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Q. What treatment should I get according to my blood smear report?

Answered by
Dr. Prakash H Muddegowda
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 01, 2016 and last reviewed on: Sep 15, 2020

Hi doctor,

My blood smear result showed RBC - microcytic normochromic with anisocytosis and poikilocytosis, WBC - normal with neutrophilic predominance. What treatment should I get?

Dr. Prakash H Muddegowda

Geriatrics Hematology Pathology
#

Hi,

Welcome to icliniq.com.

Based on your query, my opinion is as follows:

  • At this age, microcytic hypochromic anemia is often due to iron deficiency.
  • Neutrophils could be increased due to stress or mild infection. There is nothing to worry, it is probably resolved and reducing as you have no fever.
  • I suggest you Ferrous fumarate supplements along with vitamin C, iron supplements and iron-rich diet. Consult your doctor, discuss with him or her and take the medicine with consent.
  • Avoid coffee or tea with food as it impairs iron absorption. Take citrus fruits and iron-rich diet. There is nothing major to worry for now.

For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist


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Thank you doctor,

I am drinking coffee and green tea for almost 2 years after my first successful pregnancy. I admit that I have not taken adequate iron in my diet. Just a few weeks ago, I started taking up multivitamins with iron and vitamin C. Should I take folic acid too?

Dr. Prakash H Muddegowda

Geriatrics Hematology Pathology
#

Hi,

Welcome back to icliniq.com.

  • No specific supplements for Folic acid necessary as at present there is no deficiency sign in blood.
  • However, being a water soluble vitamin like all B group vitamins, it is water soluble and hence no risk of toxicity. No contraindications to take it.
  • Folic acid is rich in green leafy vegetables and should be adequate. Nothing extra necessary for now.

For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist


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