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Doctor insights on: Borderline Anemic

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Dr. Steven Ginsberg
1,275 doctors shared insights

Anemia (Definition)

Any condition where there is a decrease in the red blood ...Read more


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Fit 32y.o. man. RBC 4.53(4.2-5.8), Hgb 13.8(12.6-17.7), HCT 40.9(37.5-51.0).All in range but shouldn't they be higher in men? Lower than all my prev results. Am I borderline anemic? Feel ok. Posted this question before but doc needed specific values.

Fit 32y.o. man. RBC 4.53(4.2-5.8), Hgb 13.8(12.6-17.7), HCT 40.9(37.5-51.0).All in range but shouldn't they be higher in men? Lower than all my prev results. Am I borderline anemic? Feel ok. Posted this question before but doc needed specific values.

You're fine: Stop worrying, Brad. The Hgb range was given by your lab because you're a man. I'm a pathologist / lab specialist, having devoted a lifetime to this stuff, and the bottom line is this -- how do you FEEL? If you're able to keep up on tests of physical fitness with your peers, and play whatever sport you enjoy most, you need to stop fretting over normal labs. Be grateful for good health and keep it. ...Read more

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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.

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

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Ferritin 25 MCV 82 Hemoglobin 136 RDW 15.9 RBC 5.11 One doc says it's fine. Another says it's borderline anemic. Will a multi with 14 mg iron help?

Ferritin 25 MCV 82 Hemoglobin 136 RDW 15.9 RBC 5.11 One doc says it's fine. Another says it's borderline anemic. Will a multi with 14 mg iron help?

Borderline: I'd like to know why the iron is lowish. Heavy periods? Vegetarian? Blood donor? Is there the possibility of a bleeding ulcer or colon cancer? If there is no sign of serious undiscovered illness, then this is an okay supplement. ...Read more

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33 yrs old & my heart skips beats. A MRN said I have Thalassemia . I get out of breath easily. Low iron. Borderline anemic. What could that mean?

33 yrs old & my heart skips beats. A MRN said I have Thalassemia .  I get out of breath easily. Low iron. Borderline anemic. What could that mean?

Thalassemia: Thalassemia , also called "Mediterranean anemia " , affects people from that area as well as descendants of the same. There are basically 2 forms- Major and Minor. Most likely your's is minor. Most people wit this form are OK but do exhibit tiredness and other symptoms of low blood count. ...Read more

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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

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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?

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 more

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RBC low at 3.99. Hemoglobin 13.2 & hematocrit 38.5, both borderline. MCV 96.3. Platelet count low 138, was >250 before. Not anemic. Feel ok.

RBC low at 3.99. Hemoglobin 13.2 & hematocrit 38.5, both borderline. MCV 96.3. Platelet count low 138, was >250 before. Not anemic. Feel ok.

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your data suggests a trend towards macrocytic anemia, due to folate and or B12 deficiency. It would be prudent to consult the doctor who ordered the tests, before it gets worse. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. ...Read more

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Slightly yellow eye balls, especially mornings.Skin normal color doesn't drink alcohol.Prior history of borderline anemia. Green eyes. What can it be?

Insufficient info: It is not feasible to provide a meaningful opinion from the available information. It would be prudent to see your doctor for an evaluation, especially in the yellow color of the eyeballs is recent. Hemolytic anemia causing mild jaundice is one possibility. ...Read more

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Is there a specific blood test to diagnose pernicious anemia? I have a family history. My doctor told me I have borderline B12 deficiency.

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 more

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Diarrhoea, loose stools since 3 years, brittle hair, skin pigmentation, PCOS, borderline anemia, low vit d, watery eyes. Is this auto-immune disease?

Diarrhoea, loose stools since 3 years, brittle hair, skin pigmentation, PCOS, borderline anemia, low vit d, watery eyes. Is this auto-immune disease?

Could be: These chronic symptoms are concerning enough to warrant further evaluation. See your primary doctor to discuss all your concerns and symptoms. At that point screening labs for autoimmune conditions can be drawn and a referral to a rheumatologist can be made if indicated. ...Read more

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Rapid heart rate during period. Low hemoglobin, low MCH and high rdw. Borderline normal mcv. Also had mildly low 3.3 potassium 7 weeks ago. I see dr tues, what type of anemia and safest way to treat?

Rapid heart rate during period. Low hemoglobin, low MCH and high rdw. Borderline normal mcv. Also had mildly low 3.3 potassium 7 weeks ago. I see dr tues, what type of anemia and safest way to treat?

You probably : Have iron deficiency anemia. Common causes are blood loss, lack iron on diet, pregnancy, inability to absorb iron due for example celiac disease. In your case blood loss due to possibly heavy period. I imaging endoscopy study negative. Treatment iron supplement. Iron studies also indicated if in doubt. All above can give you tachycardia and fatigue. But thyroid test indicated. ...Read more

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What does borderline aneamic mean?

What does borderline aneamic mean?

Red blood cell count: It means your red blood cell count is in the normal range, but on the lower side. ...Read more

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
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Is anemic cureable ?

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
Is anemic cureable
?

Depends on the cause: Majority of anemia can be cured- as long as you know the cause- i.e. Iron deficiency anemia, vit B12 deificiency, bleeding. Some anemia can only be treated but it is very difficult to be cured - for instance- myelodysplastic syndrome, sickle cell anemia, thalassemia, congenital anemia such as diamond -blackfan syndrome, fanconi's anemia etc. Bone marrow transplant is considered sometimes. ...Read more

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What does anemic mean?

What does anemic mean?

Anemia: In ancient greek, it means lack of blood. It means low number of red blood cells , or low hemoglobin in the blood. ...Read more

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What's anemic symptoms?

What's anemic symptoms?

Varied...: Symptoms common to many types of anemia (low hemoglobin) include the following: easy fatigue and loss of energy, rapid heart beat (particularly with exercise), shortness of breath, headache, difficulty concentrating, dizziness, pale skin, leg cramps, and insomnia. ...Read more

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How to know if your anemic?

How to know if your anemic?

Blood count: Anemia is a reflection of the level of Hgb in the blood which can easily be measured. Clinically one feels weak, and the skin is pale, cornea of eyes look very white, and nail beds are very white. If the Hgb levels drop below 10 one should find cause and possibly get drug Procrit (epoetin alfa). If Hgb below 8 gms. then transfusion indicated or organ failure and cardiac symptoms can develop. ...Read more

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What foods are anti anemic?

What foods are anti anemic?

Many: Many foods help anemia--depends on the cause of anemia. Most commonly iron deficiency--especially in ladies who are menstruating. Other forms are B12 and folic acid. A well-rounded diet of protein source, grains, iron-fortified breads, cereals, fruits, vegetables are important. See your md. ...Read more

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How do I know if i'm anemic?

Get tested: You can only know it with a hemoglobin/ hematocrit or a complete blood count. You can suspect it if you are easily fatigued, most people do not become anemic without significant long-term blood loss though. ...Read more

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