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Doctor insights on: Low Hemoglobin And Low 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
843 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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Why would there be a low hemoglobin and low hematocrit as well as low RBC count after left hip replacement?

Why would there be a low hemoglobin and low hematocrit as well as low RBC count after left hip replacement?

Blood loss: Post-op blood loss anemia most likely. Most patients lose 4 grams of HGB from surgery. Over time, with good nutrition, the blood counts will normalize. ...Read more

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What does low hemoglobin, low hematocrit, low much and high rdw mean? My labs have been like this for over a year

What does low hemoglobin, low hematocrit, low much and high rdw mean? My labs have been like this for over a year

Anemia: Depending on other lab values you may have a B12 or folate (folic acid) deficiency as well, would need more info on your case. You are welcome to make a HealthTap Prime or Concierge appointment with me and we can review all the labs and your current medical history. Then I can give you a much better idea of what you are dealing with. ...Read more

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What does it mean when you have a high rdw, normal RBC, low hemoglobin, low hematocrit, low mcv, &mch and low mchc?

What does it mean when you have a high rdw, normal RBC, low hemoglobin, low hematocrit, low mcv, &mch and low mchc?

Iron deficiency: This combination suggests iron deficiency anemia. Your evaluation will look into this option as well as some other causes of these small red cells with anemia. ...Read more

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Ast 13 low alkaline phosphatase 28 low. Rbc 3.85 low hemoglobin 11.3 low hematocrit 34.1 low. The rest are normal. Your opinion please anything stands?

Ast 13 low alkaline phosphatase 28 low. Rbc 3.85 low hemoglobin 11.3 low hematocrit 34.1 low. The rest are normal. Your opinion please anything stands?

You are anemic: Ignore the low liver enzymes; they mean nothing. You are mildly anemic and this needs to be worked up by a competent physician. If you are iron-deficient, being male you need to find why you are losing blood unless you are a vegetarian or otherwise keep a limited diet. ...Read more

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My son is a 5 years old, he has ongoing periodical fevers, his blood work shows low HEMOGLOBIN, low HEMATOCRIT, low RBC, low LYMPHOCYTES, high BASOPHILS.

My son is a 5 years old, he has ongoing periodical fevers, his blood work shows low HEMOGLOBIN, low HEMATOCRIT, low RBC, low LYMPHOCYTES, high BASOPHILS.

Need to examine: It is not feasible to provide a meaningful opinion without examining your son and his health status warrants a thorough evaluation by a pediatrician and this is not an appropriate forum for such evaluation.
Wish you and you son good health! . ...Read more

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What causes a low hematocrit, low hemoglobin, low mcv, and elevated liver enzymes?

What causes a low hematocrit, low hemoglobin, low mcv, and elevated liver enzymes?

Medical illnesses: There are many medical conditions that can cause these things...In general, you have anemia, and abnormal liver function tests that need to be evaluated and treated depending on the results of why you are anemic and have elevated liver enzymes. ...Read more

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I am worried about my daughters recent blood work. Low hematocrit low hemoglobin high platelets low vit d low iron saturation high glucose high TSH.

I am worried about my daughters recent blood work. Low hematocrit low hemoglobin high platelets low vit d low iron saturation high glucose high TSH.

Need to examine: 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, it would have helped to have the actual values. She seems to have iron deficiency anemia and vitamin D deficiency. Both can be easily corrected. For glucose and TSH do need values. Talk to the doc who ordered tests. ...Read more

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What does it mean if you have low hematocrit or hemoglobin level?

Anemia: A low hemoglobin or hematocrit means you have anemia. They are different ways to measure the red blood cells in your bloodstream. There are many causes for anemia but they fall into 3 categoreis: increased destruction, decreased production and blood loss. ...Read more

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I have low hemoglobin/hematocrit but my iron levels are ok. Why?

I have low hemoglobin/hematocrit but my iron levels are ok. Why?

Various: Iron deficiency is only one of many factors that can cause anemia (low level of hemoglobin/hematocrit). Deficiency in other nutrient like vit b12, folate, (folic acid) or anemia due to other chronic inflammation/disease, destruction of the red blood cells, drug induced, bone marrow failure, bleeding, other red blood cell disorders etc can cause anemia as well. See you doctor and have further evaluation. ...Read more

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Through low hematocrit & hemoglobin. What is a likely diagnosis for the patient?

Several: Among others, thalassemia, sickle cell anemia, b-12 or Folic Acid deficiency, blood loss or iron deficiency. Also seen with anemia of chronic disease and other bone marrow issues. Need further workup. ...Read more

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3 of 4 of my children have Low Hemoglobin, Hematocrit, MCV, MCVH....High RDW. I believe that affect their education performance and behavior.

3 of 4 of my children have Low Hemoglobin, Hematocrit, MCV, MCVH....High RDW. I believe that affect their education performance and behavior.

Maybe, maybe not: The levels needed to interfere with performance vary with the skill set being reviewed. Many with minor hemoglobin defects have lower values than the norm for their lifetime and function quite well. Lead poisoning can also cause lower values, but it is the lead, not the blood cells that cause impairments. In short, your statement provides nonspecific data so a more specific answer is not possible. ...Read more

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Hemoglobin 106 low hematocrit, MCV, MCH low and RDW 18.4. Ferritin 7. Is the high RDW a concern. Last b12 was 137?

