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Had Abortion, Have High ESR And Low MCH And MCHC. Cause?
Question: hi doctor, i had a abortion 2 months before now i am having esr count 34 mch 22 and mchc 25.during pregancy i had normal range of mch and mchc esr count 32.wat is the reason for this.
now drvv(test) 32.50 rubella igg 13.5 high cytomegalovirus igg 22.46 high others things are normal
now drvv(test) 32.50 rubella igg 13.5 high cytomegalovirus igg 22.46 high others things are normal
Brief Answer:
DETAILED BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
MCH and MCHC indicate your hemoglobin status.
Due to the abortion, you might have had fall in hemoglobin ( also known as anemia ).
More important than MCH and MCHC is your hemoglobin level.
If your hemoglobin level is normal, then please do not worry.
Please let me know your hemoglobin level.
You need to increase the storage quantity of iron in your body.
If you are a non vegetarian, then please increase your intake of red meat and liver.
Vegetarian sources are beetroot, palak, methi, carrots, pomegranate, nuts, grains.
You should take iron supplements ( capsules / syrup ) along with vitamin C 9 capsules or sources like lemon / kiwi / strawberries / amla ).
The Ig G indicates past infection and hence immunity to any infection.
So your reports are normal regarding rubella and cytomegalovirus.
It could also indicate past vaccination.
More important is Ig M, which indicates recent and active infection, if that is normal, do not worry.
After a missed abortion, most important investigation is to send the fetus for chromosomal analysis and biopsy.
Your blood groups ( husband and wife ), viral markers, blood sugars, thyroid hormone status should be done.
Antiphospholipid antibody syndrome should be ruled out by appropriate blood tests like APA, ACA, XXXXXXX bleeding profile, ApTT test etc.
Hormonal studies ( FSH, LH, estrogen, progesterone ) should be done to evaluate that cause .
A baseline transvaginal ultrasound scan should be done.
Please do upload the reports if done, else please get them done.
Please do not plan a pregnancy for the next 6 months atleast, and take regular folic acid supplements.
All the best.
Please feel free to discuss further.
DETAILED BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
MCH and MCHC indicate your hemoglobin status.
Due to the abortion, you might have had fall in hemoglobin ( also known as anemia ).
More important than MCH and MCHC is your hemoglobin level.
If your hemoglobin level is normal, then please do not worry.
Please let me know your hemoglobin level.
You need to increase the storage quantity of iron in your body.
If you are a non vegetarian, then please increase your intake of red meat and liver.
Vegetarian sources are beetroot, palak, methi, carrots, pomegranate, nuts, grains.
You should take iron supplements ( capsules / syrup ) along with vitamin C 9 capsules or sources like lemon / kiwi / strawberries / amla ).
The Ig G indicates past infection and hence immunity to any infection.
So your reports are normal regarding rubella and cytomegalovirus.
It could also indicate past vaccination.
More important is Ig M, which indicates recent and active infection, if that is normal, do not worry.
After a missed abortion, most important investigation is to send the fetus for chromosomal analysis and biopsy.
Your blood groups ( husband and wife ), viral markers, blood sugars, thyroid hormone status should be done.
Antiphospholipid antibody syndrome should be ruled out by appropriate blood tests like APA, ACA, XXXXXXX bleeding profile, ApTT test etc.
Hormonal studies ( FSH, LH, estrogen, progesterone ) should be done to evaluate that cause .
A baseline transvaginal ultrasound scan should be done.
Please do upload the reports if done, else please get them done.
Please do not plan a pregnancy for the next 6 months atleast, and take regular folic acid supplements.
All the best.
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
regarding my esr count it is high wat is the reason
Brief Answer:
HIGH ESR OF NO SIGNIFICANCE IF NO SYMPTOMS
Detailed Answer:
A high ESR means nothing in absence of any symptoms.
It is a non specific test, raised in a variety of conditions, like fever, allergy, inflammation anywhere in the body.
If you have no symptoms, a high ESR by itself means nothing.
Take care.
HIGH ESR OF NO SIGNIFICANCE IF NO SYMPTOMS
Detailed Answer:
A high ESR means nothing in absence of any symptoms.
It is a non specific test, raised in a variety of conditions, like fever, allergy, inflammation anywhere in the body.
If you have no symptoms, a high ESR by itself means nothing.
Take care.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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