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What Does My CBC Report Suggest?

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Posted on Mon, 6 Oct 2014
Question: hello i recently got a cbc done as per request of my mental health doc who then recommended to go see a primary, which i dont have. my scores are as follows,hemo 8.4, hema- 30.7, mcv 69, mchc-27.5, rdw 18.3. those were the only abnormal scores. so is it serious or should i just keep taking the iron pills i started on?
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Needs further investigation to determine cause.

Detailed Answer:
Hello and Welcome

I appreciate your concern.


The Hemoglobin is quite low ( 8.4) , the normal being atleast 12 g/dl. the Hematocrit is also low.
You have a microcytic anemia.
you may send the MCH value to determine if its hypochromic, normo or hyper chromic

The next step must be to determine if its a production problem or a destruction issue of the RBC . Please get a Reticulocyte count/Corrected reticulocyte index done to determine that.

Iron and Iron Binding Capacity ,Ferritin should be done. There is no point in taking Iron pills without determining if a deficiency exists or not. Peripheral smear to see for fragmented cells should also be done in addition.


Blood loss should also be looked for eg Abnormal heavy bleeding or excessive blood loss in menses, Gastrointestinal Blood loss, a stool for occult blood must be done ,too.

So, to answer your question , the problem is serious and you need workup for your anemia.

Let me know if you have any query

wishing you best of health.

Thanks
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Dr. Muhammad Sareer Khalil (8 minutes later)
mch is 19.0
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (52 minutes later)
Brief Answer:
its hypochromic

Detailed Answer:
hello again

the anemia is microcytic and hypochromic,
the causes include Iron deficiency, Chronic disease,Thalassemia , Sideroblastic anemia , Lead toxicity.

Get the Reticulocyte count and Peripheral smear done in consultation with your doctor

If the Peripheral smear is normal then Iron studies should be done,
If the Peripheral smear is abnormal then the workup will be based on smear characteristics and a bone marrow biopsy may be needed

Hope I have answered your query.
If you have any further questions I
will be happy to help If you do not have
any clarifications, you can close the
discussion and rate the answer

Wish you good health.
Thanks
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. Raju A.T
doctor
Answered by
Dr.
Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What Does My CBC Report Suggest?

Brief Answer: Needs further investigation to determine cause. Detailed Answer: Hello and Welcome I appreciate your concern. The Hemoglobin is quite low ( 8.4) , the normal being atleast 12 g/dl. the Hematocrit is also low. You have a microcytic anemia. you may send the MCH value to determine if its hypochromic, normo or hyper chromic The next step must be to determine if its a production problem or a destruction issue of the RBC . Please get a Reticulocyte count/Corrected reticulocyte index done to determine that. Iron and Iron Binding Capacity ,Ferritin should be done. There is no point in taking Iron pills without determining if a deficiency exists or not. Peripheral smear to see for fragmented cells should also be done in addition. Blood loss should also be looked for eg Abnormal heavy bleeding or excessive blood loss in menses, Gastrointestinal Blood loss, a stool for occult blood must be done ,too. So, to answer your question , the problem is serious and you need workup for your anemia. Let me know if you have any query wishing you best of health. Thanks