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Low hemoglobin levels, tests to detect iron deficiency - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2572 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   hi doc. are you a haematologist
Doctor :   I am Dr.XXX here
Doctor :   I am a General Practitioner
User :   i was trying to get a haematologist.
Doctor :   I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   to help interpret my wife's results.
Doctor :   Ok
User :   she has has haemoglobin of 88, rcc 5.4, wcc 3.9. we want to know what can be causes this.
User :   her haemoglobing has dropped from 100 to 88 in last two year
Doctor :   Ok
Doctor :   Could you mention the units as well?
User :   haem is g/L
Doctor :   Ok
User :   rcc is x10 1`2/L
User :   wcc is x10'9/L
Doctor :   Ok
Doctor :   Rcc is red blood cell
Doctor :   if I am not wrong
User :   yes
Doctor :   Fine
User :   wcc is white cell cuont
Doctor :   Got it
User :   a long time ago another doctor stated that it is consistent with beta thalassemia
User :   trait
Doctor :   Rcc is fine
Doctor :   wcc is a bit less
User :   i am most concerned about the haemoglobin.
User :   the range for a woman is 119-160.
Doctor :   correct
Doctor :   but in beta thalassemia
Doctor :   the blood count shall be less
Doctor :   RCC
User :   she has dropped from 100 to 88... doctor said surprise she doesnt need a blood transfustion
User :   yes, i read that online... but i couldnt find any reasons why haemo would be low and the rcc would be perfect.
Doctor :   Minimum of 100 is fine
User :   r there any diseases taht cause low haemo but no impact on RCC
Doctor :   Iron defeciency
Doctor :   is one cause
User :   her rcc has actually increased from 5.1 to 5.4 while the the haemo decreased
Doctor :   Ok
Doctor :   that is because there is increased production
User :   i am aware of iron deficiency, but looking for any conditions a bit more sinister. this is why i wanted a specialist
Doctor :   as a compensatory mechanism
Doctor :   Have you got other parameters like MCV, MCH, MCHC tested?
User :   yes,
Doctor :   Along with Iron levels
Doctor :   Are they within the normal range
User :   mcv 57 fL
User :   mch 16.4 pg
User :   mchc 288 g/l
Doctor :   Ok
User :   no all asterik.
Doctor :   All the above parameters are below normal range
User :   which means out of range.
Doctor :   Yes
Doctor :   below recommended levels
User :   yes, so what are your thoguhts.
Doctor :   It is favorable towards an Iron defeciency Anemai
Doctor :   Can I get her Iron values?
Doctor :   like Serum Iron, Transferrin saturation?
User :   i dont see them
Doctor :   Ok
Doctor :   It is advisable to get that done
Doctor :   What has she been put on as of now?
User :   what will this tell me
Doctor :   The tests shall indicate her iron levels
Doctor :   and the percentage of them bound in the blood
Doctor :   which is very determinate to confirm iron defeciency
Doctor :   Has she been provided with supplements now?
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