What does the following CBC report suggest?

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Posted on Wed, 10 Jun 2015 in Blood Disorders
Question: My CBC report says- anisopoikilocytosis with hypochromia, microcytes and no nucleated RBC's. Tear drop cells and schistocytes present with few elliptocyes.

Also ESR westergreen autometed is 35. MCH and MCHC values are less than the normal.

Please tell me what does this means? I am a female, 25 years old. Very worried.
doctor
Answered by Dr. Hardik Sanghvi 37 minutes later
Brief Answer:
It suggest iron deficiency anemia.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Anisopoikilocytosis, hypochromia, microcytic rbc, tear drop cells, low mch and mchc all features suggest hypochromic microcytic anemia due to iron deficiency.

You should check your serum iron level. If it low then you should take iron supplements like ferrous sulphate or ferrous fumarate.

You should take iron rich food like dates, green leafy vegetables, dry fruits, jeggary etc.

Consult your doctor and start treatment accordingly.

Hope I have answered your question, if you have doubt then I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Hardik Sanghvi 23 minutes later
Thank you for the reply doctor. I would also like to know about the high value of ESR, what does that indicate? Also, is this a serious condition indicating some other underlying problem? Do I need to get some other tests? or can this be easily taken care of, with iron supplements and a proper diet?
doctor
Answered by Dr. Hardik Sanghvi 26 minutes later
Brief Answer:
Your high esr is due to anemia.

Detailed Answer:
Hi, dear
I can understand your concern.
There are many causes of high esr like infection, anemia, tuberculosis, autoimmune disease, paraprotienemia, malignancies etc.

But your esr is only slightly high and most probably it is due to anemia. So you should not worry about that. Just be relaxed. Just take treatment of your anemia. Repeat your hemoglobin and esr after 6 to 8 weeks. No any extra treatment is required for esr.

Hope I have answered your question, if you have doubt then I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7039 Questions

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