Complete Blood Count (CBC)
What is my condition - anemia? A.
Complete blood count: White blood cells 6.26 (4-10.5 x10^3/µL), Red blood cells 6.62 (4.2-5.9 x10^6/µL), Hemoglobin 14.2 (13-17.5 g/dL), Hematocrit 42.6 (39-53%), Mean corpuscular hemoglobin 21.5 (26-34 pg), Mean corpuscular volume 64.4 (80-100 fL), Mean corpuscular hemoglobin concentration 33.3 (31-37 g/dL), Platelets 256 (130-400 x10^3/µL), Mean platelet volume 10.2 (9-13 fL), Red blood cell distribution width 35.3 (36-54 fL), Platelet volume 26.6 (12-45%), Platelet distribution width 11.9 (9-17%).
Lin, 30~39 year old female. Ask Date: 2019/12/20
Dr. He Dongjin reply Cardiology
Hello, you do not have anemia and can be monitored.
Changhua Hospital cares about you.
Reply Date: 2019/12/20
More Info
Based on the blood test results you've provided, it appears that you are not anemic. Let's break down the key components of your blood test results to understand your condition better.
1. White Blood Cells (WBC): Your WBC count is 6.26 (normal range: 4.0 - 10.5 x 10^3/µL). This indicates that your immune system is functioning well, as your white blood cell count is within the normal range.
2. Red Blood Cells (RBC): Your RBC count is 6.62 (normal range: 4.2 - 5.9 x 10^6/µL). This is elevated, which can sometimes indicate dehydration or other conditions, but it is not a sign of anemia.
3. Hemoglobin (Hgb): Your hemoglobin level is 14.2 g/dL (normal range: 13 - 17.5 g/dL). This is also within the normal range, indicating that your blood has a sufficient amount of hemoglobin to carry oxygen.
4. Hematocrit (Hct): Your hematocrit level is 42.6% (normal range: 39 - 53%). This is a measure of the proportion of blood volume that is occupied by red blood cells, and your result is normal.
5. Mean Corpuscular Hemoglobin (MCH): Your MCH is 21.5 pg (normal range: 26 - 34 pg). This is slightly low, which could suggest that your red blood cells are smaller than average, but it does not indicate anemia on its own.
6. Mean Corpuscular Volume (MCV): Your MCV is 64.4 (normal range: 80 - 100 fL). This is significantly low, indicating microcytic red blood cells, which are often associated with iron deficiency anemia. However, since your hemoglobin and hematocrit levels are normal, this may not indicate anemia but could suggest a different underlying issue.
7. Mean Corpuscular Hemoglobin Concentration (MCHC): Your MCHC is 33.3 g/dL (normal range: 31 - 37 g/dL), which is normal and indicates that the concentration of hemoglobin in your red blood cells is adequate.
8. Platelets: Your platelet count is 256 (normal range: 130 - 400 x 10^3/µL), which is within the normal range, suggesting that your blood clotting ability is normal.
9. Red Cell Distribution Width (RDW): Your RDW is 35.3 (normal range: 36 - 54 fL), which is slightly low, indicating that there is not much variation in the size of your red blood cells.
In summary, while your MCV is low, suggesting that your red blood cells are smaller than average, your hemoglobin and hematocrit levels are normal, indicating that you are not currently anemic. However, the low MCV could suggest the potential for iron deficiency or other types of microcytic anemia, and it may be worth discussing with your healthcare provider for further evaluation.
Additional Considerations:
- Dietary Factors: If you are concerned about iron deficiency, consider evaluating your diet for iron-rich foods such as red meat, beans, lentils, and fortified cereals. Vitamin C can also enhance iron absorption, so including fruits and vegetables in your diet is beneficial.
- Follow-Up Testing: If you have symptoms such as fatigue, weakness, or unusual bruising, or if you have a family history of blood disorders, it may be prudent to have further testing, including iron studies or a reticulocyte count, to assess your iron status and red blood cell production.
- Consultation: Always consult with your healthcare provider to interpret your results in the context of your overall health and any symptoms you may be experiencing. They can provide personalized recommendations based on your specific situation.
In conclusion, while you are not anemic based on your current blood test results, the low MCV warrants further investigation to rule out any underlying conditions. Regular monitoring and a balanced diet can help maintain your blood health.
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