What is microcytic normochromic anemia?

Question

Hi doctor,

I had a full blood count done, and the report mentioned that there were microcytic normochromic cells noted. What does the report mean? Am I anemic or vitamin deficient? What do I do to get better? What are the concerning signs from this report? I do usually feel fatigued and lazy.

How can I improve?

Answer 1

Hello,

Welcome to icliniq.com.

Microcytic RBC (red blood cell) means that the size of the RBC is decreased.

1. Usually, it is seen in iron deficiency anemia. But your hemoglobin level is within the range. So, anemia is ruled out.

2. Excess stress, anxiety, being overworked, lack of exercise, lack of sleep, etc., can lead to a feeling of fatigue.

3. Check your serum sodium and potassium levels to rule out an electrolyte disturbance.

4. Investigate with serum TSH, T4 estimation to rule out hypothyroidism.

5. Check liver and kidney profile by serum SGOT (serum glutamic oxaloacetic transaminase), SGPT (serum glutamic pyruvic transaminase), urea, and creatinine.

6. If you cannot identify the cause, then an NCV (nerve conduction velocity) and EMG (electromyography) can be done for further workup.

Consult a physician for examination and discuss your case.

I hope this helps you. Take care.

Answer 2

Hello,

Welcome back to icliniq.com.

Your thyroid-stimulating hormone (TSH) levels are high, but your free T4 (thyroxine) level is within the limit. So subclinical hypothyroidism can be present. Repeat the thyroid-stimulating hormone (TSH) level test after a few days. If persistently elevated, then the medications can be started. On the other hand, suppose the thyroid is not the cause, and serum thyroid-stimulating hormone (TSH) levels are normal after a few days; then nerve conduction velocity (NCV) tests and electromyography (EMG) investigations can be done.

Thanks and regards.