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Doubts regarding CBC report
My CBC shows microcytic hypochromic anemia with a high RBC count and a borderline Mentzer Index of 13.8. My ferritin is 7.88 which is functionally low. The pattern is inconclusive between iron deficiency and beta thalassemia trait.
Should I get an HPLC Hemoglobin Electrophoresis to rule out thalassemia before continuing iron supplementation?
Answers (16)
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You should get HPLC done,and take iron supplements and folic acid tabtet .
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dietary modification is needed
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Continue iron supplements and go for HPLC to identify abnormal Haemoglobin type..
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Take iron supplements, Repeat cBc afer 1 mont, if not improving, u may do HPLC
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more likely it is iron deficiency anemia
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go for iron profile test and hb electrophoresis to rule out thalassemia minor
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No need to worry this pattern is very common and manageable 👍
Your low ferritin confirms iron deficiency
Book a quick consultation with me now I’ll review your full reports and guide you on the right next test HPLC if needed, safe supplementation plan. 😊
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Ferritin of 7.88 strongly suggests iron deficiency, and iron supplementation should be continued unless advised otherwise by your doctor.
However, a high RBC count with microcytosis can also be seen in beta-thalassemia trait. HPLC/Hemoglobin electrophoresis is a reasonable next step, but it is often best performed after correcting iron deficiency, as low iron can affect HbA2 levels and mask thalassemia trait.
Kindly consult so that we can discuss further treatment plans.
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Google diagnosis
U need superspecialist like hematologist.
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Kindly do connect and consult with me for better treatment plan and advice....
Need some more history from your side
So kindly connect me.
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Yes
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Get Iron daily for a month
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Dr. Shreya Pradip Gudka
General Physician
9 yrs exp
Mumbai
Ferritin is low which generally points toward iron deficiency anemia
Continue iron supplements for 3 months n then repeat cbc
If counts do not improve then get hb electrophoresis
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Dr. Karunya S
General Physician
3 yrs exp
Pudukkottai
Take Iron tablet and Iron rich food for Hb improvement . For further details consult me in practo.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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