Blood Test Results: High Blood Pressure and Health Concerns - Cardiology

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Blood report, hypertension issues?


Hello, Doctor.
Below are the results of my complete blood count:
1.
White Blood Cell Count: 8.60
2.
Red Blood Cell Count: 4.97
3.
Hemoglobin: 13.8
4.
Hematocrit: 41.5
5.
Mean Corpuscular Hemoglobin: 33.26
6.
Platelet Count: 368
Since the red blood cell count and platelet count are slightly elevated, I would like to ask:
1.
Is it safe to consume iron-rich foods with these two values being elevated?
Additionally, my blood pressure is also a bit high, and I am taking a low-dose antihypertensive medication.

2.
Sometimes I experience dizziness, and the back of my head feels uncomfortable.
Could this be caused by high blood pressure?
I appreciate your help in clarifying these concerns.
Thank you.

Ting, 30~39 year old female. Ask Date: 2022/03/24

Dr. He Dongjin reply Cardiology


Hello, it is common for people to occasionally experience headaches, dizziness, and other discomforts, and blood pressure can fluctuate.
Not all discomfort is caused by blood pressure issues.
If the red blood cell count and platelet count are elevated, it should be manageable.
I believe medication is not necessary; observation should suffice.
Changhua Hospital cares about your well-being.

Reply Date: 2022/03/24

More Info


Understanding blood test results, especially in the context of high blood pressure and related health concerns, can be quite complex. Based on the information you've provided, let's break down your blood test results and address your questions regarding iron supplementation and the symptoms you're experiencing.


Blood Test Results Interpretation
1. White Blood Cell Count (WBC): Your WBC count is 8.6, which is within the normal range (typically 4.0-11.0 x 10^9/L). This indicates that your immune system is functioning well.

2. Red Blood Cell Count (RBC): Your RBC count is 4.9, which is slightly elevated. Normal ranges can vary, but typically for men, it's about 4.7 to 6.1 million cells per microliter. A higher RBC count can sometimes indicate dehydration or other conditions, but it is not necessarily alarming on its own.

3. Hemoglobin (Hgb): Your hemoglobin level is 13.8, which is also within the normal range for adults. This suggests that your blood is capable of carrying adequate oxygen.

4. Hematocrit (Hct): At 41.55, this is also within normal limits, indicating a healthy proportion of red blood cells in your blood.

5. Platelet Count: Your platelet count is 368, which is within the normal range (150-450 x 10^9/L). Elevated platelets can sometimes indicate inflammation or other conditions, but again, this number alone is not concerning.


Iron Supplementation
Regarding your question about iron supplementation: While your RBC and platelet counts are slightly elevated, this does not automatically mean you should take iron supplements. In fact, if your hemoglobin levels are normal, you may not need additional iron. Iron supplementation is typically recommended for individuals with iron deficiency anemia, which is characterized by low hemoglobin and low iron stores. It would be best to consult with your healthcare provider before starting any iron supplements, as they can assess your overall iron status through additional tests, such as serum ferritin levels.


Blood Pressure Concerns
You mentioned that your blood pressure is slightly elevated and that you are on a low-dose antihypertensive medication. It's essential to monitor your blood pressure regularly, as it can fluctuate due to various factors, including stress, diet, and physical activity.
1. Symptoms of Dizziness: The dizziness and discomfort in the back of your head could be related to your blood pressure. High blood pressure can sometimes cause headaches or a feeling of pressure in the head, but it is not the only possible cause. Other factors, such as tension, anxiety, or even dehydration, can contribute to these symptoms.
2. Monitoring and Management: It’s crucial to keep track of your blood pressure readings at home, ideally at the same time each day, and under similar conditions (e.g., after resting for 5-10 minutes). This will help you and your doctor determine if your blood pressure is consistently high or if it varies significantly.


Conclusion
In summary, your blood test results show that your white blood cell count is normal, and your hemoglobin and hematocrit levels are adequate. While your RBC and platelet counts are slightly elevated, this does not necessarily indicate a need for iron supplementation without further evaluation. Your blood pressure readings and associated symptoms warrant careful monitoring and possibly further discussion with your healthcare provider to determine the best course of action.
If you continue to experience dizziness or other concerning symptoms, please seek medical attention promptly. Regular follow-ups with your healthcare provider will help ensure that any potential issues are addressed early on.

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