Top
30
Doctor insights on: Low Hemoglobin High Platelet Count

Share
1

1
What does it mean when you have low red blood count, low hemoglobin, low hemocrit and high platelet count?

What does it mean when you have low red blood count, low hemoglobin, low hemocrit and high platelet count?

Anemia: A low red blood cell count is called anemia. Anemia can be further classified as microcytic when due to iron deficiency, or macrocytic when due to B12 deficiency. Sometimes we have a low blood cell count from bleeding or several other disorders. Elevated platelets are called thrombocytosis. Platelets are an acute phase reactant and elevate for several primary and secondary reasons. ...Read more

Dr. Aasim Sehbai
913 Doctors shared insights

Platelet Count (Definition)

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


2

2
Low hemoglobin, hemocrit, mch, mcv. High platelet count. Also elevated ast/alt. Rdw, lympocytes high. What could all of this mean? Lukiemia has been mentioned, but I think bone marrow something? All STI, Hep, and herpes came back negative.

Low hemoglobin, hemocrit, mch, mcv. High platelet count. Also elevated ast/alt. Rdw, lympocytes high. What could all of this mean? Lukiemia has been mentioned, but I think bone marrow something? All STI, Hep, and herpes came back negative.

Need to examine: Do you have any symptoms? Why were all these tests done? It is not feasible to provide a meaningful opinion without examining you.
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. Talk to the doctor who ordered the tests.
Wish you 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. Drink enough water daily, so that your urine is mostly colorless. 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, if you have sex. ...Read more

3

3
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

4

4
Hello, my son is 2 yr old, has a high level of LDH 355...low platelet count 190 low hemoglobin 10.8 and WBC 3.9 What could cause this? ??

Hello, my son is 2 yr old, has a high level of LDH 355...low platelet count 190 low hemoglobin 10.8 and WBC 3.9 What could cause this? ??

Need more info: 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, all blood cells are low and this suggests bone marrow issue. It is prudent that you discuss the matter with your son's doctor. The issue is not suitable for this forum. ...Read more

5

5
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

6

6
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

7

7
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

8

8
On a good day wbc may be 12 Platelet count 508 Hemoglobin and hemtocrit are low but rdw CV is high. My eosinophil count is no less than 15%.

On a good day wbc may be 12 Platelet count 508 Hemoglobin and hemtocrit are low but rdw CV is high. My eosinophil count is no less than 15%.

Any symptoms?: 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. Talk to the doctor who ordered the tests. Having said that, your information is suggestive iron deficiency. You may take oral iron and multivitamin supplements.
Wish you 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. Drink enough water daily, so that your urine is mostly colorless. 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, if you have sex.
Get HPV vaccine ...Read more

9

9
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

10

10
My RBC count, hematocrits, and hemoglobin are high end of normal. My platelet count dropped 56k from 2m ago to 200k. reddish ecchymosis appeared today

My RBC count, hematocrits, and hemoglobin are high end of normal. My platelet count dropped 56k from 2m ago to 200k. reddish ecchymosis appeared today

Red spots: This is a concern! You have thrombocytopenia from some source. Are you on any specific medications and causing your playlet count to drop. Red spots are normal when platelets drop. I would go to a hematologist to further evaluate this. You may have ITP after a viral infection causing bone marrow suppression. You need a bone marrow biopsy to figure this problem out! ...Read more

11

11
Hi I am a 62 year old woman with a high platelet count. In April my count was 622 and now it is 812. The other results of my current CBC were all normal except my hemoglobin is 15.7 my RBC s are 5.62 wbc 10.9 and neutrophils 8.04. My MPV is 670. My cmp w

Hi I am a 62 year old woman with a high platelet count. In April my count was 622 and now it is 812. The other results of my current CBC were all normal except my hemoglobin is 15.7 my RBC s are 5.62 wbc 10.9 and neutrophils 8.04. My MPV is 670. My cmp w

Polycythemias: Your values suggest overproduction in more than one bone marrow cell line. While not currently life threatening, you would be wise to see a hematologist and have a bone marrow biopsy, perhaps also with cytogenetic testing, to look for a myeloproliferative disorder like CML, PCV, or essenthail thrombocythemia. ...Read more

12

12
RBC low at 3.99. Hemoglobin 13.2 & hematocrit 38.5, both borderline. MCV 96.3. Platelet count low 138, was >250 before. Not anemic. Feel ok.

See below: 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, your data suggests a trend towards macrocytic anemia, due to folate and or B12 deficiency. It would be prudent to consult the doctor who ordered the tests, before it gets worse.
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. Drink enough water daily, so that your urine is mostly colorless. 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, if you have sex. ...Read more

13

13
Is it possible to have a normal hemoglobin but low MCH and mchb and platelet count of 482 to be considered microcytic anemia?

