral infection there can be changes in blood picture Detailed Answer: Hi welcome to Health care magic, Sometimes after a viral infection there can be changes in blood picture temporarily.These usually come to normal in a fortnight. It does not seem like sickle cell/thallasemia/liver or spleen problem. I would want you to repeat your blood counts every week. If there is progressive negative trend then a bone marrow test should be done to rule out bone marrow suppression. If it improves---continue testing till it returns to normal Also take folic acid 5 mg a day for a couple of months. Regards