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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low RBC Count And High MCV Count After Hysterectomy?

5 weeks ago I had a robotic total hysterectomy. 2 yrs ago I had breast cancer. I am female 50 yrs. old
My blood work today was RBC 3.98 - low, MCV 96.8- high, platelet count 130- low, eosinophils 7.4 High. My breast oncologist had my blood drawn after I saw her today, so I haven't heard back. Is this related to the surgery?
posted on Fri, 14 Mar 2014
Twitter Mon, 15 Jan 2018 Answered on
Twitter Tue, 16 Jan 2018 Last reviewed on
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Oncologist,  's  Response
Hello,
If you are worried about this being side effect of surgery and want a quick answer - then its no. Its not due to surgery.
As per your question you have low Hb, platelet count and high MCV. And common causes for this picture would be a B12 deficiency due to Veg diet or long term alcohol intake. Though i would like to tell you that there can be other causes like worm infestation, thyroid disorder, bone marrow problem or effect of chemotherapy drugs.
What I do in such cases is to take a history of drugs, diet and alcohol. And also go through prior blood reports to see whether its just isolated report. And also to do a peripheral smear to look for morphology of cells.
If my suspicion is high I will also do a B12 levels.
I hope this answers your question.
If you have any further query i am happy to answer.
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What Causes Low RBC Count And High MCV Count After Hysterectomy?

Hello, If you are worried about this being side effect of surgery and want a quick answer - then its no. Its not due to surgery. As per your question you have low Hb, platelet count and high MCV. And common causes for this picture would be a B12 deficiency due to Veg diet or long term alcohol intake. Though i would like to tell you that there can be other causes like worm infestation, thyroid disorder, bone marrow problem or effect of chemotherapy drugs. What I do in such cases is to take a history of drugs, diet and alcohol. And also go through prior blood reports to see whether its just isolated report. And also to do a peripheral smear to look for morphology of cells. If my suspicion is high I will also do a B12 levels. I hope this answers your question. If you have any further query i am happy to answer.