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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Low RBC And High HDL Mean In The Following Report?

I had some labs run on a routine basis but I have been just feeling terrible for two months. Pure exhaustion, horrible night sweats. Can someone look at my labs and maybe give some advise? Low red blood count Low hemoglobin High carbon dioxide Low anion gap Low hemocrit High blood urea High mcg Low red cell distribution width High eos Low mono Low lymph High hdl Low vit d Low tsh All other thyroid tests are normal Thanks so much!
Tue, 8 May 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
     
The main aspects of a full/complete blood count are the hemoglobin, white cell count, and platelets. The other numbers or notations that you see are used to support any changes in these ( hemoglobin, white cell, platelet).

For example; the red cell distribution, MCH, MCV - change when the HB (hemoglobin) changes. The hematocrit would be low once the HB is low. The low HB implies that you may have anemia, the exact value is not listed here, so not sure of the severity. If both the MCV and MCH are also decreased, that means it may be iron deficiency anemia.

Lymph and monocytes are types of white blood cells, the total white blood cell count must be looked at first. If this is normal then no infection or cancer related to white cells is likely to be present.

Hope I have answered your query. Let me know if I can assist you further.

Regards,      
Dr. Michelle Gibson James
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What Does Low RBC And High HDL Mean In The Following Report?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The main aspects of a full/complete blood count are the hemoglobin, white cell count, and platelets. The other numbers or notations that you see are used to support any changes in these ( hemoglobin, white cell, platelet). For example; the red cell distribution, MCH, MCV - change when the HB (hemoglobin) changes. The hematocrit would be low once the HB is low. The low HB implies that you may have anemia, the exact value is not listed here, so not sure of the severity. If both the MCV and MCH are also decreased, that means it may be iron deficiency anemia. Lymph and monocytes are types of white blood cells, the total white blood cell count must be looked at first. If this is normal then no infection or cancer related to white cells is likely to be present. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Michelle Gibson James