Are low MCV and MCH levels due to thalassemia?

Hi,

Welcome to icliniq.com.

I understand your concern.

All your report (attachments are hidden to protect the patient's identity) values seem within the normal reference range. Your hemoglobin value is also within the limit. As RBC (red blood cell) mass is slightly high as per history, thalassemia can be ruled out by high-performance liquid chromatography testing (HPLC). It is a gold standard test for ruling out hemoglobinopathy. MCV (mean corpuscular volume) value is also not much low. Hence if you have no symptoms, then no active intervention is needed. If you have gastrointestinal problems or if iron deficiency anemia is present, then a colonoscopy is needed. Otherwise, in healthy individuals without any symptoms, no colonoscopy is needed.

Hope your concern is solved.

If you have any clinical complaints, then provide them for giving more comments with attached reports.

Take care.

Hi,

Welcome back to icliniq.com.

I understand your query and concern.

Your serum ferritin value is within the range. Hence do not worry about that. It is just above the cut-off range, but do not worry about that, as serum ferritin reflects the storage form of iron within the body. An iron supplement is not needed here because you are totally asymptomatic, and your hemoglobin value is within the limit. You can consume iron-rich foods like jaggery, dried fruits, green leafy vegetables like spinach, meat, etc. Take a healthy and balanced diet and less junk food. You can check your CBC report after a few days.

Hope your concern is solved.

Let me know if you have further queries.

Take care.

Hi,

Welcome back to icliniq.com.

I understand your query.

I cannot find any attachments here. If you want to post an image, then kindly upload it again. Usually, occult blood benzidine tests are done in which hemoglobin, if present in stool, has peroxidase activity and released oxygen molecule oxidizes benzidine to produce green or blue colored reaction product. Color develops within five minutes and can be considered positive. But kindly read manufacturer instructions, and according to the literature provided in the kit, do your occult blood testing. If it seems difficult for you to perform testing, then a nearby pathology laboratory can be searched, and their trained pathologist will do testing for it.

Hope your concern is solved.

Take care.

Hi,

Welcome back to icliniq.com.

I have seen the attached image in the report (attachments are hidden to protect the patient's identity).

In my opinion, your test for occult blood seems to be negative because I cannot find a green or blue color like that provided in the positive control below. Still, I suggest you read the kit insert also for the interpretation of the test. If you have no gastrointestinal symptoms, then I am not in favor of doing further testing. Take a good diet with more green leafy vegetables and fruits.

Take care.

Hope this will help you.