A few things are highlighted in my CBC. What is the further course of action?

Question

Hi doctor,

I am 50 years old. I am getting muscle pain in legs if I walk a long distance. Also, I am an asthma patient and currently on Theo Asthalin forte tablet and inhaler. Today, I had a complete blood checkup. In the report, the following are highlighted. Total bilirubin count 1.31, red cell distribution width 14.6, vitamin B12 178 and hydroxyvitamin D 13.07. Please advise the further course of action.

Answer 1

Hi,

Welcome to icliniq.com.

Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows:

Your vitamin B12 level is mildly low, which has resulted in early changes in RBC (red blood cell) size.
In vitamin B12 deficiency, macrocytes are seen or MCV - mean corpuscular volume will be mildly elevated. Early changes with only increased RDW (red cell distribution width) and others are normal.
Vitamin D deficiency is present and requires vitamin D supplements and sun exposure. Due to working in air-conditioned or non-sun-exposed atmospheres, vitamin D deficiency is very common nowadays.
Serum bilirubin is mildly elevated. As liver function tests are normal, there is no need to worry at present.
Repeat your serum bilirubin levels after two months. In the meantime, you can start on vitamin B12, vitamin D supplements, and nutrition-rich diet.
Values are mildly abnormal and nothing to be worried about. Improve your nutrition. Repeat the test after two months and it should have returned to normal.