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Peripheral smear test
I had done peripheral smear test and cbc test.In peripheral smear test rbc shows normocytic normochromic with microcytes + seen.plz check the report.what causes it. Is it serious.
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iron deficiency anemia
you need to get supplements
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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Women who are in menstruating age group and not pregnant, this type of blood result is almost always iron deficiency from blood loss during their periods.
Take daily iron small dose 200mg ferrous sulphate.
All the best.
J G S R clinic
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Anemia correction
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It is not serious. Only indicates mild iron deficiency and can be corrected by iron rich diet and supplements.
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Your CBC + peripheral smear report shows mild microcytic hypochromic anemia (small and pale red blood cells), even though the overall description says “normocytic normochromic with microcytes + seen.”
Key findings:
• Hemoglobin: 11.3 g/dL → mild anemia (normal for adult female is 12–15 g/dL)
• MCV: 79.9 fL → borderline low (normal 80–100 fL) → microcytic
• MCH: 27.5 pg → low-normal (normal 27–34 pg) → slightly hypochromic
• RDW-CV: 14.8% → mildly elevated (normal 11.6–14.0%) → variation in red cell size
• RBC count: 4.11 million/µL → slightly low
• “Microcytes + seen” on smear → confirms presence of small RBCs
This is classic for iron deficiency anemia (most common cause of microcytic anemia worldwide, especially in women).
Other possibilities (less likely but to rule out):
• Thalassemia trait (common in India)
• Anemia of chronic disease (if any long-standing illness/inflammation)
• Combined iron + B12/folate deficiency (mixed picture)
It is not serious immediately (mild anemia, no very low Hb, normal WBC/platelets), but needs correction — untreated iron deficiency can cause ongoing fatigue, weakness, hair fall, poor concentration, and worsen over time.
Next Steps
1. Consult a general physician or hematologist within the next 7–14 days (no emergency, but don’t ignore).
• Show this CBC + smear report + mention any symptoms (fatigue, weakness, shortness of breath on exertion, pale skin, hair fall, heavy periods if applicable).
2. Essential tests to request (to confirm cause & severity):
• Serum ferritin (most important — low in iron deficiency)
• Serum iron + TIBC + transferrin saturation (full iron studies)
• Vitamin B12 + folic acid (to rule out mixed deficiency)
• Hemoglobin electrophoresis (if thalassemia trait suspected — common in India)
• Stool occult blood (if any GI loss suspected)
Health Tips
• Do NOT start iron tablets on your own without ferritin confirmation — unnecessary iron can cause side effects if not deficient.
• Diet right now (safe & helpful):
• Iron-rich foods + vitamin C together: spinach + lemon, beetroot + amla, dates + orange, pomegranate
• Non-veg (if you eat): chicken liver, egg yolk, fish
• Avoid tea/coffee with meals — blocks iron absorption
• Increase protein: dal, paneer, curd, eggs
• If doctor confirms iron deficiency (likely):
• Ferrous ascorbate + folic acid (e.g., Orofer XT, Feronia XT, Livogen-Z) — 1 tab daily after food
• Take with vitamin C 500 mg or lemon juice → absorption increases 2–3 times
• Continue 3–6 months (even after Hb normal) to rebuild stores
• Follow-up:
• Repeat CBC + ferritin after 6–8 weeks of treatment
• Hb should rise ~1 g/dL every 3–4 weeks if iron deficient
This is very common and fully treatable — most people feel much more energetic in 4–8 weeks after correcting iron (and any B12/D deficiency).
For a detailed, personalized plan (exact iron supplement brand/dose, diet chart to boost iron naturally, which doctor in your city is best for anemia workup, when to retest, and how to avoid side effects), please book an online consultation with me — I’ll review your full report, symptoms, diet, menstrual history (if relevant), and give you clear steps so your energy returns quickly and safely.
Looking forward to helping you feel stronger and more active again — book now and let’s fix this together
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The report shows mild anemia, commonly due to iron deficiency, which can cause tiredness and low energy. This is usually not serious and is treatable with proper evaluation and diet/medicines.
Next Steps
consult me so I can assess the cause properly and guide the right treatment.
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Reports are normal, slightly anemic , no need to medicine now, you can also increased via iron rich diet like green vegetables, jaggery.etc.
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If you are symptomatic take iron supplements
If you are asymptomatic nothing to do just repeat cbc after 2 months
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Iron deficiency
Take supplements
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Dr. Anusha P
General Physician
1 yrs exp
Bangalore
Nothing serious
Needs supplement
Next Steps
kindly consult
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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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
Iron Deficiency
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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. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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