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Old 05-13-2009, 05:31 PM   #1
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High RDW/RBC, Low MCV, MCH, and Hemoglobin, Normal Hematocrit

Hi all. I recently got a blood test for Hepatitis (I tested negative) from my buprenorphine doctor (a psychologist) The blood test also included a blood count panel. Just for reference, I've been told that I most likely have the Thalassemia trait.

Red blood cell count......6.52 (High)......Normal: 4.20-5.80
Hemoglobin..................12.9 (Low)......Normal: 13.2-17.1
MCV...........................61.5 (Low)......Normal: 80.0-100.0
MCH...........................19.8 (Low)......Normal: 27.0-33.0
RDW...........................16.5 (High).....Normal: 11.0-15.0
MCHC.........................32.2 (Normal)..Normal: 32.0-36.0
Hematocrit..................40.1 (Normal)..Normal: 38.5-50.0

My psychologist told me I likely don't have anemia because my hematocrit is within normal ranges. I have an appointment soon with my general doctor to do a follow-up test. Can anyone give any insight so I don't panic too much?

Thanks-
Ryan

Last edited by cebby; 05-13-2009 at 05:35 PM.

 
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Old 05-25-2009, 12:56 PM   #2
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Re: High RDW/RBC, Low MCV, MCH, and Hemoglobin, Normal Hematocrit

I am no doc but from what I have learned you would be considered mildly anemic with a Hgb below range. I do know that the size of your blood cells appears to be severely small with a MCV of 61.5. In the case of T trait I am not sure exactly how it works but for typical anemia when one or more of the RBC, Hgb and Hct are below range you are considered anemic. You can have this and iron deficiency at the same time or one or the other.

You can also post on the Anemia board, there is a poster there with this blood disorder that could answer your questions a little more due to her own personal experience. There is also a current post on this subject there. Hope you get answers soon. Take care. FLFG
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