19 months old anisocytosis 1+, microcytes 1+, ovalocytes 1+, poikilocitosis 1+, rbc count high 5.6(4-5.2), mcv low 68(70-86), rdw.rbc high 19.8(12-16)?

D/w pediatrician: Possibilities will include iron deficiency anemia versus red blood cells disorder -i.e. Thalassemia trait. You need to bring your child to your pediatrician and discuss further. An iron panel should be done- and perhaps evaluation for possibility of thalasemia trait can be done as well. Good luck.

Iron deficiency: Without having more a picture of what is going on, those numbers would be consistent with iron deficiency, especially given the age of the child. Iron studies should be performed to confirmed. Does the child drink a significant amount of milk (>18 oz per day)? A trial of oral iron (not just what is found in multivitamins) would be a reasonable thing to try.