HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Nose Bleeding, Low Segmenters, High Lymphocytes, Low MCHC

My daughter is 19 months old, 9kls. She had nosebleding today, she didnt have any accident. her cbc showed nomal except for Low segmenters, High Lymphocytes, High MCV aand Low MCHC, pls help me...I want to be sure if my baby is fine..Thank you
Sun, 13 May 2012
Report Abuse
Pathologist and Microbiologist,  's  Response
hello. Welcome to HCM.

For a 19 month old child, segmented WBC are lesser when compared to lymphocytes. Upto 60% of lymphocytes are normal. In addition, platelet count should be normal. High MCV signifies macrocytosis and low MCHC needs to be evaluated in light of other RBC indices.
Make sure to tell us your peripheral smear findings as well.
If this has been a single episode, you can observe it simply by avoiding any kind of nose-picking or minor trauma.

However, if the bleeding has been profuse, she need to have complete coagulation profile, as these can be early symptoms of coagulation defects. It would be best, if you can visit a good hematologist, who will physically examine, evaluate the child and guide you further.

As a first aid, you can apply cold compress when she bleeds.
Most Importantly your child's weight is less for age, make sure to adequately feed her with solid foods. It can be a cause of macrocytic anemia.

take care.
I find this answer helpful
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Macrocytosis


Loading Online Doctors....
People also viewed
Nose Bleeding, Low Segmenters, High Lymphocytes, Low MCHC

hello. Welcome to HCM. For a 19 month old child, segmented WBC are lesser when compared to lymphocytes. Upto 60% of lymphocytes are normal. In addition, platelet count should be normal. High MCV signifies macrocytosis and low MCHC needs to be evaluated in light of other RBC indices. Make sure to tell us your peripheral smear findings as well. If this has been a single episode, you can observe it simply by avoiding any kind of nose-picking or minor trauma. However, if the bleeding has been profuse, she need to have complete coagulation profile, as these can be early symptoms of coagulation defects. It would be best, if you can visit a good hematologist, who will physically examine, evaluate the child and guide you further. As a first aid, you can apply cold compress when she bleeds. Most Importantly your child s weight is less for age, make sure to adequately feed her with solid foods. It can be a cause of macrocytic anemia. take care.