Blood Test Results: Anemia Concerns Explained - Cardiology

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Two blood test reports?


Hello, in March of this year, my blood test report from the health check center showed the following results: red blood cell count: 4.67 million cells/μL, hemoglobin: 13.6 g/dL, hematocrit: 41%, mean corpuscular volume (MCV): 87 fL.
In August, I had another blood test at the hospital with the following results: red blood cell count: 4.44 million cells/μL, hemoglobin: 13.1 g/dL, hematocrit: 38%, mean corpuscular volume (MCV): 85.6 fL.
I checked the standard ranges online, and they vary, so I would like to ask if these results indicate anemia?

Ohoho, 30~39 year old female. Ask Date: 2020/09/01

Dr. Chen Jili reply Cardiology


It is advisable to consult the original hospital's health check-up unit and discuss the aforementioned situation.
Thank you, and wishing you good health!

Reply Date: 2020/09/01

More Info


When interpreting blood test results, particularly concerning anemia, it is essential to understand the various components of the complete blood count (CBC) and how they relate to overall health. Based on the results you provided from your blood tests in March and August, we can analyze your red blood cell (RBC) count, hemoglobin (Hb) levels, hematocrit (Hct), and mean corpuscular volume (MCV) to assess whether you may have anemia.

1. Red Blood Cell Count (RBC):
- March: 4.67 million cells/mcL
- August: 4.44 million cells/mcL
- Normal ranges for RBC counts typically fall between 4.2 to 5.9 million cells/mcL for men and 3.9 to 5.03 million cells/mcL for women. Your values are within the normal range, indicating that your RBC count is not indicative of anemia.

2. Hemoglobin (Hb):
- March: 13.6 g/dL
- August: 13.1 g/dL
- Normal hemoglobin levels are generally considered to be between 13.5 to 17.5 g/dL for men and 12.0 to 15.5 g/dL for women. Your hemoglobin levels are also within the normal range, suggesting that you are not anemic based on this parameter.

3. Hematocrit (Hct):
- March: 41%
- August: 38%
- Normal hematocrit values range from about 38.3% to 48.6% for men and 35.5% to 44.9% for women. Your hematocrit values are within the normal limits, further supporting the absence of anemia.

4. Mean Corpuscular Volume (MCV):
- March: 87 fL
- August: 85.6 fL
- Normal MCV values range from 80 to 100 fL. Your MCV values are also within the normal range, indicating that the size of your red blood cells is appropriate.


Conclusion:
Based on the results you provided, there are no indicators of anemia. All your values for RBC count, hemoglobin, hematocrit, and MCV are within the normal ranges. Anemia is typically diagnosed when hemoglobin levels fall below the normal range, along with other indicators such as low RBC count or low hematocrit levels.


Additional Considerations:
While your blood test results do not indicate anemia, it is essential to consider other factors that could affect your overall health. If you are experiencing symptoms such as fatigue, weakness, or shortness of breath, it would be prudent to discuss these with your healthcare provider, as they may warrant further investigation.

Moreover, if you have any dietary concerns or conditions that could affect your blood counts, such as vitamin deficiencies (like B12 or iron), chronic diseases, or other health issues, these should be addressed with your healthcare provider. Regular monitoring of your blood counts can help ensure that any changes are detected early, allowing for timely intervention if necessary.

In summary, your blood test results do not indicate anemia, but maintaining a dialogue with your healthcare provider about your health and any symptoms you may experience is crucial for ongoing well-being.

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