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What Does This Hematology Report Indicate?

Posted on Thu, 16 Jun 2016

Question: Hello Dr Rynne,
I am a pilot doing his medicals and the Haematology says MCH is 25.9. The rest of the report is within range. Also the urine RE gives a Specific Gravity of 1.010. Is something wrong and what do I do to get these to normal?
XXXXX

Answered by Dr. Indu Kumar (8 hours later)

Brief Answer:
Your findings may suggests low MCH.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

Your findings may suggests mildly decreased MCH.
Normal value of MCH is 27-33 picograms(pg)/cell in adults.
Low MCH may be due to anemia. It may be due to iron deficiency.

You may need peripheral smear of blood for proper assessment.
Empirically you can take iron and folic acid tablet supplementation.
Take iron rich food like green leafy vegetables, eggs , meat, fish etc.

Urine specific gravity is normal.Its normal range is 1.002 and 1.030.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Indu Kumar (2 hours later)

Thanks Dr XXXXXXX
About how long would it take for the anaemia condition to be corrected and what dosage/ amount of folic acid supplementation is advisable?
Regards
XXXX

Answered by Dr. Indu Kumar (7 hours later)

Brief Answer:
Generally 5 mg folic acid tablet is prescribed once daily.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

It may take 2-3 months for correction.
Generally 5 mg folic acid tablet is prescribed once daily.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Sonia Raina