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

Answered by Dr. Parth R Goswami and medically reviewed by Dr. Nithila A


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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 6 to 7 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.

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Dr. Parth R Goswami
M.B.B.S., M.D
Hematology, Pathology


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

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.

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