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Doctor insights on: Hypo Thyroid Low Rbc High Mcv Mch

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Dr. Jack Rubin, M.d.
Board Certified, Nephrology and Dialysis
43 years in practice
4M people helped
1

1
Suffering from incredible fatigue, muscle soreness, water retention lab results show normal wbc, low rbc, high mcv/mch, low lymph absolute. Dr ignore?

Dr. Jack Rubin, M.d.
Board Certified, Nephrology and Dialysis
43 years in practice
4M people helped
Suffering from incredible fatigue, muscle soreness, water retention  lab results show normal wbc, low rbc, high mcv/mch, low lymph absolute. Dr ignore?

Low RBC and fatigue: You need to go back to your physician, or whomever ordered the blood test. You have a low rbc, and i assume, by that, you are anemic. With a high mcv, you may have a b-12 or folate deficient anemia. See your physician asap to discuss your anemia's its cause and treatment. Also, get a referral to a cardiologist to evaluate your cardiac function once your anemia is no longer a problem. ...Read more

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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Warren Strudwick
Board Certified
25 years in practice
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Dr. Michael Dugan
Board Certified, Hematology
5M people helped
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High MCV & MCH for few years. 2 yrs of low rbc. New CBC has folate & calc. Defic., low bun. 2 mnths ago found soft clavicle lymph "mass". Esophag spsm?

Dr. Michael Dugan
Board Certified, Hematology
5M people helped
High MCV & MCH for few years. 2 yrs of low rbc. New CBC has folate & calc. Defic., low bun. 2 mnths ago found soft clavicle lymph "mass". Esophag spsm?

Lots of info: Here. Possible relevance undetermined. From a heme standpoint high MCV and folate deficiency would go together. Folate supplements would be indicated. Cannot relate to esophageal issues. ...Read more

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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Warren Strudwick
Board Certified
25 years in practice
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Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
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What does it mean to have low RBC, low hematocrit, low MPV, low Lymphocytes, low urea, low albumin, high MCV, and high MCH?

Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
What does it mean to have low RBC, low hematocrit, low MPV, low Lymphocytes, low urea, low albumin, high MCV, and high MCH?

Macrocytic anemia: Please forgive my frankness and the appearance perhaps of flippancy. In our dysfunctional health care system, physicians often have less time to explain and educate. This is serious and you must insist on an explanation. ...Read more

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Dr. Kenneth Lin
Board Certified, Internal Medicine and Pediatrics
16 years in practice
45K people helped
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High MCV and MCH for a few years. 2 yrs of low rbc. Recent CBC now has folate & calc. Defic., low bun. 2 mnths ago found soft clavicle lymph "mass". Esophageal probls. & hypogammaglobulinemia. Help?

Dr. Kenneth Lin
Board Certified, Internal Medicine and Pediatrics
16 years in practice
45K people helped
High MCV and MCH for a few years. 2 yrs of low rbc. Recent CBC now has folate & calc. Defic., low bun. 2 mnths ago found soft clavicle lymph "mass". Esophageal probls. & hypogammaglobulinemia. Help?

Needs more info: Difficult to say based on limited info. High MCV likely due to low folate (did you check b12?). Low BUN is good, so no worries. If you have a clavicular lymph node it needs evaluation for sure. See your doctor! ...Read more

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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
6

6
Male 26, low RBC 4.39*10^12, total haemoglobin 13.2g/dl, MCV 88fl, MCH 30pg, mchc 34 g/dl, reti index 0.84%, ESR 2ml/hr cause of low rbc?

Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
Male 26, low RBC 4.39*10^12, total haemoglobin 13.2g/dl, MCV 88fl, MCH 30pg, mchc 34 g/dl, reti index 0.84%, ESR 2ml/hr cause of low rbc?

Borderline anemia: Your hemoglobin is also a wee bit low for a man (most men have 13.5 or more). The explanation might be something as simple as having drunk a few extra glasses of water before the blood draw so that you could also provide a urine sample. Your physician may want to check you now for occult blood loss, repeat the cbc, or begin an anemia workup now despite normal indices. Good luck. ...Read more

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Dr. Clarence Grim
Board Certified, Internal Medicine
52 years in practice
77K people helped
7

7
RBC count low (3.85), hemoglobin 12, Hematocrit was 36.5%, MCV 94.8, MCH 31.2, MCHC 32.9. I am a 38 y.o. female. Should I be concerned about low RBC?

Dr. Clarence Grim
Board Certified, Internal Medicine
52 years in practice
77K people helped
RBC count  low (3.85), hemoglobin 12, Hematocrit  was 36.5%, MCV 94.8, MCH 31.2, MCHC 32.9. I am a 38 y.o. female. Should I be concerned about low RBC?

Anemia: compare to your previous ones. May be your normal. Review with your team. ...Read more

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Dr. Martin Raff
Board Certified, Infectious Disease
51 years in practice
103M people helped
8

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My husband has a high lymphocyte %, low RBC count, and high mch, what does all this combined mean?

Dr. Martin Raff
Board Certified, Infectious Disease
51 years in practice
103M people helped
My husband has a high lymphocyte %, low RBC count, and high mch, what does all this combined mean?

Insufficient info: Your husband may be anemic and needs further evaluation for the cause. A high mean corpuscular hemoglobin concentration has little meaning absent a full picture of all other parameters measurable. The high % of lymphocytes, again, in and by itself, has little impact on establishment of a diagnosis. Labs are of little value absent good history, physical exam and a thoughtful knowledgeable doctor. ...Read more

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Dr. Scott Diede
Board Certified, Pediatric Hematology and Oncology
24 years in practice
3M people helped
9

9
Low rbc, low hgb, high mcv, normal iron & B12 levels. What is the cause of anemia?

Dr. Scott Diede
Board Certified, Pediatric Hematology and Oncology
24 years in practice
3M people helped
Low rbc, low hgb, high mcv, normal iron & B12 levels.  What is the cause of anemia?

Macrocytic anemia: The most common causes of macrocytic anemia are B12 (ruled out for you) and folate deficiencies. Folate deficiency can be caused by diet (very rare - folate is everywhere), celiac disease, alcoholism, or hemolysis (autoimmune process, for example). Rarer causes include aplastic anemia and myelodysplastic syndrome (mds). If not clear to your doc, may need to see hematologist. ...Read more

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Dr. Joseph Woods
Board Certified, Pathology
23 years in practice
8M people helped
10

10
My CBC results are WBC of 3.5 (low), rbc: normal, hemoglobin 12.3, MCH of 25.2 (low), mchc of 31.5, RDW of 18.4 (high), neutrophils 21, lymphs 74, ?

Dr. Joseph Woods
Board Certified, Pathology
23 years in practice
8M people helped

Need a work-up.: You might have one or more issues here. You have a low WBC count with about 75% lymphocytes, which can mean a leukemia or lymphoma. In addition you've a high RDW and low mch, with a normal rbc count which can mean that cells are being pushed out of your bone marrow by whatever is affecting your wbcs. You should see your doctor for more tests, a look at your blood smear, and a full work-up. ...Read more

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Dr. Warren Strudwick
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