HomeAnswersInternal Medicinered blood cellsPlease explain my blood report.

Can you please explain my blood report?


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Published At September 13, 2016
Reviewed AtDecember 26, 2023

Patient's Query

Hi doctor,

I just got my blood work done and would like to know exactly what these results mean. Also, I do want to mention that I am a heavy drinker. The report says that RBC is low at 3.19, MCV is high at 116, MCH is high at 39.2, RDW is high at 16.5, platelets are low at 141, calcium is low at 8.5, AST is high at 75 and ALT is high at 35. Can you give me a better explanation of these results? My bones are very achy and lately I keep seeing blood dots under my skin. It looks like a blood clot. I also feel tired most of the time. When I was about 18 years old, my doctor said I was anemic. I started drinking heavily about 10 years ago.

Answered by Dr. Sadaf Mustafa


Welcome to icliniq.com. You have multiple abnormalities in your blood work. Your red blood cell parameters, such as MCV, MCH, and RDW, are elevated, which can be caused by alcohol intake, thyroid dysfunction, or folic acid or vitamin B12 deficiency. Additionally, your RBC and platelet counts are low, which may be due to bone marrow suppression from alcohol consumption or alcoholic liver disease. Elevated liver enzymes (AST and ALT) can also be attributed to alcoholic liver disease or other forms of hepatitis. Furthermore, your calcium level is slightly low, possibly indicating a vitamin D deficiency. Based on these findings, I recommend the following investigations: Hepatitis B surface antigen and antibodies, Hepatitis B core antibody, Hepatitis C antibodies, vitamin D, B12, and folic acid levels, as well as TSH (thyroid-stimulating hormone) test. Additionally, I would advise HIV testing and a liver ultrasound. For treatment, I suggest the following medications. However, it is crucial to consult your specialist doctor, discuss these options with them, and proceed with their consent:

1. Vitamin D: Take 2000 IU daily along with 1000 mg of calcium per day.

2. Vitamin B12: Take 500 mcg daily.

3. Folic acid: Take 1 mg daily.

Please ensure to present your case to a healthcare professional for proper evaluation and personalized guidance.

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

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

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