Male | 38
Are High MCHC, Low Hematocrit & Vitamin D Concerning?
38 year old male blood test result: high mchc and lymphocytes, low hematocrit and neutrophils. Low vitamin d. Patients brother had aml. Are these test results concerning? Should we do further testing? The reason for the blood test was bone pain on different parts on the body. Lymphocyes 52% Mchc 37 Neutrophils 38% Hematocrit 38.9% Vit d 16

General Physician
Answered on 18th Sept '24
The increase of MCHC and lymphocytes along with the fall of hematocrit and neutrophils is a sign of some serious issues beneath. Bone pain can also be related to abnormal Vitamin D levels. Taking into consideration the family's background of AML, a decision for additional tests would be a good one to make the doubts clear.
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Questions & Answers on "Hematology" (255)
Dear Doctor, Due to my father's high blood viscosity, suspicion of polycythemia arises, necessitating blood draws every 3 weeks to maintain appropriate levels. At 69 years old, he experiences symptoms such as skin itching, swelling, head numbness, and fatigue. Currently, his JAK2 V617F mutation showed 0.8 then 1.2%, with JAK2 exon 12 negative and EPO at 13.4. Abdominal CT and chest X-ray are normal. After a few months of phlebotomy, his levels normalized. Now, we await the bone marrow biopsy results, which do not confirm Polycythemia Vera: "Microscopic description: The bone marrow biopsy sample shows somewhat hypocellular hematopoietic parenchyma relative to age, which is terminally mature. Myeloid ratio is 2:1 with dominance of late precursors; no blast cells are noted. The number of megakaryocytes is normal with no clustering. There is no interstitial fibrosis or lymphoid infiltrate. Diagnosis: Mature, hypocellular hematopoietic parenchyma without myeloproliferative features. Cytogenetic analysis confirmed male karyotype; no clonal chromosomal abnormalities detected. Indication for examination D7510 Secondary polycythemia Note Submicroscopic rearrangements, small structural chromosomal aberrations, DNA-level differences cannot be ruled out with the method used." I am quite confused as JAK2 positivity typically suggests PV, yet the biopsy suggests otherwise, possibly indicating secondary polycythemia. Could you please clarify based on this information what you personally think is more likely, Polycythemia Vera or another secondary cause? Thank you very much for your help.
Male | 67
Your father's symptoms and test results do suggest some complexity. The presence of JAK2 mutation often points towards Polycythemia Vera (PV), but the bone marrow biopsy does not show typical myeloproliferative features, suggesting it might be secondary polycythemia instead. Consult a hematologist, specializing in blood disorders, and can provide a more accurate diagnosis and appropriate treatment plan.
Answered on 3rd July '24
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I had my blood test and the report is normal just my PCT level is shown high can I know more about it
Female | 23
PCT is short for procalcitonin which is a chemical our body makes when it is fighting infections. Increased PCT can signify an ongoing infection in the body. Your body might be having symptoms of fever such as chills or even an uncomfortable feeling all over. Consult a hematologist to know the cause and infection.
Answered on 25th Nov '24
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I am having red mucus in colour, please consult a doctor
Female | 21
Red mucus is often a sign of bleeding in certain areas of your body, such as the nose, throat, or stomach. If it’s coming from your mouth, it could be related to a lung issue. This might be caused by an infection, irritation, or a more serious condition like pneumonia. It's important to see a doctor for an evaluation. They may run tests such as blood work, X-rays, or a bronchoscopy to identify the cause. Treatment for the bleeding will depend on its source, so it's best to get checked as soon as possible.
Answered on 16th Oct '24
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I want to check my blood test report
Male | 21
Checking your blood test results is important for overall health. Common symptoms that may need attention include fatigue, unusual weight changes, or persistent pain. These can be linked to a range of causes, from nutritional deficiencies to underlying health conditions. To address any concerns, I recommend reviewing the results with a healthcare professional, who can interpret them accurately and suggest appropriate lifestyle changes or treatments.
Answered on 21st Jan '25
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I am a 7 month old baby's breastfeeding mother. I had a c section delivery but even after 7 months my body weakness is not getting better. Sometime this weakness is fine and sometimes I feel very weak. Now since last 2 3 days I am feeling dizzy, having constipation, acidity and shortness of breath and my wrist and feet are also trembling sometimes. I thought this is anemic symptoms.
