HomeAnswersHematologyanisopoikilocytosis

My blood smear shows mild anisopoikilocytosis. Should I be concerned?

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

Patient's Query

Hello doctor,

I am 39 years old. I got a master health checkup done last week. In the blood report, the RBC smear shows mild anisopoikilocytosis with normochromic red cells mixed with microcytic, hypochromic red cells, and no hemoparasites. I am attaching my test report. What is the treatment for this?
Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome to icliniq.com.

I have gone through your test report (attachment removed to protect patient identity).

  1. Your peripheral smear showing mild microcytic RBC (red blood cells) and MCV (mean corpuscular value) are slightly low, but I do not think it needs any further workup as all other smear findings are normal.
  2. Your postprandial glucose is elevated, which is suggestive of diabetes. I suggest you start taking Metformin after consulting your doctor. Control your sugar intake.
  3. The GGT (gamma-glutamyl transpeptidase) and ALP (alkaline phosphatase) values are also high with mild SGPT (serum glutamic pyruvic transaminase) elevation. Therefore, liver conditions have to be ruled out. I suggest you get USG (ultrasonography) abdomen done. If fatty liver or gallstone is present, then you have to reduce weight.
  4. Avoid alcohol and fatty food. Do regular exercise and also get your blood pressure checked. Take care and consult your physician for examination with keeping all this in mind.
Medically reviewed by Dr. K. Shobana
Published At March 13, 2017
Reviewed At August 29, 2025

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Listen to related tracks in our music library

Related Questions

How should I control my BP in winter?

Will CMV or herpes infection before or after birth affect pregnancy or child?

What is an acceptable range for blood glucose levels? Some people say the lower end is 70 and some others say the lower end is 130.

How to get someone to stop taking alcohol forever?

Why am I urinating more than 10 times a day?

My heart beats fast and eyes become red if I drink alcohol. Is there a treatment?

Comprehensive Second Opinion

Read answers about:

peripheral smear studyanisopoikilocytosisfatty liverserum alkaline phosphatase levelsblood glucose level

Ask your health query to a doctor online

Hematology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.