How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Anthony Bray, MD Your Own Question

Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 6827
Experience:  14 years as clinician in the field of Family Practice
13781349
Type Your Health Question Here...
Anthony Bray, MD is online now
A new question is answered every 9 seconds

what does it mean when my baso, rdw-sd and rdw-cv and always

Resolved Question:

what does it mean when my baso, rdw-sd and rdw-cv and always high? I suffer from DVTs and recurring anemia.
Submitted: 4 years ago.
Category: Health
Expert:  Anthony Bray, MD replied 4 years ago.

Hello! The RDW stands for red cell distribution width. This is what we call a minor index as opposed to a major index of your blood counts. The abnormal high rdw reflects something going on in the body's manufacturing of your redblood cells. Sometimes things like your iron deficiency history may account for this. Sometimes the increased rdw is due to some combination of factors >> iron deficiency plus B-12 deficiency as a common example. (( the reason that the combination is likely to lead to a high rdw is that iron usually causes the body to produce abnormally small red cells while B-12 does the opposite ; namely leading to the making of abnormally large red cells.)) Thus the more you have a mix of large and small the higher the rdw. RDW-cv stands for coefficient of variation , by the way and normal range is 11.5 to 14.5 %. ((OK --medical trivia , right?) and RDW-sd stands for standard deviation --normal range 35 to 47fL (a unit of volume). Certain defficiencies of nutrients such as iron, folate and B-12 may cause anemia plus abnormal RDW. The iron infusions suggests to me that you suffer severe iron deficiency that for some reason does not respond to oral therapy. If you have to take a proton pump inhibitor such as Nexium, Protonix, Aciphex, Prilosec, Prevacid ; then this could be the explanation. The absorption of iron requires a high acid environment in the stomach. Some people do not tolerate this well. If you have stomach disease history such as ulcers then this might also affect your B-12 absorption. The stomach produces a protein called intrinsic factor. B-12 must connect with intrinsic factor and this complex is only absorbed in the last 6 inches of the small intestine. If this system of absobreaks down then no matter your oral intake of B-12 then you may not absorb it as you should. If not already tested then it should be. The abnormal tendancy to form clots leading to DVT's may relate to many different factors. The risk factor that led to you developing the past DVT may be established. The coumadin of course helps to reduce risk of recurrence of this problem but also may be a contributing factor for your anemia. The basophil count is a subset of your white blood cells. It is unusual for this subset to be very high as this is normally one of the smallest group of white cells. With the combination of issues all connected to your blood , I would recommend that you see a hematologist if you are not already. I hope this information helps. Further questions are welcome if you have any. If my answer has been helpful and to your satisfaction then please remember to press the "ACCEPT" button. Thank You and Best Regards,

 

Anthony Bray MD



Edited by Anthony Bray MD on 11/13/2009 at 3:20 PM EST
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 6827
Experience: 14 years as clinician in the field of Family Practice
Anthony Bray, MD and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery