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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Hemoglobin Levels?

Good day! My 29mo biracial daughter has problems staying asleep at night, along with some sensory processing & aggression issues. It was suggested we have a sleep study done, but before that happens, we needed to get her iron levels tested. My daughter s Iron, TIBC, Ferritin, etc. are within normal range, but her Hemoglobin, Hematocrit & MCV are below normal. Her pediatrician told me not to worry because her levels have been around the same range since she was a baby. - WBC Standard Range: 5.0 - 17.0 THOU/uL -- Her Value: 5.9 - RBC Standard Range: 3.9 - 5.3 MIL/uL -- Her Value: 4.7 - Hemoglobin Standard Range: 11.5 - 14.0 g/dL -- Her Value: 11.7 - Hematocrit Standard Range: 34 - 40 % -- Her Value: 35 - MCV Standard Range: 76 - 87 fL -- Her Value: 75 - RDW Standard Range: 11.7 - 14.4 % -- Her Value: 13.5 - Platelets Standard Range: 160 - 370 THOU/uL -- Her Value: 295 - Iron Standard Range: 34 - 165 ug/dL -- Her Value: 98 - TIBC Standard Range: 250 - 450 ug/dL -- Her Value: 338 - Transferrin Saturation Standard Range: 15 - 50 % -- Her Value: 29 - Ferritin Standard Range: 10 - 120 ng/mL -- Her Value: 16 No one on my side of the family has (had) anemia & I m not sure about her father s side. My daughter is an energetic, happy girl, who has a healthy diet. She rarely eats processed foods & we have her stay away from sweets as much as possible. Her diet consist of: - red meat once a week - chicken once a week - fish and/or seafood twice a week - dairy: cheese, yogurt & milk everyday - brown rice, pasta, eggs, vegetables, fruit, grains, beans, etc. - Cheerios, granola oatmeal for breakfast cereals I know that fruits & vegetables high in vitamin C help your blood absorb iron & my daughter eats those every day. So, when I got her test results back I was very confused ... and scared. I know she doesn t have lead poisoning, but will rule that one out with further blood work. Can you please shed some light on what could be/is happening? Thank you for your time & consideration. ~ Kathy
Tue, 20 Jan 2015
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General & Family Physician 's  Response
all values of blood are within normal range except three which are also at lower point(within -2 SD of 3 year age child blood value) of normal range. here seems nothing any pathological issues. aggression and sleeping problems can be changed by psychological treatment.
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What Causes Low Hemoglobin Levels?

all values of blood are within normal range except three which are also at lower point(within -2 SD of 3 year age child blood value) of normal range. here seems nothing any pathological issues. aggression and sleeping problems can be changed by psychological treatment.