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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have had Blood test done. What does report indicate?

Answered by
Dr. Rakesh Karanwal

Internal Medicine Specialist

Practicing since :1980

Answered : 1357 Questions

Posted on Thu, 5 Dec 2013 in Blood Disorders
Question: Hi..just now I have checked the Blood of My Mother. Test which is carried is : HBA, Hemogram-6 Part (Diff), ABG which has remark as- "Alert!! RBCs: Moderate anisocytosis mild poikilocytosis. Predominantly microcytic hypochromic cells with ovalocytes and elliptocytes. I have alsos attached various test reports for perusal What does this mean? and what is remedy for that? What care we should take hence forth?
Answered by Dr. Rakesh Karanwal 42 minutes later
Brief Answer: reports suggest iron-deficiency anemia + ?diabetes Detailed Answer: Hi Mr. XXXXXXX Thanks for your query. I have gone through your mother’s investigation reports thoroughly. The reports indicate the following :- # Your mother has moderately severe degree of anemia, due to iron deficiency. # HbA1c report is on the higher side, suggestive of either Latent (undiagnosed) or an early diabetes. I would therefore recommend the following course of action :- • If she does not have significant symptoms (such as, easy fatigability; breathlessness, heaviness in chest or left sided chest pain on exertion; kidney problems, her blood levels will come up to desirable range within 6-8 months with continuous oral supplementation of iron, Folic acid 5mg and Vitamin B12 (1500mcg). • If she has the above-mentioned problems, then the best option would be to give her injectable iron • Since worms in the intestine are one of the commonest causes of anemia in India, please give her monthly deworming course (Albendazole 400mg once a day for 3 days every month). • Please get her blood sugar (Fasting and 2 hours after breakfast) to rule out/confirm early diabetes. If the report is within normal limits; get Oral Glucose Tolerance Test (OGTT) with 75gm of glucose. There is nothing to worry. Your mother will show improvement over next 6 months. Consult your doctor and apprise him of my opinion. I am certain that he agrees with my opinion and clinical acumen; and, prescribe suitable treatment as advised. Hope I have addressed to your concerns to your complete satisfaction and that you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Dr. Rakesh Karanwal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Rakesh Karanwal 23 hours later
Thanks a lot doctor... Pls suggest oral supplement iron tablets..
Answered by Dr. Rakesh Karanwal 4 hours later
Brief Answer: One capsule of Fefol daily will suffice Detailed Answer: Nice hearing back from you, Mr. XXXXXXX The Policy of this website strictly prohibits naming any Branded products. However, you can give her Cap Fefol one capsule daily AFTER BREAKFAST. I will he happy to address to further queries, if any. Dr. Rakesh Karanwal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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