Top
30
Doctor insights on: Hgb 4

Share
1

1
Is 11.2 hgb in a four year old something to worry about? Could there be any other underlying cause other than iron deficiency?

Is 11.2 hgb in a four year old something to worry about? Could there be any other underlying cause other than iron deficiency?

By itself, no: Iron deficiency anemia (IDA) is so common in growing kids that it is the default diagnosis in most cases. There are other factors on the blood count that could point to other issues, and these are reviewed by the doc. With IDA they also have smaller red cells and fewer of them. Other expensive lab tests can be ordered but for most, a month or so on iron will bring the level up. If not, test more ...Read more

3

3
Rbc 4.08 hgb 11.4 & hct 33.9 all other nrml. Is this just mild anemia & should I worry that I have a serious illness?

Rbc 4.08 hgb 11.4 & hct 33.9 all other nrml. Is this just mild anemia & should I worry that I have a serious illness?

Heavy periods?: If this hgb. Level is a full point or more below your previous level, this may be true anemia, especially if you're a nonsmoker (smokers have higher hgb. Levels to help compensate for carbon monoxide). It's not a bad idea to do a series of home tests to look for occult blood in the stool. If positive you would need a full evaluation. Heavy periods? (common cause of iron deficiency). ...Read more

4

4
FERRITIN level was only 12, all other parts of iron profile in range, hgb 13.4, wbc 4.5 rbc 4.45 Why is ferritin level low and wbc low end of range?

FERRITIN level was only 12, all other parts of iron profile in range, hgb 13.4, wbc 4.5 rbc 4.45 Why is ferritin level low and wbc low end of range?

Ferritin: Ferritin reflects the iron levels "in the bank" so to speak, or storage iron, not what is "in your wallet" or in circulation. It means there is iron deficiency, but you may be absorbing enough to keep hgb/rbc going. WBC varies by individual and various other factors & is unrelated to iron. ...Read more

7

7
My mom has periods of extremely hunger and periods where she is extremely bloated after eating. Her hgb A1c 4 months ago was 5.1 what could be wrong?

My mom has periods of extremely hunger and periods where she is extremely bloated after eating. Her hgb A1c 4 months ago was 5.1 what could be wrong?

SPASTIC COLON: I do not know how old your mother is
but these symptoms fit a spastic colon or irritable bowels syndrome
her doctor will make the right diagnosis
i ask about her age because if she is more than fifty years old and never had a colonoscopy she needs to have one it will help screen her for colon cancer and will help make the right diagnosis. ...Read more

8

8
Wbc 4.1, RBC 4.06, hgb 8.4, hct 27.4, MCV 67.4, MCH 20.6, mchc 30.5, RDW 19.2, platelets 535, neutrophils 1435?

Wbc 4.1, RBC 4.06, hgb 8.4, hct 27.4, MCV 67.4, MCH 20.6, mchc 30.5, RDW 19.2, platelets 535, neutrophils 1435?

This is serious: You have a microcytic anemia, with the high platelets probably iron deficiency. You owe it to yourself to find out why you are anemic, as well as seeking treatment. ...Read more

9

9
Hi, I have sickle cell anemia, B+ blood group, Hgb 7.4 gd/l. what should I do to transfer blood if I have antibody reciptents screening are positive?

Hi, I have sickle cell anemia, B+ blood group, Hgb 7.4 gd/l. what should I do to transfer blood if I have antibody reciptents screening are positive?

Blood bank question: If I understand your question, you have an antibody that makes it possible for you to accept blood from certain donors beyond the limits of the ABO system. Your local blood bank handles this although we appreciate your wish to educate yourself about these deep matters. If blood is hard to find and you need it, you have our sympathy; you may be a candidate for a high-tech therapy. ...Read more

10

10
On feb 4 hgb at 15000, u/s today show sac and barely tappole its this normal?

UNCLEAR QUESTION: Try to write it simple and ask a clear question. ...Read more

11

11
My RBC is 5.54 and HGB is 17.4 and HCT is 50.7 what should I do. I just lost my insurance?

My RBC is 5.54 and HGB is 17.4 and HCT is 50.7 what should I do. I just lost my insurance?

