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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31584
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I'm trying to understand my cbc results. I'm 42 years old.

Customer Question

I'm trying to understand my cbc results. I'm 42 years old. My hgb was 9.5, hct was 31.3, mcv 75.8, mch 23, mchc 30.4 and rdw was 17.7. What does it mean?????
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.

Hello,

I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

This is indicative of anemia. This means that your oxygen carrying capacity of the blood is decreased. This can occur due to various reason like low iron levels, B12 deficiency, inadequate absorption of iron or protein etc.

A colonoscopy is usually advised as there can be polyps in the intestines (benign growths) which can bleed intermittently and can cause anemia. Ferritin is a blood test which evaluates for the total iron available in the body. Serum ferritin is the most useful test for diagnosing iron-deficiency anemia. Low serum ferritin (less than 12 ng/mL) is highly specific for iron-deficiency anemia. Please read this resource;

http://www.emedicinehealth.com/anemia/page5_em.htm

The most common causes are;

1) iron deficiency (with or without blood loss),

2) chronic disease/inflammation

3) chronic kidney disease

4) deficiencies of folate or vitamin B-12,

5) diseases of the bone marrow

6) hypothyroidism, hypersplenism, and hemolytic anemia

So investigations entail;

1) Complete blood count (CBC) which has been done for you already.

2) Peripheral blood film

3) Vitamin B-12

4) Folate

5) Reticulocyte count

6) LDH

7) Thyroid-stimulating hormone

8) Serum creatinine and estimated glomerular filtration rate

9) Serum ferritin

10) Serum iron

11) Total iron-binding capacity

So these investigations need to be done for the exact assessment and long term management.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 1 year ago.

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Thank you.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Hope you are doing very good.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

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Thank you.

Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Please let me know if you have any further questions.

Regards,