Q. My blood smear shows mild anisopoikilocytosis. Should I be concerned?
Hello doctor,
I am 39 years old. I got a master health checkup done last week. In the blood report, 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?
Hi,
Welcome to icliniq.com.
I have gone through your test report (attachment removed to protect patient identity).
- 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.
- Your postprandial glucose is elevated, which is suggestive of diabetes. I suggest you start taking Metformin after consulting your doctor. Control your sugar intake.
- 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.
- 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.
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