Hemoglobin 106 low hematocrit, MCV, MCH low and RDW 18.4. Ferritin 7. Is the high RDW a concern. Last b12 was 137?

Nutrition: You seem to have more than one nutritional deficiency. It may be due to poor diet or malabsorption. It is imperative that you consult a doctor to ascertain the cause of the deficiencies and take appropriate medication.
Wish you good health. ...Read more

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I have low hemoglobin/hematocrit but my iron levels are that of a healthy person; a liver problem?

I have low hemoglobin/hematocrit but my iron levels are that of a healthy person; a liver problem?

Anemia: The list of things that can cause anemia is too long to list here, but it includes many other things besides iron deficiency. It is important that you undergo evaluation by a hematologist in order to receive the correct diagnosis and determine the appropriate therapy. ...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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Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic. Rest of Cbc and othere normal. What could this be?

Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic. Rest of Cbc and othere normal. What could this be?

Need good care: You need to be under the care of a competent physician who can keep your diabetes under control and find the cause of your anemia, which I suspect is due to iron deficiency from blood being lose somewhere. We can't solve it here. If you have a specific question, let us know. ...Read more

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High platelet count, low hematocrit/hemoglobin means?

High platelet count, low hematocrit/hemoglobin means?

First...: Consider iron deficiency. This often produces this combination. Unless you are a woman with very heavy periods, or a vegetarian who's not supplementing or savvy about the difficult task of getting enough dietary iron, look for how you might be losing blood. ...Read more

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Do broken bones cause low hematocrit and hemoglobin levels?

Do broken bones cause low hematocrit and hemoglobin levels?

Rarely: If there are fractures of large bones like femur, there may be enough bleeding into the tissue to cause a fall in hemoglobin level. ...Read more

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My my red blood cells level is 19.7, hematocrit low, hemoglobin low, MCV low, mchc low what do this mean for my heath?

My my red blood cells level is 19.7, hematocrit low, hemoglobin low, MCV low, mchc low what do this mean for my heath?

Anemia needs exam: Hi Patricia. I need to know your real numbers. I suspect RBC is 1.97 Vs abt 5.0 for healthy. Then if Hgb, MCV, MCHC all low, you have anemia and needs treatment which Depends on cause. It can be either low production from your organ or increased turnover or blood loss. See you doc to do more tests and ask to have blood smear evaluated by hematologists pathologist. May need other specialists too. ...Read more

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How do u treat low hemoglobin (12.6)? Is this anemia? Take iron&if so how much? I read iron is no good 4 u. Rbc: 4.17, hematocrit: 37.4, high rdw: 15.

How do u treat low hemoglobin (12.6)? Is this anemia? Take iron&if so how much? I read iron is no good 4 u. Rbc: 4.17, hematocrit: 37.4, high rdw: 15.

Results: 12.6 hemoglobin with a 37.4 hematocrit may be normal for you. This would depend on your prior results and your hemoglobin type--sickle trait patients may have these numbers and be perfectly fine. Is there any history of blood in stools or urine?
Too much iron is not good, but appropriate doses for some conditions as recommended by your doctor would be helpful when prescribed. Good luck. ...Read more

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Low hemoglobin 9.7, hematocrit 30.7, mch24.9, platelets 419, uibc 390, iron, serum 17 iron saturation 4% what does this mean?

Low hemoglobin 9.7, hematocrit 30.7, mch24.9, platelets 419, uibc 390, iron, serum 17 iron saturation 4% what does this mean?

Iron deficiency: One with the above numbers has iron deficiency anemia. C doc, who'll ask questions in order to narrow down causes, then probably refer you for endoscopy, colonoscopy, +/-ct abd/pelvis, or +/- gyn, or +/- heme/onc depending on symptoms/ clinical findings, and most suspected cause for blood loss. This does not require emergency room visit, unless one is having acute blood loss (ex. Lo bp, black stool). ...Read more

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What does it mean to have low hemoglobin, hematocrit, mch, mchc, and high platelet count, and sedimentation rate?

What does it mean to have low hemoglobin, hematocrit, mch, mchc, and high platelet count, and sedimentation rate?

Hard to say.: This combination of labs doesn't make any diagnosis. The relative height of your esr, plates and HGB would be helpful. It may be that you have an anemia and that is driving up your platelet count and your ESR is outside your labs "normal, " but not really abnormal. ...Read more

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Is this mild anemia or moderate? Low hemoglobin, hematocrit, mcv, mch, mchc. High rdw, esr, platelets. Iron 3 (11-27umol/L).saturation 0.03 (0.20-0.50). B12 162 (198-615).

Is this mild anemia or moderate? Low hemoglobin, hematocrit, mcv, mch, mchc. High rdw, esr, platelets. Iron 3 (11-27umol/L).saturation 0.03 (0.20-0.50). B12 162 (198-615).

Anemia: If your hemoglobin is low, this is a measure of how much oxygen carrying protein is in your blood and we call this anemic. Mild and moderate are relative descriptions. It is more important to figure out why there is anemia so that it can be treated appropriately. ...Read more