Female | 25
I think perhaps you’re showing signs of a lack of iron, which often occurs after having a baby. You might feel weak, lightheaded, out of breath or have trembling hands and feet. You could also get constipated, have heartburn or feel low. Eating red meat, spinach and lentils can help because they are high in this mineral. You might also need to take an iron supplement. But talk to your doctor to make sure that’s what it is and work out a plan for getting better.
Answered on 4th June '24
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38 year old male blood test result: high mchc and lymphocytes, low hematocrit and neutrophils. Low vitamin d. Patients brother had aml. Are these test results concerning? Should we do further testing? The reason for the blood test was bone pain on different parts on the body. Lymphocyes 52% Mchc 37 Neutrophils 38% Hematocrit 38.9% Vit d 16
Male | 38
The increase of MCHC and lymphocytes along with the fall of hematocrit and neutrophils is a sign of some serious issues beneath. Bone pain can also be related to abnormal Vitamin D levels. Taking into consideration the family's background of AML, a decision for additional tests would be a good one to make the doubts clear.
Answered on 18th Sept '24
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My platelet count is 5.5 lakh so it is normal or not
Male | 17
A platelet count of 5.5 lakh is normal. These tiny cells help blood clot properly. Low platelets mean bruising easily, bleeding too much, and cuts won't stop bleeding. High platelets might signal infection, inflammation, or medical issues. So, regular check-ups with your doctor monitor those platelet levels. Your number looks good now. But definitely double-check with a doctor.
Answered on 21st Aug '24
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I am a 26-year-old female. I have night sweats weight loss over 50 pounds hair thinning all lymph nodes have lumps and currently finding new ones. No pain in them. Double vision, headaches, constipation and diarrhea positive mono nucleus test but negative for mono, bruising and legs, bruising, and ribs, stomach and abdominal pain.
Female | 26
According to the symptoms, there may be an underlying serious illness. You should seek medical attention immediately for a correct diagnosis and treatment plan. They can mean different things such as infections, autoimmune diseases, and cancers. Do'nt wait any longer before visiting a doctor because these signs need urgent care. Your healthcare provider will do more tests to find out what is wrong with you and give you the right medication.
Answered on 28th May '24
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My RDW-CV is 11.5% RDW-SDis 35.9fL Eosinophils-5.3% May i know my condition?
Female | 30
Your results show variations in red blood cell characteristics and a higher level of eosinophils, which can be associated with allergies, infections, or certain medical conditions. Symptoms may include fatigue or difficulty breathing if underlying issues are present. To understand your situation better, it's important to consider additional tests and your overall health. I recommend scheduling a visit with your physician, who can interpret these findings in the context of your history and symptoms. They will guide you on the best next steps to ensure your wellbeing and peace of mind.
Answered on 18th Mar '25
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I am very sick sir duwara duwara say bukhar aa raha hn and after that then urine mein blood bi aa raha hn and weekness bii What is my problem
Male | 44
Based on your explanation, you are familiar with fever and have also noticed blood in your urine. This could be a symptom of a urinary tract infection or a sign of kidney problems, both of which can also cause weakness. It would be best to consult a doctor within a few days to determine the cause and receive the appropriate care.
Answered on 23rd July '24
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About heavy bleeding and Peth se awazein arhe ha
Female | 25
Heavy bleeding can arise from various factors such as hormonal fluctuations, fibroids, or even infections. It's vital to watch for additional symptoms like severe pain, fatigue, or changes in your cycle. Maintaining a balanced diet, staying hydrated, and tracking your menstrual cycle can be beneficial. However, it’s crucial to consult a gynecologist for a thorough evaluation. They can provide personalized advice and treatment options to address your concerns effectively.
Answered on 8th Mar '25
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I am 38 years and married. In October, last year I went to donate blood but was told one of the test is positive for HIV. I was asked to retest after months. I did and it is still same inconclusive result. What should I do?
