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Is my microcytic hypochromic anemia related to iron deficiency?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor.

My hemoglobin level is 9.4, with a high platelet count of 551. My MCV is 69, MCH is 20.7, MCHC is 29.9, and hematocrit is 31.4. Should I be concerned? I am not feeling sick, although I do experience occasional tiredness. I have irritable bowel syndrome (IBS) and have been smoking for 15 years, but I smoke less than a pack per day.

Kindly guide.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

According to the report provided, it appears to be microcytic hypochromic anemia. I would also like to know the results of your peripheral smear examination and RBC mass report. Further workup can include the following:

Physical examination:

  • Serum ferritin.
  • Serum TIBC.

Smoking itself can lead to anemia and many other systemic problems, so it is advisable to quit smoking.

Incorporating healthy foods, such as green leafy vegetables and jaggery, can help improve your hemoglobin levels. If you are experiencing symptoms, anemia can be treated with ferrous sulfate. The high platelet count may be associated with iron deficiency anemia. There is no immediate cause for concern, but if it remains persistently high, further testing will be required.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At January 20, 2025
Reviewed AtNovember 7, 2025

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