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Doctor insights on: Borderline Low Wbc Hemoglobin And Hematocrit

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What could cause low MCV and high RDW but normal MCH, hemoglobin, and hematocrit for over a year?

What could cause low MCV and high RDW but normal MCH, hemoglobin, and hematocrit for over a year?

How low?: Reference ranges are set so that several percent of healthy folks fall outside on either end. If your peripheral smear is unremarkable and the MCV above 70, I'd forget the whole thing. My RDW is always high from donating blood. There are some variants of thalassemia minor that will produce this and puzzle people over a lifetime, though MCH is usually lowish. ...Read more

Dr. Tipu Sultan
838 doctors shared insights

Hematocrit (Definition)

Of red blood cell number. Classically this was the "packed cell volume." blood was placed in a microtube and spun in a centrifuge. The rbcs settle to the bottom and one measures the height in the tube and reported as a percentage. Now determined by an automated machine. A typical hct is about 3 ...Read more


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Worried. Infused with remicade (infliximab) for yrs. Bloodwork's been fine till now: sed rate high (130), WBC & platelets h. Rbc, hemoglobin and hematocrit low.

Worried. Infused with remicade (infliximab) for yrs. Bloodwork's been fine till now: sed rate high (130), WBC  & platelets h. Rbc, hemoglobin and hematocrit low.

Anemia: Anemia in setting of elevated citrate and long term use of remicaide should be worked up by a hematologist. We will look at all possible causes of anemia and order necessary tests as indicated. ...Read more

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If hemoglobin and hematocrit deeasing slowly since 7 years reaching 10 and 30 respectively but platelets and WBC normal throughout 7 yrs , can be mds?

If hemoglobin and hematocrit deeasing slowly since 7 years reaching 10 and 30 respectively but platelets and WBC normal throughout 7 yrs , can be mds?

May be, need workup: Your physician or referral to a hematologist would be ideal to work up the cause of your anemia. It may turn up to be mds (pure red cell dysplasia) but also could be a very treatable condition. In your age group mds is less likely. ...Read more

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High WBC x 18 mos; high hemoglobin and hematocrit and RBC x 9 mos. Platelets normal. BMB neg, Jak2 neg. Cancer x 2, Mono x 3. Need help. ?

High WBC x 18 mos; high hemoglobin and hematocrit and RBC  x 9 mos.  Platelets normal.  BMB neg, Jak2 neg.  Cancer x 2, Mono x 3. Need help. ?

Blood tests: There are a few diseases that leap out from blood tests. Most of the time, however, blood tests don't tell the doctor much on their own. These results fall into the second group, not very specific. Would review with your internist with more history and physical details. Best of luck. ...Read more

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Why would hemoglobin and hematocrit be low in a COPD patients?

Why would hemoglobin and hematocrit be low in a COPD patients?

Another illness: Anemia of chronic disease does not occur as a result of common emphysema / chronic bronchitis (the usual copd). If such a person is also anemia, another cause should be sought. Anything from being an vegetarian who doesn't know how to supplement to losing blood from an undiagnosed stomach cancer can be the cause. COPD is hard enough with an undiagnosed cause of anemia. Thanks for writing. ...Read more

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Do i need to go get a transfusion if my hemoglobin and hematocrit are low?

Do i need to go get a transfusion if my hemoglobin and hematocrit are low?

Not neccessarily: Blood transfusion is given if the anemia is symptomatic or very low due to active bleeding asymptomatic anemias can be treated with IV iron or iron by mouth. ...Read more

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What could cause low MCV and high RDW but normal MCH, hemoglobin, and hematocrit for over a year?

How low?: Reference ranges are set so that several percent of healthy folks fall outside on either end. If your peripheral smear is unremarkable and the MCV above 70, I'd forget the whole thing. My RDW is always high from donating blood. There are some variants of thalassemia minor that will produce this and puzzle people over a lifetime, though MCH is usually lowish. ...Read more

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Does a low hemoglobin and hematocrit means you have a large spleen my my hbg was Range 11.3 11.5-15.0and my hematocrit was 34.6 Range36.0-50.0?

Many causes for it: Low Hemoglobin(Hb) commonly known as Anemia can be caused by many different reasons....enlarged spleen is present in some such conditions but it is uncommon, as most anemia is from blood loss or from deficiency of iron. You need a good doctor to investigate the cause and inform you about it so that you do not have to keep running to different doctors. ...Read more

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If hemoglobin and hematocrit levels are low, will platelet level also be low?

If hemoglobin and hematocrit levels are low, will platelet level also be low?

Not always: But if low hb, low hct are associated with low platelet , the it needs to be more evalauted as the conditions could be contributed by us such as alcohol use , or conditions of the bonemarrow from defective synthesis of precursor cells -called myelodysplastic syndrome, a bm failure blood has 2 types of cellular elements-red blood, white blood and platelets and their precursors come from bone marrow. ...Read more

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How could I have a low red blood count (rbc) but a normal hemoglobin and hematocrit?

How low?: An increase in red cell size, macrocytosis, may account for the disparity. Alcohol and low thyroid function may cause macrocytosis with near normal hemoglobin. ...Read more

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I was wondering how i could have a low red blood count (rbc) but a normal hemoglobin and hematocrit?

No!: They all go together unless you have very small sized red cells in which case you can be anemic but the red blood cell count may still be normal... As in a conditiona called thalasemia. ...Read more

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My cholesterol level has been 280 for the past 6 months, I only weigh 96 pounds and my RBC, hemoglobin and hematocrit are all low what should I do?

Manage your anemia: Anemia, especially in a man, is always serious and you must find the cause. You have a bleeding gut cancer until proved otherwise. If your low weight and anemia are due to a restrictive diet, please reconsider. Your physician must do a proper workup. Cholesterol, despite all the "pop wisdom", is mostly genetic and if a statin's indicated, don't hesitate. ...Read more

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What does it signify if your RBC, hemoglobin and hematocrit are low and have been for at least 6 months?

It is called Anemia: You should send us your lab results. From what you have described, you have Anemia which can be caused by many different reasons including excessive blood loss, Iron deficiency or lack of blood formation due to another reason. You should go see a medical doctor(Internist preferred) and request evaluation and further testing to find the cause and treat it. ...Read more

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Please explain the low level of hemoglobin and hematocrit in patients with myocardial infarction?

Please explain the low level of hemoglobin and hematocrit in patients with myocardial infarction?

Anemia and MI: Many patients that have a heart attack have normal hemoglobin and hematocrit. However if a patient does have anemia and coronary artery disease then the anemia can make it more likely that they have a heart attack. This is because with anemia the heart and body are not getting proper oxygen and this puts a strain on the heart and can result in heart attack. ...Read more

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What does it mean when my red blood cell count is 5.24? it shoes as high and my hemoglobin and hematocrit levels are low?

What does it mean when my red blood cell count is 5.24? it shoes as high and my hemoglobin and hematocrit levels are low?

Follow it up: Especially, ask your physician whether you have beta thalassemia minor. It's common and a non-problem, but it's worth knowing since if you marry someone else who has it, you may have a child with thal major which is very serious. ...Read more

White Blood Cell (Definition)

Body blood cell that responds to inflamation or infection or ...Read more