If a patient is severely dehydrated, the. Let me know if you have any more questions or concerns sir. Aplastic anemia occurs when your bone marrow doesnt make enough red and white blood cells, and platelets. Both the hemoglobin and the hematocrit are based on whole blood and are therefore dependent on plasma volume. This is an invasive procedure but may be needed in your case to rule out myelodysplastic syndrome. This isn't surprising to me because I've been physically weak and excessively fatigued if I don't take iron supplements, but my bloodwork was impeccable in January. (c) Lastly a bone marrow aspirate and biopsy may be needed to look for signs of myelodysplastic syndrome. Hemoglobin (Hgb) and Hematocrit (Hct) The hemoglobin is the amount of oxygen carrying protein. Hematocrit Hemoglobin is a protein in red blood cells and hematocrit is a measurement of the amount of red blood cells as related to total blood cell count. White Blood Count (WBC) is the number of white cells. Complete Blood Count (CBC) HCT/PCV (hematocrit/packed cell volume) measures the percentage of your pets red blood cells. (b) Erythrocyte sedimentation rate and CRP to see for signs of chronic inflammation and also a iron studies to look for serum iron, transferrin saturation levels and Soluble transferrin receptor levels. Low levels of hemoglobin may be caused by anemia, blood loss, nutritional deficiency, bone marrow problems, chemotherapy, kidney failure, or sickle cell disease. This can result in a person with high Hct levels feeling weak, dizzy, and having. A high hematocrit is less frequent than low hematocrit and can mean that a person isn’t getting enough oxygen, suffers from dehydration, or is at risk of heart disease. In most labs, the hematocrit is measured by a machine that automatically determines a variety of blood tests referred to as the blood count ().The complete blood count is a numerical listing of the hematocrit, as well as the hemoglobin concentration, and the three blood cell lines produced by the bone marrow (the red blood cells, the white blood cells, and the platelets). (a) Stool for fecal occult blood to rule out rectal bleeding (which is a very common source of bleeding in adults although serum ferritin is usually not high but we need to rule this condition out). A low hematocrit can make a person feel fatigued, drowsy, or have difficulty breathing. Although ferritin is not that high in anemia associated with chronic renal diseases but it can be an added component to your problems.ģ) I would recommend the following tests if not already done to get to an accurate diagnosis. However, we also need to rule other causes out such as anemia of chronic diseases, or that associated with renal diseases.ġ)Have you had any chronic illness in the past such as infections of any body organ or chronic joint aches?Ģ) Also since your eGFR value is less than 40 in the latest report, has the nephrologist or doctor told about what is the cause of chronic renal disease. Giant platelets can also be occasionally seen. High ferritin and low hematocrit classically indicates ineffective red cell production which can be seen in a group of hematological condition known as myelodysplastic syndrome.
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