A low red blood cell count mainly occurs due to a decrease in RBC production or the excessive destruction of RBCs. The conditions or diseases associated with low red blood cell count are anemia (aplastic or iron deficiency), leukemia, chronic kidney disease, malnutrition, multiple myeloma, rheumatoid arthritis, lead poisoning, certain medications such as antiretroviral drugs for HIV infection or chemotherapy drugs for cancers, cirrhosis, heavy menstrual bleeding, bleeding in the digestive tract, frequent blood donation, porphyria, and splenomegaly.
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How to increase the RBC count in my mother, who is anemic?
Query: Hello doctor, My mother is suffering from anemia. She was hospitalized with a hemoglobin of 4.6. After two units of blood transfusion, it came up to 6.8 and went back to 6.3 after 10 days, then another unit was transfused. Endoscopy, colonoscopy, and CT-scan have been done but no concrete reason was... Read Full »
Answer: Hello,Welcome to icliniq.com.Her RBC count is very low with low serum ferritin and high serum iron (attachment removed to protect patient identity). Also, her anemia is normocytic normochromic which is generally seen in bleeding due to chronic blood loss or in chronic disease. Other causes can be ch... Read Full »
What is the reason for my decreasing hemoglobin levels?
Query: Hello doctor,I am a 31-year-old female. My hemoglobin is going down after bone marrow aspiration and biopsy or due to the medicines I am taking. I am taking Wysolone 25 mg daily and Danazol 200 mg twice a day since 12 days. Read Full »
Answer: Hello, Welcome to icliniq.com. As per the reports (attachment removed to protect patient identity), only the serum ferritin levels are quite elevated along with reduced RBC (red blood cells) count and hemoglobin levels. This picture is indicative of ineffective erythropoiesis which can be either ... Read Full »
I got a blood test for my chest pain, which showed increased monocytes and decreased RBC count. What could it mean?
Query: Hello doctor, I went to the ER because I had chest pain for a few days. I thought I had just pulled a muscle. I recently had blood work done, and they said everything was fine. I am 42, and I drink and smoke. Please look at my results and let me know what you think. ALT (SGPT) 11 U/L. AST (SGOT) 13 ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I have downloaded the files. Give me some time to read the laboratory reports and reply afterward. Thanks and take care. Read Full »
Is bone marrow transplantation the right choice of treatment for anemia and leukopenia?
Query: Hello doctor, My uncle’s child has some blood-related problems as his hemoglobin is only 5 points. He was admitted to the hospital and did his bone marrow biopsy. The report is not good. His RBC has severe anemia microcytic type, and WBC has leucopenia, and platelets have thrombocytopenia. Th... Read Full »
Answer: Hello, Welcome to icliniq.com. I just went through the reports (attachment removed to protect patient identity) you have provided. I could only find one report of peripheral blood smear. Based on the history provided and CBC (complete blood count), there is a possibility of Aplastic anemia. The trea... Read Full »
I have low RBC but high MCV. Why so and what further tests are required?
Query: Hello doctor, I recently got some blood tests and am unsure of the test results. My RBC is low, and my MCV is high. Everything else seems normal. Are there any other tests to be done to figure out what may be causing the low RBC count? Please help. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I went through your reports (the attachment removed to protect the patient's identity). Your RBC (red blood cell) count is not reduced much. It is borderline value. Your hemoglobin is within range. So the chance of... Read Full »
Should I be concerned about my elevated MCH and decreased RBC levels from my prenatal blood test? Can they result in neural tube defects?
Query: Hi doctor, I have just received my prenatal blood test results and am very concerned about it. I am five weeks pregnant, and my results show my MCH is 35.1 g/dL and my RBC is 3.85 million cells/mcL. I redid my blood tests today, and they gave me access to the results. I am extremely concerned about ... Read Full »
Answer: Hi, Welcome to icliniq.com. I went through the query and understood your concern. MCH (mean corpuscular hemoglobin) is the average quantity of hemoglobin in a single red blood cell. Your MCH value is slightly increased, but it is reassuring that your other indices, like MCV (mean corpuscular volume)... Read Full »
Is my decreased RBC count causing my weakness, fatigue, and body ache?
Query: Hi doctor, My RBC level is 4.31 million red blood cells per microliter (mcL), my hematocrit level is 0.382, and my hemoglobin level is 134 gm/dL. I am weak, tired, and have body aches. Do I need to be concerned? Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your hemoglobin and hematocrit (HCT) are within range. Your red blood cell (RBC) count is slightly low, but as hemoglobin is within range, you need not worry about these three parameters. If you have more fatigue, then you need to be concerned and I suggest checking ... Read Full »
Why do I have low RBC, hemoglobin and high levels of thyroid hormones?
Query: Hi doctor, I have done some blood tests. I have high iron content with low RBC, hemoglobin and high levels of thyroid. Please suggest. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have noted your hemoglobin. RBC (red blood cells) and PCV (packed cell volume) are low with high bilirubin levels. It can be due to anemia especially hemolytic anemia in which the red blood cells get destructed and so HB (hemoglobin) falls down. You need to investigat... Read Full »
Does sudden increase in WBC with less RBC indicate leukemia?
Query: Hello doctor, I am concerned about my recent CBC results. My monocytes are high at .79, and also my hematocrit and platelets are gradually decreasing. I saw my primary care physician for my elbow, arm pain, and had my annual CBC. Then a few weeks later, I had blood in my urine. My doctor ordered a... Read Full »
Answer: Hello, Welcome to icliniq.com. You should have uploaded the CBC report to document anemia's degree (cluing towards the potential cause of anemia by red cell indices) and thrombocytopenia. However, anemia could be due to the loss of blood in the urine. Contrarily, blood loss in urine might be menst... Read Full »
Can a drop in temperature trigger an allergic reaction?
Query: Hi doctor, I have been diagnosed with an allergy. I suspect it to be because of the temperature that I have set my room at. The symptoms include a burning sensation in the stomach, legs, numbness, and pain in the legs, ankles, thighs, and knees. It happened earlier only in winters, this year it sta... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for writing to us, and I have checked your reports (attachment removed to protect patient identity). There are some changes in your blood reports, such as slightly decreased RBC (red blood cells), increased lymphocytes, and decreased monocytes, which can be du... Read Full »