Do I Need to See a Hematologist After Anemia Diagnosis?

Q: Do I Need to See a Hematologist After Anemia Diagnosis?

Hello： Based on your report, microcytic anemia is confirmed, but the cause is unknown (as other tests have not been performed). <br>It is recommended to see a hematologist for a complete evaluation and medication. <br>Thank you.

Do I need to see a hematologist after receiving my blood test results?

Hello Dr.
Chen, I recently received my gastrointestinal blood test results.
The outpatient physician informed me that I have anemia and recommended that I see a hematologist at a major hospital.
However, due to the recent pandemic, I have been trying to avoid gatherings.

The blood test results show several alarming values: Hemoglobin 9.8 g/dL (low), Hematocrit 31.2% (low), Mean Corpuscular Volume 63.2 fL (low), Mean Corpuscular Hemoglobin 19.8 pg (low), and Platelet Count 552.1 x10^3/µL (high).
The only values within the normal range are White Blood Cell Count 9150 /µL, Red Blood Cell Count 4.94 million/µL, and Mean Corpuscular Hemoglobin Concentration 31.4 g/dL.

I am unsure if my anemia is due to iron deficiency, and whether I should adjust my diet or if there is an underlying issue with my health.
Should I make an appointment with a hematologist at a major hospital?

Miss Yan, 30~39 year old female. Ask Date: 2022/05/26

Dr. Chen Yunfang reply Oncology

Hello: Based on your report, microcytic anemia is confirmed, but the cause is unknown (as other tests have not been performed).
It is recommended to see a hematologist for a complete evaluation and medication.
Thank you.

Reply Date: 2022/05/26

More Info

Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin in the blood, leading to reduced oxygen transport to the body's tissues. Your recent blood test results indicate several concerning factors, particularly your hemoglobin level of 9.8 g/dL, which is indeed below the normal range (typically 13.8 to 17.2 g/dL for men and 12.1 to 15.1 g/dL for women). Additionally, your hematocrit (31.2%) and mean corpuscular volume (63.2 fL) are also low, suggesting microcytic anemia, which is often associated with iron deficiency.

Given these results, it is advisable to consult a hematologist, especially since your primary care physician has recommended it. A hematologist specializes in blood disorders and can provide a more comprehensive evaluation of your anemia. They can perform additional tests to determine the underlying cause of your anemia, which could include iron studies, vitamin B12 and folate levels, and possibly a reticulocyte count to assess bone marrow function.

While dietary adjustments can help manage mild iron deficiency anemia, it is crucial to identify the root cause of your anemia before making significant changes. Anemia can result from various factors, including nutritional deficiencies, chronic diseases, bone marrow disorders, or even more serious conditions like malignancies. Therefore, self-diagnosing and treating without professional guidance may lead to complications or overlook a more serious underlying issue.

In light of the ongoing pandemic, it is understandable that you may want to avoid crowded places. However, many hospitals and clinics have implemented safety measures to protect patients during this time. You might consider scheduling an appointment at a time when the clinic is less busy or inquire about telehealth options, which many healthcare providers now offer. This way, you can receive the necessary care while minimizing your risk of exposure.

In summary, it is essential to follow up with a hematologist for a thorough evaluation of your anemia. They will be able to provide you with a tailored treatment plan based on the underlying cause of your condition. Early intervention can significantly improve your health outcomes, so do not delay in seeking the appropriate care.

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