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Doctor insights on: Microcytosis Hypochromia

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Dr. Silviu Pasniciuc
Board Certified, Hospital-based practice
22 years in practice
2M people helped
1

1
RBC 's shows a hypochromia & microcytosis MCV 72.6 fl & MCH 23.5 pg does deltasone is helpful & what dose fit?

Dr. Silviu Pasniciuc
Board Certified, Hospital-based practice
22 years in practice
2M people helped
RBC 's shows a hypochromia & microcytosis MCV 72.6  fl & MCH 23.5 pg does deltasone is helpful & what dose fit?

Iron deficiency: Suggesting iron deficiency, among others, if anemia is the reason for work up. Unclear to me what will be the role of steroids here. ...Read more

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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Steven Hebert
Board Certified, Pathology
24 years in practice
1M people helped
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2
I did a complete blood picture and i found this comment rbcs show hypochromia & microcytosis also MCV low 74.1 and MCH low 24.1?

Dr. Steven Hebert
Board Certified, Pathology
24 years in practice
1M people helped
I did a complete blood picture and i found this comment rbcs show hypochromia  & microcytosis also MCV low 74.1 and MCH low 24.1?

Iron def: Sounds like iron (fe) deficiency anemia. Your doctor will likely want to start you on fe suppliments. ...Read more

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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Bac Nguyen
Board Certified, Family Medicine
18 years in practice
40M people helped
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My complete blood picture results note is rbcs show hypochromia, microcytosis and anisocytosis should I see a doctor or not?

Dr. Bac Nguyen
Board Certified, Family Medicine
18 years in practice
40M people helped
My complete blood picture results note is rbcs show hypochromia, microcytosis and anisocytosis should I see a doctor or not?

Anemia of low iron?: Per your description, the most likely cause is iron deficiency anemia (hypochromia= less color/red than usual, microcytosis=smaller cells, anisocytosis=too many cells of different sizes). Being female of 39 (menstrual loss), i suspect this is most likely the diagnosis. Take some otc irons, avoid carbonated beverages (they bind up your irons), and consult doc for eval. Good luck. ...Read more

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Dr. Ankush Bansal
Board Certified, Internal Medicine
12 years in practice
34M people helped
4

4
What is microcytosis?

Dr. Ankush Bansal
Board Certified, Internal Medicine
12 years in practice
34M people helped
What is microcytosis?

Small RBCs: Microcytosis literally means small cells. In medicine, it refers to the red blood cells. Microcytic rbcs are smaller than usual and hint at an underlying problem with the cells. ...Read more

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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Ankush Bansal
Board Certified, Internal Medicine
12 years in practice
34M people helped
5

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What causes microcytosis?

Dr. Ankush Bansal
Board Certified, Internal Medicine
12 years in practice
34M people helped
What causes microcytosis?

Low Fe: Microcytic rbcs can be caused by a number of things but, by far, the most common cause is iron deficiency. This can be caused by a low dietary intake of iron, poor absorption of iron for some reason, or blood loss. In pre-menopausal, post-pubertal women, the most common cause is blood loss from monthly menstrual flow. Low iron intake exacerbates this. ...Read more

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Dr. Ankush Bansal
Board Certified, Internal Medicine
12 years in practice
34M people helped
6

6
How do I treat microcytosis?

Dr. Ankush Bansal
Board Certified, Internal Medicine
12 years in practice
34M people helped
How do I treat microcytosis?

Fe supplements: If the microcytosis is due to low iron, then increased dietary intake is part of the answer. The most absorbed form of iron is in red meat (but that has its own health problems). Unfortunately, plant-based iron is not as well absorbed in humans as in meat sources. Thus, iron tablets may be necessary (very little is absorbed). If severe or anemic, a blood transfusion or IV iron may be necessary. ...Read more

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Dr. GLORIA FONG
Board Certified, Family Medicine
35 years in practice
408K people helped
7

7
Ferritin test re microcytosis without anaemia?

Dr. GLORIA FONG
Board Certified, Family Medicine
35 years in practice
408K people helped
Ferritin  test  re microcytosis without anaemia?

Yes: Your cell volume may be small - microcystosi ferritin test will check your stores of iron. Most small cell volume is due to low iron levels. You may not have depleted enough to cause you to be anemic. ...Read more

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Dr. Edward Gold
Board Certified, Internal Medicine
39 years in practice
534K people helped
8

8
What does it mean to have microcytosis without anemia?

Dr. Edward Gold
Board Certified, Internal Medicine
39 years in practice
534K people helped
What does it mean to have microcytosis without anemia?

See below: Microcytosis means the red blood cells are small. This commonly occurs in iron deficiency but can be seen in a variety of hemoglobin disorders such as thalassemia. ...Read more

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Dr. Gurmukh Singh
Board Certified, Pathology
44 years in practice
96M people helped
9

9
My test came with mild microcytosis & mild neutropenia with relative lymphocytosis. the doctor didn't bother to bring it up , should i be worried ?

Dr. Gurmukh Singh
Board Certified, Pathology
44 years in practice
96M people helped
My test came with  mild microcytosis & mild neutropenia with relative lymphocytosis. the doctor didn't bother to bring it up , should i be worried ?

Need the numbers: 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 been helpful to have the actual numbers. However, your doctor is in a better position to judge your health status and it is reasonable to trust her/his judgment. ...Read more

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Dr. Michael Dugan
Board Certified, Hematology
5M people helped
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Dr. Jonathan Jassey
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