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You have iron deficiency anemia . The low hemoglobin is main indicator of this . Iron deficiency anemia may be cau ed by some type blood loss. Heavy menstrual cycles could be a culprit . often we may find long term occult GI bleeding and you should be checked for that . The RDW is red cell distribution width ...this means that you have a mix in the size of you red blood cells . The normal range MCV plus high RDW might reflect a mixed type anemia ... This may indicate a folate or B12 deficiency at the same time...
The high RDW is not as such any "good finding " that is not what that means ..
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Anthony Bray MD
GI bleeding can be from a number of possible sources ..ulcers of stomach or duodenum -- AV malformation such in colon -- divertuculi within colon may bleed -- inflammation of colon wall ( colitis ) can be culprit -- some GI cancer is on the list but less likely at your age ....
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