What is microcytic normochromic anemia?

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, 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 work up.

Consult a physician for examination and discuss your case.

I hope this helps you. Take care.

Hello,

Welcome back to the 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 thyroid-stimulating hormone (TSH) levels 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) test and electromyography (EMG) investigations can be done.

Overwork, excess stress, and lack of sleep cause fatigue.

Thanks and regards.