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

Yes: A low mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (mchc), even in the absence of a low mean corpuscular volume (MCV) or low rbc count can be a sign of a evolving microcytic anemia. Microcytosis can be caused by iron deficiency (check ferritin level) or thallesemia (check hemoglobin electrophoresis). Hope that this helps. ...Read more

16

16
Should I be worried if friend has completely normal blood work except for a platelet count of 604 x10E3/uL. Hemoglobin is 14.5g/dL Thank you

Should I be worried if friend has completely normal blood work except for a platelet count of 604 x10E3/uL. Hemoglobin is 14.5g/dL Thank you

Need to recheck: I will recommend follow up with your healthcare provider for thorough evaluation and repeat blood work. This will help exclude underlying causes of increased platelet count (reactive or secondary thrombocytosis) There's also another type called primary or essential thrombocytosis which may be associated with mutation. ...Read more

19

19
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

20

20
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

21

21
Sir, My wbc report shows eosophilia what does it mean and the count is 12.6... all other rbc platelet count and hemoglobin are in normal limits?

Worms or allergy: The two common causes of elevated eosinophil count are worm infestations and allergies. It would be good idea to get your stool tested for ova and parasites to exclude worm infestation, as worms are common in India. Worm infestation can be treated readily with oral medication.
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. Drink enough water daily, so that your urine is mostly colorless. 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

22

22
My blood work is hemoglobin 8, hematocrit 33, MCV 66, MCH 17, MCHC 26, RDW 17. My platelet count is 434. What is wrong with me.

My blood work is hemoglobin 8, hematocrit 33, MCV 66, MCH 17, MCHC 26, RDW 17. My platelet count is 434. What is wrong with me.

Most likely iron def: Low Hg, low MCV but high RDV and platelet count are suggestive of iron deficiency anemia. Simply have your primary test your Ferritin level (or complete iron studies) and ask the lab to review the blood smear. If your WBC is normal and your ferritin is low, and saturation elevated you have iron deficiency anemia. The next and the most important step is to identify the reason!! ...Read more

25

25
What causes pain on left side of abd. Into left flank for last 3 months with WBC 2.3, platelet count 122 neutrophils 1.1 & reticulocytes hemoglobin 36?

Just the discussion: Of flank and abdominal pain requires more than 400 characters. Then we have pancytopenia. A unifying diagnosis would include splenomegaly and explain the counts and the discomfort. Afraid you are going to have to work thru this one with your doc -- physical exam and likely imaging and/or more testing. ...Read more

26

26
I have genetic hemochromatosis my ferritin level before last phlebotomy was 318 hemoglobin 187 my wbc 11 and my platelet count 454. I'm so confused!

I have genetic hemochromatosis my ferritin level before last phlebotomy was 318 hemoglobin 187 my wbc 11 and my platelet count 454. I'm so confused!

Talk about it: The key is that you're getting treated. Your physician will try to keep your ferritin fairly low. That platelet count is fine. The white count has little to do with your hemochromatosis status. I'm really glad this got picked up. If it's missed, it's slow, miserable and deadly. Of all the very-very-serious diseases, it's the easiest to manage. Best wishes. ...Read more

27

27
My 5 year old nephew's blood report says hemoglobin-7, tacked cell volume-23%, WBC count- 11500, platelet count-179000, esr-07.Is it a thalassemia?

My 5 year old nephew's blood report says hemoglobin-7, tacked cell volume-23%, WBC count- 11500, platelet count-179000, esr-07.Is it a thalassemia?

Insufficient info: With a hemoglobin of 7 he is not likely to have major thalassemia. There are many causes of anemia and treatment would depend on the cause. The doctor who ordered the tests should be able to advise. You may visit this site for more info on this topic.
http://www. Chw. Org/display/ppf/docid/21855/router. Asp. ...Read more

28

28
My blood test show RBC count 3.53, WBC 9.2, HEMOGLOBIN WB 11.2, HEMATOCRIT WB 33.7, PLATELET COUNT 206. Am I iron deficient? I'm a 56 y/o woman.

My blood test show RBC count 3.53, WBC 9.2, HEMOGLOBIN WB 11.2, HEMATOCRIT WB 33.7, PLATELET COUNT 206. Am I iron deficient? I'm a 56 y/o woman.

Yes it is possible b: You have mild anemia (Hb of 11.2 Gm, normal being >12 Gms). To find the cause, you have to do additional tests like check your blood iron levels and also check for any excessive bleeding or blood loss from an internal organ. This will require a visit with a PCP.
Also send us your MCV....this can give us a clue towards iron deficiency. ...Read more

29

29
bleeding gums from time to time normal platelet count just hematocrit/hemoglobin a bit below average. Normal blood tests. Can it be from roacutane?

bleeding gums from time to time normal platelet count just hematocrit/hemoglobin a bit below average. Normal blood tests. Can it be from roacutane?

Probably not: Most common cause is gum disease, an inflammatory/infective process requiring treatment. See a Dentist or specialist Periodontist for proper care. Gum disease is insidious, by the time it's symptomatic considerable damage has already been done. ...Read more