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Old 11-27-2011, 02:17 PM   #1
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yantar HB User
High RBC and RDW after severe anemia

In July I was diagnosed with severe iron deficiency anemia. My red count was 3.79, ferritin was 2, hemoglobin was 7. I had two units of packed red cells transfused, followed by colonoscopy, endoscopy, and capsule endoscopy. Nothing turned up in any of them and I was started on iron twice daily. Four months later my numbers all look good except my RBC keeps climbing up and has been higher than normal for the past two months (now 5.33) while my RDW remains high (22.6, although it soared to 32 for a time). All other numbers have slowly reached the normal range, but morphological review shows multiple abnormalities in my RBCs since the beginning. I'm trying to avoid a bone marrow biopsy. Any ides on why my RBC should go from very low to high with only iron?

 
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Old 11-27-2011, 02:43 PM   #2
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Daisy65 HB UserDaisy65 HB UserDaisy65 HB UserDaisy65 HB UserDaisy65 HB UserDaisy65 HB UserDaisy65 HB User
Re: High RBC and RDW after severe anemia

Quote:
Originally Posted by yantar View Post
In July I was diagnosed with severe iron deficiency anemia. My red count was 3.79, ferritin was 2, hemoglobin was 7. I had two units of packed red cells transfused, followed by colonoscopy, endoscopy, and capsule endoscopy. Nothing turned up in any of them and I was started on iron twice daily. Four months later my numbers all look good except my RBC keeps climbing up and has been higher than normal for the past two months (now 5.33) while my RDW remains high (22.6, although it soared to 32 for a time). All other numbers have slowly reached the normal range, but morphological review shows multiple abnormalities in my RBCs since the beginning. I'm trying to avoid a bone marrow biopsy. Any ides on why my RBC should go from very low to high with only iron?
you may be taking to much iron. What does your doctor say? I would think your doctor would lower your iron.

You can get to much iron and it will cause your problems with your liver, heart, pancreas, skin, joints, and overies for woman, and testes for males, so if I were you I would ask my doctor to lower the iron I was taking. or at least find out why he hasn't done anything. Your iron level is way to high.

hugs
Daisy

 
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Old 11-28-2011, 11:05 AM   #3
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Re: High RBC and RDW after severe anemia

Thank you, Daisy. My actual iron count is fine, it's my red blood cell count that has gone from low to high, so I'm really confused. I see the doctor on Wednesday and hope to know more after that.

 
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