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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What do my blood test results indicate?

Answered by
Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 7754 Questions

Posted on Fri, 16 Sep 2016 in Blood Disorders
Question: Yes - thanks - I would love a hematologist's advice. I have Thalassemia trait - (minor) and my father had it, brother has it and i have it. My Hemaglobin, hematocrit, MCV MCH and platelets are all lower than normal. I assume this means my red blood cells are shaped funny or tinier or dont hold hemaglobin so well and/ or cells don't carry oxygen so well. I mostly feel fine - sometimes a little tired.
Should i take an iron supplement every day? Or will this do nothing or even be inadvisable. I'm confused weather i have too many red blood cells - too few - iron deficiency or not.
Answered by Dr. Shailja Puri 7 hours later
Brief Answer:
No iron supplementation is required in routine.

Detailed Answer:
Thanks for posting your query on HealthcareMagic.

Thalassemia is trait is characterised by low hemoglobin, low hematocrit, low MCV, low MCH and low MCHC.
Thalassemia trait does not require any treatment usually.
However, in periods of stress like surgery, disease , pregnancy in females, there may be iron deficiency.
During this period iron supplementation or even blood transfusion may be required.
People with thallasemia trait lead a near normal life.
You need to keep in mind that your partner does not suffer form thallasemia trait or disease since it can cause thallasemia major in your child.
Sxcreening test - hemoglobin electrophoresis will be required in your partner for screening any hemoglobinopathy.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Nagamani Ng
Follow up: Dr. Shailja Puri 7 hours later
Dr. Puri
Thank you so much.
May i ask about oxegennation? I am in NYC but sometimes at higher altitude, as when i visit XXXXXXX - i feel out of breath. I think because of my low hemaglobin this makes sense. Is there anything i can do about this? Does exercise increase oxegenation in red blood cells in Thalassemia minor and with more exercise in my daily routine in NYC can aerobic exercise on a regular basis improve this?
Answered by Dr. Shailja Puri 1 hour later
Brief Answer:
Breathing difficulty is due to low partial pressure of O2.

Detailed Answer:
Hello and welcome again,

Difficulty in breathing at higher altitude is common in normal healthy individuals due to low partial pressure of oxygen (O2).

Acclimatization is required for few days to get used to low partial pressure of oxygen.
Regular aerobic exercises increase the stamina and improve the cardiovascular health of an individual.

Aerobic exercises help to improve blood supply to all tissues and organs.
Thus, you take up aerobic exercises under guidance of a trainer.

Thanks and take care
Dr Shailja Puri
Above answer was peer-reviewed by : Dr. Arnab Banerjee

The User accepted the expert's answer

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