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Doctor insights on: Low Hemoglobin High Platelet Count

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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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Dr. Romeo Mandanas
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Dr. Aasim Sehbai
859 doctors shared insights

Platelet Count (Definition)

Platelet count is also known as Platelets. Less than 140 thousand, is low clinical concerns until it falls below 50 thousand include high risk of bleeding. Plt count over 440 thousand is high and can be associated with increased risk of both clotting and bleeding when it ...Read more


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Baby has iron deficiency anemia and has fever for 3 days now. Lab results show normal platelet count, low hemoglobin, high wbc. Is this an emergency?

Baby has iron deficiency anemia  and has fever for 3 days now. Lab results show normal platelet count, low hemoglobin, high wbc. Is this an emergency?

Doesn't sound like : It, if your child truly is 1yo. A few days of fever, due to a viral illness for example, is not uncommon. I'd give you a different answer for a 2-3mo child. If your child is staying well hydrated despite the insensible losses, he will probably be fine. If you're uncertain, go see your pediatrician. The blood counts by themselves are not that concerning, provided anemia is being treated. ...Read more

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Dr. Romeo Mandanas
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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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Woman 41 years old - vegetarian for 20 years, has hemoglobin 12.5 (low), iron serum 28.5 (high), platelet count 415 (high) and sedimentation 9. ?

Woman 41 years old - vegetarian for 20 years, has hemoglobin 12.5 (low), iron serum 28.5 (high), platelet count 415 (high) and sedimentation 9. ?

Question is unclear: It is very difficult to diagnose problems by just having a few lab numbers and not getting the whole clinical picture. There just isn't enough information to make a statement about the cause of your anemia with just these lab numbers. ...Read more

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What does it mean when your RBC count is high, hemoglobin, hematocrit, absolute eosinophils, mcv, mch, mchc are low and the RDW and platelet count high?

What does it mean when your RBC count is high, hemoglobin, hematocrit, absolute eosinophils, mcv, mch, mchc are low and the RDW and platelet count high?

D/w your doctor: You should go to see your doctor and discuss the result of your blood work with your doctor. To answer your question will depend on how high is the high level mentioned here and how low is the low levels are here? I need to see the actual numbers to really interprete the result. There are many different things that can cause from non significant, iron deficiency to thalassemia trait etc. D/w md. ...Read more

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Is it possible to have a normal hemoglobin but low MCH and mchb and platelet count of 482 to be considered microcytic anemia?

Not anemia: With a normal hemoglobin and hematocrit, by definition you are not anemic. If your MCV is low in this context then you simply have microcytic red blood cells. This can be seen in some hereditary syndromes such as thallasemia. It is also possible that your iron stores may be in the process of being depleted and frank anemia has not emerged yet. Discuss with your doctor obtaining iron studies. ...Read more

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Dr. Romeo Mandanas
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My wbc4.7, rbc4.18, hemoglobin 13.4, hematocrit39.5, mcv94.6, MCH 32.0, mchc33.8, rdw14.7, platelet count 219, absolute neutrophil ct122, segs26, is this bad?

My wbc4.7, rbc4.18, hemoglobin 13.4, hematocrit39.5, mcv94.6, MCH 32.0, mchc33.8, rdw14.7, platelet count 219, absolute neutrophil ct122, segs26, is this bad?

How are you feeling?: Any fever, infections? Good news: you do not have anemia. Platelet count is also normal. Total white cells number is acceptable. I believe that you made a mistake in absolute neutrophil ? The % neutrophil (seg) is 26, lower than normal. As long as you do not have fever& free from infections, you are safe. Consult with hematologist. Do not worry. Simple problem.. Can be easily handled. Thanks. ...Read more

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My spleen size is 17.6 with falling platelet count of 131 to 123 and hemoglobin of 12.2 to 11.8. What direction should my doctor look at first?

Exclude Liver Diseas: I would recommend a through evaluation to exclude liver disease and cirrhosis. Cirrhosis causes portal hypertension which can lead to an enlarged spleen. If this evaluation is not conclusive consider seeing a Hematologist ...Read more

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Dr. Romeo Mandanas
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