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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does My Lab Test Result Indicate Anaemia?

Hi, I am wondering if my anemia could be caused by drinking a few times a week over the years. My B12, iron and WBCs are normal. Here are the abnormal results: MCV 119.1fl MCH 35.6pg MCHC 29.9g/dl Red cell 17.3% RBC 2.47ul Hematocrit 29.4% Hemoglobin 8.8g/dl Iron 192 Mcgillicutty % saturation 51% My internist wants me to follow up with a hematologist and get a colonoscopy.
Tue, 29 Mar 2016
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Dietitian & Nutritionist,  's  Response
Hello and Welcome to HCM!
You asked if your anemia could be caused by drinking a few times a week. It is possible that could have irritated your stomach enough to cause a bleeding gastric ulcer. Your doctor did the appropriate thing and reffered you to both a hematologist and for a colonoscopy.

Your blood work indicates a possible bleed, but from where that is the question. All your labs point to that. You have a low MCHC, Red Cell Count, Low Saturation, High MCV yet normal B12 with a low Hemoglobin and high iron. Granted, folate wasn't tested, but the pattern is indicatative of a bleed.

Trust in the process. All will get well. Please consider counseling to discontinue the alcohol. All my best. Kathryn Shattler, MS,RDN
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Does My Lab Test Result Indicate Anaemia?

Hello and Welcome to HCM! You asked if your anemia could be caused by drinking a few times a week. It is possible that could have irritated your stomach enough to cause a bleeding gastric ulcer. Your doctor did the appropriate thing and reffered you to both a hematologist and for a colonoscopy. Your blood work indicates a possible bleed, but from where that is the question. All your labs point to that. You have a low MCHC, Red Cell Count, Low Saturation, High MCV yet normal B12 with a low Hemoglobin and high iron. Granted, folate wasn t tested, but the pattern is indicatative of a bleed. Trust in the process. All will get well. Please consider counseling to discontinue the alcohol. All my best. Kathryn Shattler, MS,RDN