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Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 17823
Experience:  35 years of experience
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My grandson 5 yrs old, male had the following labs: RBC -

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My grandson 5 yrs old, male had the following labs:
RBC - 3.65
Hgb - 5.7
Crit - 21.4
MCV - 58.6
MCH - 15.6
MCHC - 26.6
RDW -22.0
Platelets -447
GI did upper and lower with no abnormal findings.
What could this be?
Should I insist on a Hemotology/Oncology Consult?


Thank you for your question,

I’m Dr. Saha and I’ll try to help you.

How is WBC count? Reticulocyte count?

How is his iron status?

What were his symptoms?

When was he investigated?

Customer: replied 4 years ago.

WBC 5.9

It was discovered with school physical. I noticed back in December that he was eating alot of ice. I questioned my daughter as to how long this has been going on. She stated he does it all the time. I suggested that have him checked out but she never did.

How is reticulocyte count?
How is his iron status?
Besides PRBC, did he get any other treatment?
Customer: replied 4 years ago.

No other treatment as of yet. No retic count available, Lead poisioning was negative

Customer: replied 4 years ago.

Would you at this point ask for a HEMOC Consult? They are waiting for biopsy results of what tbey described as possible bruise in ascending colon.

Thank you for the information,
This type of blood picture can be seen in a few conditions.
Iron deficiency is the common cause.
Ice eating is seen in cases of iron deficiency.
Chronic inflammatory conditions, disease can also lead to anemia.
In thalassemia there can be anemia but RDW, RBC counts are usually normal.
Less dietary intake of iron is the common cause.
There can be difficulty of absorption, abnormal loss from body.
GI bleeding is the common cause of blood loss but scopes were negative.
Chronic diarrhea, worm infestation are other possibilities.
Stool test can be taken, if not done already.
As he has been transfused with PRBC recently & there was bruise in ascending colon, an evaluation by hemato-oncologist will be helpful after some time.
After biopsy report doctor will decide on further investigation.
I hope this information helps.
I will be happy to assist, if you need any clarification.
Please feel free for any follow up query.
Best wishes.
Dr. Saha and 2 other Health Specialists are ready to help you

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