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Doctor insights on: Why Would Hemoglobin And Hematocrit Be Low In A Copd Patient

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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. Sue Ferranti
936 doctors shared insights

Chronic Obstructive Pulmonary Disease (Copd) (Definition)

Chronic obstructive pulmonary disease, otherwise known as COPD, may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus for most days three months out of the year, two years in a row. Emphysema is a disease that damages the air sacs or the smallest breathing tubes in the lungs. COPD is commonly associated with smoking. ...Read more


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Why would hemoglobin and hematocrit be low in a COPD patients?

Why would hemoglobin and hematocrit be low in a COPD patients?

Another illness: Anemia of chronic disease does not occur as a result of common emphysema / chronic bronchitis (the usual copd). If such a person is also anemia, another cause should be sought. Anything from being an vegetarian who doesn't know how to supplement to losing blood from an undiagnosed stomach cancer can be the cause. COPD is hard enough with an undiagnosed cause of anemia. Thanks for writing. ...Read more

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Why would the hemoglobin and hematocrit be low in a non-surgical patient with a distal femur fracture?

Why would the hemoglobin and hematocrit be low in a non-surgical patient with a distal femur fracture?

Common..: Femur fracture needs substantial force........that causes surrounding tissue damage. Bleeding trapped in the soft ....significant amount can be reflected in Hb/HCT ...Read more

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Please explain the low level of hemoglobin and hematocrit in patients with myocardial infarction?

Please explain the low level of hemoglobin and hematocrit in patients with myocardial infarction?

Anemia and MI: Many patients that have a heart attack have normal hemoglobin and hematocrit. However if a patient does have anemia and coronary artery disease then the anemia can make it more likely that they have a heart attack. This is because with anemia the heart and body are not getting proper oxygen and this puts a strain on the heart and can result in heart attack. ...Read more

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Why would a patient's hemoglobin and hematocrit be elevated if he or she has chf?

Why would a patient's hemoglobin and hematocrit be elevated if he or she has chf?

Treatment effect: In point of fact, someone with untreated CHF will have a lower h&h. These measurementa go up with "hemoconcentration" which reflects the volume contracting effects of treatment for chf. Bottom-line: in the absence of an unrelated cause, elevated h&h reflect treatment, not disease. ...Read more

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Can patient with Polycythemia vera have normal hemoglobin and hematocrit count but abnormal JAK2 result ? what is definitive test for PV ?

Can patient with Polycythemia vera have normal hemoglobin and   hematocrit count but abnormal JAK2 result ? what is definitive test for PV ?

See below: There is more than one factor that needs to be taken into consideration. High hemoglobin, low erthyropoietin and JACK 2 all need to be looked at. You may consult this site for more information on this topic. http://www.mayoclinic.org/diseases-conditions/polycythemia-vera/basics/definition/con-20031013 ...Read more

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Please explain why is it that the rbc, hemoglobin and hematocrit level of a patient with congenital heart disease is decreased?

Please explain why is it that the rbc, hemoglobin and hematocrit level of a patient with congenital heart disease is decreased?

Nutrition: The most common reason that hemoglobin and hematocrit are decreased is iron deficiency. In most cases, this is due to either inadequate nutrition (low iron intake) or blood loss (including frequent blood sampling.) neither of these reasons is truly caused by the heart defect, but children with congenital heart disease are at increased risk for either problem. ...Read more

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Do i need to go get a transfusion if my hemoglobin and hematocrit are low?

Do i need to go get a transfusion if my hemoglobin and hematocrit are low?

Not neccessarily: Blood transfusion is given if the anemia is symptomatic or very low due to active bleeding asymptomatic anemias can be treated with IV iron or iron by mouth. ...Read more

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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

Copd (Definition)

COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more


Dr. Tipu Sultan
826 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