Brief Answer:
Low vitamin level affecting hemoglobin level / function

Detailed Answer:
Hi,

Hemoglobin is an important component of red blood cells. It's vital function is to transport oxygen. When this oxygen transporting capacity is affected either by low hemoglobin level or reduced number or red blood cells, the condition is medically known as anemia.

Your peripheral smear reveals that each red blood cells are slightly larger than normal. But it contains lower hemoglobin than normal red blood cells would have. Further a few blood cells are of different size and shape. This type of picture is defined as macrocytic hypochromic anemia.

Macrocytic hypochromic anemia is seen with vitamin b12 deficiency or folic acid deficiency or both. Therefore it would be wise to check serum vitamin b12 and folic acid levels.

Hope this answers your query. I will be available to clear your other doubts if any.

PS: I would be interested to know the complete hemogram report. If you have it, please upload the same here.

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Brief Answer:
Consistent with my previous answer..

Detailed Answer:
Hi,

Thanks for updating.

Low hemoglobin, reduced red blood cells and elevated MCV are consistent with macrocytic anemia. Discuss about checking vitamin b12 and folic acid levels.

Regards

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