HomeAnswersHematologyred blood cellsI have low RBC but high MCV. Why so and what further tests are required?

What further tests and treatment is required if a person has low RBC and high MCV?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At January 27, 2023
Reviewed AtDecember 26, 2023

Patient's 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.

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 iron deficiency anemia is less. I suggest you can do a peripheral blood smear examination for further investigations. If it shows a microcytic hypochromic picture, then you can check your serum ferritin level, which reflects iron stores.

I hope this has helped you.

Thanks and regards.

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

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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