Doctor insights on:
Borderline Anemia In Men
Low Blood Count:
This is a rare situation for younger men. So, it must be taken seriously.
First would be a general sense of one's health. Are there any chronic illnesses or infections?
Next would be if there could be a bleeding ulcer or other situation in the GI tract.
Any good medical provider will investigate this situation fully to make sure the cause is identified and treated. ...Read more
Not typically: Erectile dysfunction (ED) comes from any thing that can impair the blood vessels to relax appropriately. This includes medications, as well as chronic diseases like diabetes. ED is often an early indication of cardiovascular disease. Anemia would cause a decrease in oxygenation which in combination with above mentioned causes may be enough to trigger ED. ...Read moreSee 2 more doctor answers
Answer differs,: Depending on which count you are talking about, but the common feature in all cases is that the count should not be outside a normal range. There is not adequate space here to discuss all the possibilities. If you can be more specific about the abnormality we can be more helpful with our responses. You should seek an explanation for your count abnormalities with your dr. Good luck. ...Read more
What is considered abnormal retic count for a 70 yrs man with macrocytic anemia? His Hb is 9. His retic count .85% and retic shape is normal.
Depends.: Retic count should be 1% with a normal Hgb. For a 70 y/o male, that would be about 13. As Hgb goes down young red cells (retics) should go up to correct the deficit. In this case about 2.5 - 3% at least. 0.85% shows poor RBC production. With macrocytosis (large RBCs) consider B12, folate (folic acid) deficiency, certain drugs, liver disease, low thyroid, myelodysplastic syndrome & other bone marrow disease ...Read more
What does high ferritin level of 750 means, if associated with macrocytic anemia for a 71 yrs old man.
Reticulocyte count is .85% for a 70 years old man with macrocytic anemia. Hb is 9 and MCV is 105. Is the reticulocyte count normal?
Probably not: In patients without anemia, a normal retic count is 1%. As anemia develops, if the marrow can respond, the retic count should rise, meaning more red blood cells are being made. Whatever is causing your anemia (with an elevated MCV), such as B12 deficiency or other causes, is also inhibiting your bone marrow from making new cells and thus your retic count is inappropriately low. ...Read more
Diagnosed with autoimmune pernicious anemia 5 years ago. Levels still low or at times borderline despite monthly injections of cyanocobalamin.
What's wrong?: If the level of B12 is not enough you may need a larger dose. If you mean you still have a mild or borderline anemia that can be OK. There is no reason to make you better than normal ( borderline is still normal ). I see you have a low ferritin and a high iron saturation. Talk with your doc about why those numbers are what they are. You may have another source of anemia. ...Read more
Can a person experience some symptoms of anemia without being anemic? Borderline anemic? His hct was about 40, he is often tired, pale, eats ice, etc.
Yes: You can have iron deficiency without having anemia yet. You could have vitamin B12 deficiency-without having significant anemia-yet etc. Yes, you could feel tired etc. But having said that, those symptoms also can be caused by different things like depression, thyroid problems, high blood sugar, chronic disease etc. D/w your md- and your doc can check few basic labs to help him out. ...Read more
I am on borderline anemia for 3yrs (39y male). My recent test: hemoglob: 12.3 hematocrit:39.2 mch:26.6, mchc:31.4, rdw:12.9, mcv:84.8. Anything to worry?
Anemia : Based on this blood work, nothing to worry! ...Read more
Borderline anemia (3.7) w/ high MCV (103) high mch, -40lbs weight loss/fatique/pain/prssr under left ribs, random node swellng. Worry or no?
Very worried: There are many possibilities, but based on what youve told me, you have malignant lymphoma until proved otherwise. It's your life and your risk of missing an opportunity for cure before it's too late. If you don't have confidence in the physician who ordered the bloodwork, please get with a practice group that you trust. ...Read moreSee 1 more doctor answer
Can hpylori bacteria cause macrocytic anemia for 70 yrs man. Had it from 2 yrs and treated. Folic, B12 ok. Can it be no absorption though normal vit.?
No: H. Pylori does not causes macrocytosis. If B12 is below 400, consider checking methylmalonic acid as it still could be B12 deficiency. In a 70 year old, maxrocytosis could be a sign of bone marrow disorder, called myelodyspalstic syndrome. Also, certain drugs can cause macrocytosis. ...Read more
What are the chances of a man with sickle cell anemia catching herpes simplex type 2 from someone that is not having an outbreak?
Slightly yellow eye balls, especially mornings.Skin normal color doesn't drink alcohol.Prior history of borderline anemia. Green eyes. What can it be?
Does viral pulmonary infection on 87 year old man cause anemia and leukopenia on the cbc test and could this infection mimic mds symdrome on same test?
No: Mycoplasmal chest colds can cause mild hemolysis. That's about it. No pathologist or hematologist will mistake this for myelodysplastic syndrome. ...Read more
Is there a specific blood test to diagnose pernicious anemia? I have a family history. My doctor told me I have borderline B12 deficiency.
Pernicious anemia: Yes your doctor can run a battery of tests including a cbc, peripheral blood smear, a serum b 12 level, and a reticulocyte count. These usually will help to diagnose the condition. Sometimes methylmalonic acid and homocysteine levels will be drawn to help with the diagnosis. ...Read moreSee 1 more doctor answer
What is the possible problem for 70 yrs old man with macrocytic anemia. Hb 9, retic count .85% , MCV 108. Vitamins, liver, kidney, wbc, plat. Normal?
Macrocytic Anemia: Anemia is due to (a) decreased RBC production, (b) increased RBC destruction, and/or (c) blood loss. Macrocytic RBCs and low reticulocyte count suggest decreased RBC production. Common causes: folate def, B12 def, alcohol, liver disease, hypothyroidism. Less common causes: myelodysplastic syndrome, LGL leukemia, acute leukemia, HBV, HCV, HIV. Drugs can cause MA: Hydrea, (hydroxyurea) zidovudine, etc. ...Read more