HomeAnswersGeneral MedicinehepatomegalyMy RDW-SD is 60. Should I be concerned?

My RDW-CV is 18.2 and RDW-SD is 60.5. Is there anything serious?


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Published At June 13, 2018
Reviewed AtAugust 22, 2023

Patient's Query

Hi doctor,

I am a thyroid patient. Some time ago I went for blood test and found my RDW-CV 18.2 and RDW-SD 60.5. Just wanted to know if there is anything serious. My ultrasound report saying border-line hepatomegaly and mildly enlarged liver. My liver test shows alkaline phosphate value is 114 and albumin protein value is 5.6. Currently, I am taking Thyroxine.


Welcome to icliniq.com.

I understand your concerns. But there is nothing to worry about. RDW (red blood cell distribution width) is used to determine the type of anemia, it indicates the average size of the red blood cells. Your values are a little bit above average but nothing to worry about. Alkaline phosphatase is a substance that increases if there is an obstruction in the biliary system, your value is within normal. Level of albumin is also within normal.

The hepatomegaly is most likely due to fatty changes that are most likely due to alcoholic liver disease or high blood cholesterol. I suggest that you perform complete lipid profile. Please tell me if you have any symptoms. In order to see how the thyroid condition is well controlled, please send me the last TSH (thyroid stimulating hormone) level.

Patient's Query

Hi doctor,

Thank you for the response. My TSH is in the normal range. Most of the time it feels the load on my heart and some time heaviness in my stomach.


Welcome back to icliniq.com.

I am glad to know that your TSH is within normal. Feeling load on your heart and heaviness in stomach, you have to do ECG and echocardiography in order to exclude any cause related to the heart. Please tell me more about this heaviness:

  1. Since when you feel it?
  2. Is it episodic or is it continuous?
  3. What makes it worse or better? Is it related to meals or efforts?

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

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Internal Medicine

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