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What Are The Symptoms Of Normocytic Normochromic Anemia?
Question: What are likely causes for normal RBC, low hemoglobin and low hematocrit. RBC=4.7 Hemoglobin=9.7 and hematocrit=31.6. Will be getting more bloodwork done next week: Fe, TIBC and Ferritin level.
Brief Answer:
Its normocytic normochromic anemia.
Detailed Answer:
Hi
Greetings from Dr Divakara P
Thanks for posting your query.
Low hemoglobin with normal RBC is called Normocytic normochromic Anemia. There are certain conditions which can cause this kind of anemia.
Common among them are:
1. Blood loss : This can happen due to blood loss in motions , urine or excess menstrual flow.
Hence I recommend tests to detect blood loss . These tests are : Urine for RBC, Stool for occult blood.
2. Blood destruction: Lysis or destruction of RBC can occur inside the body due to certain conditions like Hemolytic anemia.
For the evaluation of hemolytic anemia I recommend
Coombs tests, serum LDH, Retic count, Serum Vitamin B12 levels.
3. Thyroid problems: Less production of Thyroid hormones can cause this kind of anemia.
Hence kind get Serum TSH test done.
4. Kidney problems: Kidneys produce hormone called Erythropoitin . This hormone is necessary to stimulate the body to produce RBC. Certain kidney problems will cause less production of Erythropoitin hormone.
Hence I recommend serum creatinine and serum Erythropoitin levels.
Kindly get the recommended tests and revert back with reports.
Hope this information was useful to you.
Any clarification feel free to ask.
Regards.
Its normocytic normochromic anemia.
Detailed Answer:
Hi
Greetings from Dr Divakara P
Thanks for posting your query.
Low hemoglobin with normal RBC is called Normocytic normochromic Anemia. There are certain conditions which can cause this kind of anemia.
Common among them are:
1. Blood loss : This can happen due to blood loss in motions , urine or excess menstrual flow.
Hence I recommend tests to detect blood loss . These tests are : Urine for RBC, Stool for occult blood.
2. Blood destruction: Lysis or destruction of RBC can occur inside the body due to certain conditions like Hemolytic anemia.
For the evaluation of hemolytic anemia I recommend
Coombs tests, serum LDH, Retic count, Serum Vitamin B12 levels.
3. Thyroid problems: Less production of Thyroid hormones can cause this kind of anemia.
Hence kind get Serum TSH test done.
4. Kidney problems: Kidneys produce hormone called Erythropoitin . This hormone is necessary to stimulate the body to produce RBC. Certain kidney problems will cause less production of Erythropoitin hormone.
Hence I recommend serum creatinine and serum Erythropoitin levels.
Kindly get the recommended tests and revert back with reports.
Hope this information was useful to you.
Any clarification feel free to ask.
Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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