HomeAnswersHematologyhemoglobinI have spleen enlargement with Hb 8 to 9 and normal MCV. Kindly advice.

My Hb is 8 to 9 with normal MCV and spleen enlargement. Please advice.

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Medically reviewed by

Dr. Nithila. A

Published At June 20, 2019
Reviewed AtJanuary 18, 2024

Patient's Query

Hello doctor,

My Hb is 8 to 9 always, and MCV is on the normal range, on CBC. I have enlarged spleen (moderate to severe) since childhood and chronic since then. I have a history of blood transfusions but had transfused only six to seven times. My brother has the same problem with the same symptoms also. He is 31, and I am 34 years old. My mother is anemic with Hb 7.5 to 9.0 always, with normal MCV on CBC. She is 51 years old. Father has normal Hb 14 always.

Hello,

Welcome to the icliniq.com.

You have to rule out iron deficiency anemia and hemolytic anemia in your case. You need to investigate further as follow.

  1. Serum iron estimation.
  2. Serum ferritin estimation.
  3. Serum TIBC estimation.
  4. Reticulocyte count.
  5. Peripheral smear examination report.
  6. HB electrophoresis.
  7. You can revert with reports once done. If you have hemolytic anemia than hemoglobin level usually remains in the borderline range. If your above reports suggest towards iron deficiency anemia than iron tablet will recover your anemia completely. So revert with reports once done. Meanwhile, you can be prescribed Ferrous Ascorbate tablet for your anemia. I hope I have answered your question. Let me know if I can assist you further.

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

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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