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Progressive RBC Morphology abnormality's. Iron 14 TIBC 458 UIBC 444

Answered by
Dr. Monish De


Practicing since :2004

Answered : 2079 Questions

Posted on Mon, 24 Dec 2018 in Blood Disorders
Question: Progressive RBC Morphology abnormality's.
Iron 14
TIBC 458
UIBC 444
Iron Sat 3
Serum Ferritin 7
Hgb 8.4
Hct 30.3
MCV 70
MCH 19.4
MCHC 27.7
Platelets 517
RDW 16.5
Creatinine 1.14
SOB on exertion
Severe peripheral Nueropathy
Intermittent Headaches
Chronic Progressive Bone Pain, inc Spine
Chronic Progressive Restless Leg Syndrome with intermittent leg cramping
Intermittent bloody diarrhea
Chronic Constipation
Answered by Dr. Monish De 1 hour later
Brief Answer:

Bone marrow biopsy test

Detailed Answer:


The most common symptoms of aplastic anaemia is shortness of breath with exertion, pale skin, frequent nosebleeds, bleeding gums, headache and rapid or irregular heart rate

I would advise you to go for a bone marrow biopsy test to come to exact diagnosis as your blood test indicate Hgb 8.4, serum ferritin 7, Iron sat 3, TIBC 458, Iron 14

Tn this procedure a doctor uses a needle to remove a small sample of bone marrow from a large bone in your body, such as your hipbone.

The bone marrow sample is examined under a microscope to rule out other blood related diseases.

In aplastic anemia, bone marrow contains fewer blood cells than normal.

If in bone marrow biopsy it is found as aplastic anaemia then i would advise you to go for stem cell transplant

Stem cell transplant helps to rebuild the bone marrow with stem cells from a donor

But you must have a matching donor most often a sibling for it.

If you are unable to go fore stem cell transplant then you have to go for blood transfusions

Transfusions of red blood cells raise red blood cell counts.

This helps relieve anemia and fatigue.


Above answer was peer-reviewed by : Dr. Yogesh D

The User accepted the expert's answer

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