My hair fall increases when my MCV values are reduced. Why?

Question

Hello doctor,

I am a female. I had my CBC done, and my WBC is 11600, neutrophils at 7800, RBC count at 6.20, MCV is 79, MCH 24.2, MCHC at 30.9 with P-LCC at 110. My Hb is 15. Are the values normal? What could I do to bring them in the normal range? Also a week ago, I went for blood donation, and I fainted after 15 minutes of giving blood.

Moreover, I have done my CBC many times, and I have noticed that when my MCV values are more than 82, my hair fall is normal. But as soon as it starts reducing, my hair fall becomes very bad. Please help and tell me how I can bring the MCV and MCH values in normal ranges.

Answer 1

Hello,

Welcome to icliniq.com.

Your hemoglobin value, MCH, and MCV values are borderline and not reduced to a level where any treatment is needed. So your MCV and MCH values are not a matter of worry. Do not worry about that. Your total WBC count and neutrophils are high. But any inflammation in the body also can increase this value slightly. It is not raised to the level where antibiotics are needed. However, if you have any clinical complaints like fever, gastric pain, burning micturition, etc., then mention them to guide you further.

The elevated red blood cells could be due to dehydration. For that, you need to drink lots of water. If after a few days, your hemoglobin increases along with your red blood cell count, then polycythemia should be ruled out. You need to investigate with serum EPO estimation, echocardiography, chest X-ray, and a JAK2 mutation study to rule out all possible causes of polycythemia.

Hair fall and MCV do not correlate until your hemoglobin level is low. Hair fall can be increased by stress, chronic infection, and hormone induction. The fainting after blood donation is due to vagal stimulation and can occur in many first-time donor patients. Attach all your reports if done for further discussion. I hope I have answered your question. Let me know if I can assist you further.