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What Does This Blood Report Indicate?
Question: Hello,
I'm worried PDWc strong increase and hemoglobin decreased in the general analysis of blood,
50 years, female gender, underwent surgery on the thyroid gland in 1989, after it was subacute thyroiditis, who moved to autoimmune tereoidit, his background was hypothyroidism, was appointed thyroxine replacement therapy, recent analysis has shown strong giperterioz after addition of a dose of 140 mg. Deviations PDWc, MCH, MCHC previously never had. HGB was always high. Indicators have worsened over time.
The general state of health is not very good , at the slightest physical exertion - tachycardia, and increased blood pressure, difficulty breathing , headaches, bitter taste in the mouth. Lifestyle - sedentary . There were problems with constipation - intestinal endoscopy done , everything is normal .
Tell me, please, how dangerous it may be and to what expert should address?
16 october 2015
WBC 7,79
RBC 5,02
HGB 129
HCT 41,2
MCV 82
MCH 25,7
MCHC 314 (31,4)
RDWc 12,56
PLT 262
PCT 0,23
MPV 8,91
PDWc 42,88
color 0,77
basophils 0%
eosinophils 1%
stab neutrophils 1%
segmented neutrophils 56%
lymphocytes 36%
monocytes 6%
plasma 0%
ESR 2
24 XXXXXXX 2015
WBC 8,31
RBC 5,12
HGB 138
HCT 41,3
MCV 81
MCH 26,9
MCHC 334 (33,4)
RDWc 12,04
PLT 271
PCT 0,21
MPV 7,88
PDWc 39,81
color 0,81
basophils 0,5%
eosinophils 2%
stab neutrophils 2%
segmented neutrophils 57,5%
lymphocytes 30,0%
monocytes 8%
plasma 0%
ESR 11
I'm worried PDWc strong increase and hemoglobin decreased in the general analysis of blood,
50 years, female gender, underwent surgery on the thyroid gland in 1989, after it was subacute thyroiditis, who moved to autoimmune tereoidit, his background was hypothyroidism, was appointed thyroxine replacement therapy, recent analysis has shown strong giperterioz after addition of a dose of 140 mg. Deviations PDWc, MCH, MCHC previously never had. HGB was always high. Indicators have worsened over time.
The general state of health is not very good , at the slightest physical exertion - tachycardia, and increased blood pressure, difficulty breathing , headaches, bitter taste in the mouth. Lifestyle - sedentary . There were problems with constipation - intestinal endoscopy done , everything is normal .
Tell me, please, how dangerous it may be and to what expert should address?
16 october 2015
WBC 7,79
RBC 5,02
HGB 129
HCT 41,2
MCV 82
MCH 25,7
MCHC 314 (31,4)
RDWc 12,56
PLT 262
PCT 0,23
MPV 8,91
PDWc 42,88
color 0,77
basophils 0%
eosinophils 1%
stab neutrophils 1%
segmented neutrophils 56%
lymphocytes 36%
monocytes 6%
plasma 0%
ESR 2
24 XXXXXXX 2015
WBC 8,31
RBC 5,12
HGB 138
HCT 41,3
MCV 81
MCH 26,9
MCHC 334 (33,4)
RDWc 12,04
PLT 271
PCT 0,21
MPV 7,88
PDWc 39,81
color 0,81
basophils 0,5%
eosinophils 2%
stab neutrophils 2%
segmented neutrophils 57,5%
lymphocytes 30,0%
monocytes 8%
plasma 0%
ESR 11
Brief Answer:
The Hb and PDW within acceptable limit. Repeat TFT required.
Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
The complete hemogram that you have posted is within normal limits.
There is slight decrease in hemoglobin from XXXXXXX to October 2015.
However, a variation of 10% is acceptable between two runs done at an interval of four months.
There is definite decrease in hemoglobin but the decrease is not drastic so do not worry about its.
The same is true for PDW. There is variation in value of PDW over four months but the variation is not drastic.
Thus, the variation in values of PDW and hemoglobin are acceptable.
The symptoms experienced by you currently - tachycardia, difficulty in breathing, headache, high blood pressure, bitter taste may be due to fluctuations in thyroid function tests.
I suggest you to get your thyroid function tests and get then reviewed by your treating doctor.
Fluctuations in thyroid function tests can lead to these symptoms.
If you have more queries, I will be glad to answer.
Thanks and take care
Dr Shailja Puri
The Hb and PDW within acceptable limit. Repeat TFT required.
Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
The complete hemogram that you have posted is within normal limits.
There is slight decrease in hemoglobin from XXXXXXX to October 2015.
However, a variation of 10% is acceptable between two runs done at an interval of four months.
There is definite decrease in hemoglobin but the decrease is not drastic so do not worry about its.
The same is true for PDW. There is variation in value of PDW over four months but the variation is not drastic.
Thus, the variation in values of PDW and hemoglobin are acceptable.
The symptoms experienced by you currently - tachycardia, difficulty in breathing, headache, high blood pressure, bitter taste may be due to fluctuations in thyroid function tests.
I suggest you to get your thyroid function tests and get then reviewed by your treating doctor.
Fluctuations in thyroid function tests can lead to these symptoms.
If you have more queries, I will be glad to answer.
Thanks and take care
Dr Shailja Puri
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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