Male | 38
The fact that your test was inconclusive implies that it's still not clear if you are HIV positive or not. Regarding the symptoms of HIV, they are similar to fever, tiredness, and weight loss. More likely, bringing about can be unsafe sex or sharing needles. Therefore, you must see a doctor
Answered on 23rd May '24
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Wbc-77280 per microlitre Eosinophils-63.8 per microlitre Haemoglobin-10.4 G/dL RBC-3.98 millions/cumm
Female | 51
Your blood test could indicate an issue. High WBC and Eosinophils levels, as well as low Haemoglobin and RBC counts, could mean there is an infection or inflammation present. Signs might consist of tiredness, feebleness, and generally feeling unwell. If necessary, it would be best to contact a doctor for more tests and treatment.
Answered on 6th June '24
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Is it possible that a person have Alpha thalassemia major and still not taking any blood transfusion in entire life and now 21 yo.....or the person have only minor one
Female | 21
Alpha thalassemia major can be present in a patient who does not require blood transfusions. This form of the disorder can result in severe anemia, although it affects people differently. Some individuals may not need a transfusion at all. Signs and symptoms of alpha thalassemia may include fatigue, weakness, or paleness of skin. Treatment may consist of symptom management such as taking supplements or drugs that stimulate the production of more red blood cells within the body. Please consult a doctor for individualized advice.
Answered on 25th June '24
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I have terrible hair fall and nose bleed followed by weight loss and weakness
Female | 16
There might be a few reasons for these issues. You could have a nutritional deficiency. Or it could be stress. Or maybe another health problem. To feel better, eat healthy foods. Reduce stress by resting more. But if this keeps happening, see a doctor soon.
Answered on 23rd May '24
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Anti hiv value 0.229 is good
Male | 19
It's great to know that your anti-HIV value is 0.229. This shows that you have a certain amount of HIV antibodies that your body has made but not many. It could mean you were infected recently or just exposed without getting sick. Keep an eye on it with frequent testing.
Answered on 10th June '24
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Some time ago I tested my blood my hemoglobin was 6 and everything was low as biological figure so what actually it is
Female | 25
A hemoglobin level of 6 indicates severe anemia, which may lead to symptoms like fatigue, weakness, and shortness of breath. Common causes include nutritional deficiencies, chronic diseases, or blood loss. It’s vital to address this condition through proper evaluation and treatment. Increasing iron-rich foods and supplements can help, but only under a doctor's supervision. I recommend consulting a hematologist for personalized guidance and treatment options tailored to your needs.
Answered on 15th Jan '25
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I have vbas and lost too much blood my hb was down to 7.2 and had excessive clots in few days I did blood transfusion and vinofer 3 shots Now my hb is 8.5 and I have notice blood clots today which is 13 days after delivery What is the reason for it and what should I do now ?
Female | 25
It's great that you've received treatment and your hemoglobin is improving. Blood clots postpartum can occur due to a variety of reasons, including changes in hormone levels and blood flow. Monitor the size and frequency of the clots; if they increase or are accompanied by severe pain, dizziness, or heavy bleeding, reach out to your healthcare provider promptly. Ensure you're staying hydrated and following up on your recovery with a doctor who can provide tailored care.
Answered on 18th Jan '25
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have flu head ache fever after 14 days of exposure .After 30 days from exposure in cbc low wbc low neutrophil high lymphocyte high eosinophil high rdw sv . After 42 days of exposure all become normal is sign of HIV?
Male | 29
It’s understandable to be concerned about your health after experiencing these symptoms and lab results. While headaches, fever, and changes in your blood cell counts can indicate various conditions, they are not specific to HIV. The immune system can fluctuate due to many factors, including infections and stress. It’s reassuring that your results normalized over time. However, I strongly recommend consulting a physician for personalized advice and further evaluation.
Answered on 16th Feb '25
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After delivery, I have anemia, low pressure, dizziness, weakness. It has been a year. I am taking iron and calcium tablets continuously. Nothing is happening. What to do now. Please advise.
Female | 22
You've been feeling exhausted, lightheaded, and nauseous after childbirth. These could be signs of anemia, which means your body doesn't have enough healthy red blood cells. Even though you are on iron and calcium tablets, they may not be enough. It's important to have a blood test to see if you need a different type of iron or if something else is causing your symptoms.
Answered on 9th Aug '24
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