Possibly high normal: Many factors apply. Do you smoke? Are you overweight? Do you have high blood pressure? Do you live at high altitude? Is the WBC and platelet count normal. Wait one month and repeat a CBC, even if you have to pay for it. If your Hgb and Hct continue to rise, especially if the WBC and platelets are also high, see a physician. ...Read more

13

13
Is 11.2 hgb in a 4 yo something to worry about? Could there be any other underlying cause other than low iron? Would cbc show other abnormalities?

Is 11.2 hgb in a 4 yo something to worry about? Could there be any other underlying cause other than low iron? Would cbc show other abnormalities?

Not to worry: The low hemoglobin is in all likelihood due to low iron. You may give the baby oral iron supplement and retest the blood in 6 months, unless there are symptoms. I trust that you are getting baby seen by a pediatrician regularly and getting the baby vaccinated. ...Read more

14

14
What could these labs mean? Wbc 14.8 rbc 9.4 hgb 11.0 plt 143

That your: Total WBC is a little elevated. Many possibilities without the clinical context hard to be specific. ...Read more

15

15
Dads RBC is 5.94 hgb is 17.4 hct is 51.2 and has had heart operation 3 years ago is it ok?

Dads RBC is 5.94 hgb is 17.4 hct is 51.2 and has had heart operation 3 years ago is it ok?

Need more data: That hematocrit is normal for an adult man, so it is hard to pinoi t if something is wrong. If there ate concerns, he should see a doctor. ...Read more

16

16
Normocyt, WNL RDW, anemia-hgb 13, rbc 4.3. PO Fe for 1 yr w/ no improvement. Fe 58, ferritin 15, TIBC 347. Asymptomatic. Thoughts on IV iron?

Normocyt, WNL RDW, anemia-hgb 13, rbc 4.3. PO Fe for 1 yr w/ no improvement. Fe 58, ferritin 15, TIBC 347. Asymptomatic. Thoughts on IV iron?

Too aggressive: With the numbers you're presenting I'm not sure who put the idea of doing IV iron into your thought process. Hb-13 for age 74 isn't far off of expected norms for age. If you want to do SOMETHING check thyroids, serum zinc, serum magnesium, & serum Vitamin D. Eat more spinach, beans, dried fruit, seafood, & poultry. Questions? Www. Healthtap. Com/drsaghafi Use Key Code: PDXFNR to make appointment. ...Read more

17

17
5 yo cbc has mild low hgb/Rbc, reticulocyte 9.12, hgb A1 89.8, hgb f 7.4. Hematologist reviewed. Said not urgent. What could it be? I'm so worried!

Do not worry: 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, the child may have hereditary persistence of fetal hemoglobin, which is a harmless condition. ...Read more

19

19
WBC 7.4, RBC 5.4, Hgb 13.5, Hct 41.9, MCV 77.9, MCH 25.1, MCHC 32.2, PLT 321, Eos 0, Bas 0. what does these results mean?

WBC 7.4, RBC 5.4, Hgb 13.5, Hct 41.9, MCV 77.9, MCH 25.1, MCHC 32.2, PLT 321, Eos 0, Bas 0. what does these results mean?

Microcytosis: Consider: iron deficiency, thalassemia trait or disease, lead toxicity, sideroblastic anemia, to name a few. Ref: Am Fam Physician. 2010 Nov 1;82 (9):1117-1122. ...Read more

20

20
5 yo cbc is mild low hgb/Rbc, reticulocyte 9.12, hgb A1 89.8, hgb f 7.4. Hematologist reviewed. Said not urgent. Trait? Appt in 5 wks. Help! Worried!

Do Not Worry: Your child has presi stench of fetal hemoglobin. This condition is usually benign. Follow up with a hematologist for more information and confirmation of the diagnosis. That is no need to be worried. ...Read more

21

21
What does a low MPV 8.5 (9.00-13.00fl) mean with high platelets of 447 (150-410)? Slightly raised WBC and neutrophils as well. Hgb is 13.4

What does a low MPV 8.5 (9.00-13.00fl) mean with high platelets of 447 (150-410)? Slightly raised WBC and neutrophils as well. Hgb is 13.4

