Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
131 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What causes low hematocrit level despite a normal endoscopy?

68 yr old white male. My hematocrit dropped suddenly 4 years ago, from 42 to hovering around 31. Cells are not maturing. Endoscopy, colonoscopy and bone marrow were negative. Generally healthy. Not symptomatic. Exercise regularly. Not low enough for transfusion therapy. No kidney disease. Iron is abundant. O2 saturation 97%. Is there a protocol to stimulate red cell production/maturity?
Fri, 29 Dec 2017
Report Abuse
Hematologist 's  Response
This is a tricky situation. You may actually be having a maturation defect or a myelodysplastic syndrome. Needs a repeat BM Aspiration, Trephine Biopsy with Cytogenetics and a few other tests (FISH/PCR-based). Once we have ruled that out I think we can observe your counts at a certain interval to know the trend of your blood counts.
Hope this helps.
Dr. Arijit Nag
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on

Related questions you may be interested in

doctor1 MD

my 6 months old daughter has following blood results: RBC 3.6, HGB 9.5, HCT is also slightly low, MCV and MCH are normal, RDW is 11.3, reticulocite...