Your Health Check Results: Common Concerns Explained - Family Medicine

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Inquiry about health check-up concerns?


Hello Dr.
Tsai,
I have a few questions regarding my health check report:
1.
My total red blood cell count is low (RBC=3.73, HCT=35.8, MCH=32.2, MONO%=8.7, EO%=4.4).

2.
My granulocyte count is elevated (PDW=9.9).

3.
My total cholesterol is 198, which is within the normal range, but it is consistently close to the upper limit.

How can I modify my diet to address these concerns? Thank you!

Mei Mei, 40~49 year old female. Ask Date: 2008/08/14

Dr. Cai Jueren reply Family Medicine


Hello: A low total red blood cell count may indicate anemia, but it could also be a temporary condition due to the faster metabolism of red blood cells, which typically lasts about 7 to 10 days.
The blood test only reflects a small portion, and the total value can be estimated using a formula, so it is advisable to check again after some time.
An elevated granulocyte count suggests inflammation in a specific area; however, inflammation usually presents with some symptoms.
If you do not have any physical discomfort, you may not need to be concerned.
Elevated cholesterol levels should be monitored, and it is important to exercise regularly and pay attention to your diet (you can find information online).
Generally, this means reducing oil intake and limiting shellfish consumption.
Thank you for your inquiry, and I hope the above information addresses your concerns.
Hualien Hospital, Dr.
Tsai Jue-Ren.

Reply Date: 2008/08/14

More Info


Understanding health check results can often be a source of confusion and concern. Let's break down the specific issues you've raised regarding your recent health check results, focusing on the implications of each abnormal finding and how you can address them.

1. Low Red Blood Cell Count (RBC): Your RBC count is reported at 3.73, which is below the normal range for adults. This could indicate anemia, which can arise from various causes, including nutritional deficiencies (like iron, vitamin B12, or folate), chronic diseases, or bone marrow issues. The associated parameters, such as Hematocrit (HCT) at 35.8 and Mean Corpuscular Hemoglobin (MCH) at 32.2, also suggest that your red blood cells may be smaller or less concentrated than normal. It would be beneficial to consult with a healthcare provider to determine the underlying cause of your anemia. They may recommend dietary changes, supplements, or further testing to assess your iron levels or other potential deficiencies.

2. Elevated Granulocyte Count (PDW): A Platelet Distribution Width (PDW) of 9.9 indicates variability in platelet size, which can be associated with various conditions, including inflammation or bone marrow disorders. While a single elevated PDW may not be alarming, it is essential to consider it in conjunction with other blood parameters. If you have symptoms such as unusual bruising or bleeding, or if your healthcare provider has concerns based on your overall health, further investigation may be warranted.

3. Total Cholesterol Level: Your total cholesterol level is reported at 198, which is within the normal range but close to the upper limit. Maintaining healthy cholesterol levels is crucial for cardiovascular health. To manage your cholesterol levels, consider the following dietary changes:
- Increase Fiber Intake: Foods high in soluble fiber, such as oats, beans, lentils, fruits, and vegetables, can help lower cholesterol levels.

- Healthy Fats: Replace saturated fats found in red meat and full-fat dairy products with healthier fats from sources like olive oil, avocados, and nuts.

- Limit Trans Fats: Avoid processed foods and baked goods that contain partially hydrogenated oils.

- Regular Physical Activity: Engaging in regular exercise can help raise high-density lipoprotein (HDL) cholesterol, the "good" cholesterol, while lowering low-density lipoprotein (LDL) cholesterol, the "bad" cholesterol.

- Regular Monitoring: Since your cholesterol levels are consistently near the upper limit, regular monitoring and consultations with your healthcare provider are advisable to assess your risk for cardiovascular disease.

In summary, your health check results indicate a few areas that may require further investigation and lifestyle adjustments. It is essential to follow up with your healthcare provider to discuss these findings in detail, as they can provide personalized recommendations based on your overall health status and medical history. Regular health check-ups and proactive management of your diet and lifestyle can significantly impact your long-term health outcomes.

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