Abnormal Blood Test Results: Do You Have Anemia? - Family Medicine

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Abnormalities in the blood test section of the health examination report?


Hello Doctor, I had a health check-up this month and found that my blood test results showed several abnormalities.
My white blood cell count is 11.43, red blood cell count is 4.62, hemoglobin is 10.8 g/dL, hematocrit is 34.7%, MCV is 75.1 fL, MCH is 23.4 pg, MCHC is 31.1 g/dL, RDW is 16.8%, and platelet count is 444.
I would like to know if this indicates symptoms of anemia, and which clinic should I visit for further examination? Thank you!

Yi, 30~39 year old female. Ask Date: 2023/01/19

Dr. Ye Qianyu reply Family Medicine


Hello! Based on the data you provided, it appears to be microcytic anemia, which can be re-evaluated and monitored in general internal medicine, family medicine, or hematology.

Reply Date: 2023/01/19

More Info


Based on the blood test results you provided, it appears that you may indeed be experiencing some form of anemia. Let's break down the key components of your results to understand this better.

1. Hemoglobin (Hb): Your hemoglobin level is reported as 10.8 g/dL. Normal levels for adult males typically range from 13.8 to 17.2 g/dL, and for adult females, from 12.1 to 15.1 g/dL. A hemoglobin level below the normal range is indicative of anemia.

2. Hematocrit (Hct): Your hematocrit level is 34.7%. Normal ranges are approximately 38.3% to 48.6% for men and 35.5% to 44.9% for women. Again, your value is below the normal range, supporting the possibility of anemia.

3. Mean Corpuscular Volume (MCV): Your MCV is 75.1 fL, which is lower than the normal range (80 to 100 fL). A low MCV suggests that your red blood cells are smaller than average, which is often seen in iron deficiency anemia or thalassemia.

4. Mean Corpuscular Hemoglobin (MCH): Your MCH is 23.4 pg, which is also below the normal range (27 to 31 pg). This indicates that each red blood cell contains less hemoglobin than normal, which can be another sign of anemia.

5. Red Cell Distribution Width (RDW): Your RDW is 16.8%, which is elevated (normal range is typically 11.5% to 14.5%). An increased RDW indicates a greater variation in red blood cell size, which can occur in various types of anemia.

6. White Blood Cell Count (WBC): Your WBC count is 11.43 K/µL, which is slightly elevated (normal range is approximately 4.5 to 11 K/µL). This could indicate an underlying infection or inflammation, but it is not directly related to anemia.

7. Platelet Count: Your platelet count is 444 K/µL, which is also elevated (normal range is 150 to 400 K/µL). This could be a response to inflammation or other factors.


Conclusion and Recommendations
Given these results, it is reasonable to conclude that you may have anemia, likely of a microcytic type (characterized by small red blood cells), which is commonly associated with iron deficiency. However, the exact cause of your anemia needs to be determined through further evaluation.


Next Steps
1. Consultation: It would be advisable to schedule an appointment with a hematologist, a specialist in blood disorders. They can provide a more comprehensive evaluation of your blood tests and symptoms.

2. Further Testing: The hematologist may recommend additional tests, such as:
- Serum ferritin and iron studies to assess your iron levels.

- A complete iron panel to determine if iron deficiency is the cause.

- A reticulocyte count to evaluate bone marrow response.

- Additional tests to rule out other causes of anemia, such as vitamin B12 or folate deficiency.

3. Symptom Monitoring: Pay attention to any symptoms you may be experiencing, such as fatigue, weakness, shortness of breath, or paleness, as these can provide important clues to your healthcare provider.

4. Dietary Considerations: In the meantime, consider incorporating iron-rich foods into your diet, such as red meat, poultry, fish, lentils, beans, and fortified cereals. Vitamin C can also enhance iron absorption, so pairing these foods with fruits like oranges or strawberries may be beneficial.

In summary, your blood test results suggest the presence of anemia, and it is important to follow up with a healthcare provider for further evaluation and management.

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