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Doctor insights on: Microcytosis Hypochromia

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Dr. Aaron Milstone
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Dr. Aaron Milstone
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My complete blood picture results note is rbcs show hypochromia, microcytosis and anisocytosis should I see a doctor or not?

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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What is microcytosis?

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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What causes microcytosis?

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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How do I treat microcytosis?

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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Ferritin test re microcytosis without anaemia?

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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What does it mean to have microcytosis without anemia?

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

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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