Reduced MPV: A hematologist should provide the answer. The best I found as far MPV is as Follows, the rest is normal
Mean platelet volume (MPV) is a machine-calculated measurement of the average size of platelets found in blood and is typically included in blood tests as part of the CBC. Since the average platelet size is larger when the body is producing increased numbers of platelets, the MPV test results can be used to make inferences about platelet production in bone marrow or platelet destruction problems. MPV is higher when there is destruction of platelets. This may be seen in inflammatory bowel disease, immune thrombocytopenic purpura (ITP), myeloproliferative diseases and Bernard-Soulier syndrome. It may also be related to pre-eclampsia, and recovery from, transient hypoplasia.
Abnormally low MPV values correlate with thrombocytopenia when it is due to impaired production as in aplastic anemia. In addition, low MPV, can correlate with abnormally small platelet size, sometimes a symptom of a spectrum referred to as Wiskott-Aldrich Syndrome, caused by a genetic mutation of the WAS gene.
A typical range of platelet volumes is 9.7–12.8 fL (femtolitre), equivalent to spheres 2.65 to 2.9 µm in diameter. Normal range is given as 7.5-11.5 fL ...Read more

23

23
High mpv 11.7, low WBC 2.8, and low RBC 4.6, normal platelet 182, hct 41.9, 14.4 hgb, and vegan. Is this a problem? Thank you!

High mpv 11.7, low WBC 2.8, and low RBC 4.6, normal platelet 182, hct 41.9, 14.4 hgb, and vegan. Is this a problem? Thank you!

Low wbc: No big problem- except for low white blood cell. What is your neutrophils count and what is your mcv? There are different things that can cause low white blood cells. Particularly in a vegan- you want to make sure that your vitamin B12 is not low. You need to take vit B12 supplement. Do you feel weak, any numbness, tingling, any memory problem? If you do- ask your doctor to check your vit B12 lvl. ...Read more

26

26
My red blood cell count is 3.6 and WBC is 3.4. Hgb is 8.5, Hct is 27.5. MCV, MCH, MCHC all low also. Very weak, body aches. Should I be concerned?

My red blood cell count is 3.6 and WBC is 3.4. Hgb is 8.5, Hct is 27.5. MCV, MCH, MCHC all low also. Very weak, body aches. Should I be concerned?

Yes: These numbers indicate that you are quite anemic. You should see your doctor or a gastroenterologist to determine if you are having any blood loss in your digestive tract. If you are not, it may be related to your monthly blood loss, if it is excessive. Regardless, you need to act on this immediately, since your blood counts are quite low. Good luck. ...Read more

27

27
Rbc 4.97 hgb hgb 15.6 hct 46.2. Does this need worked up?

No: This would be considered a normal hemoglobin and hematocrit. ...Read more

28

28
My hgb was initially 45 (4.5) I got 3x blood transfusions making it 80, if no med issues how fast will hgb rise naturally after transfusions? Thanks

My hgb was initially 45 (4.5) I got 3x blood transfusions making it 80, if no med issues how fast will hgb rise naturally after transfusions? Thanks

Depends: Why was your hemoglobin so low? The cause of anemia will determine how much you respond and how fast. Are you taking any iron pills, vitamins or other medications? It would be prudent to discuss the matter with your doctor so that the underlying cause of your anemia is addressed. ...Read more

29

29
My RBC count was 3.68, HCT 32.4 and HGB 11.1, all well below ref range. How significant is this? One doc said "no big deal, " I feel liek it is tho!

My RBC count was 3.68, HCT 32.4 and HGB 11.1, all well below ref range. How significant is this? One doc said "no big deal, " I feel liek it is tho!

Need for evaluation: Lower than normal hemoglobin, as it is in your case, in a male, needs to be evaluated to rule blood loss in the intestine. If you are not satisfied with the answer from the doctor, you may wish to see a different doctor.
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. 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. ...Read more

30

30
My 8yr Son, WBC 4.73, Hgb 13.9 Pit 163. Neut% 68.5 % Neut #3.24. Lymph % 25.6, lymph # 1.21 IGA% 0.200 IGA# 0.010 WBC 3.3 2wk ago. Need for Concern?

What is the reason: For serial testing of his WBC and IgA? Lymphocytes are bit on the lower side, and also the IgA, but those have to be read in context of his clinical picture. You can confer with the doctor who ordered the tests. For a second opinion with a specialist, an allergist/immunologist, ask your doctor for referral if s/he would, also check acaai. Org or aaaai. Org for an allergist/immunologist in your area ...Read more