What Do These Blood Reports Indicate?

Posted on Tue, 29 Nov 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 29 Nov 2016 Answered on

Thu, 22 Dec 2016 Last reviewed on

Question : Yes, I am 58 years old black XXXXXXX I am 5'6" and weight 150. I feel great but on a recent medical visit with a new doctor they are very concerned about my my high red blood cells. For example, MCV is above normal. it is 102 whereas it should be no higher than 95. Also My Lympcyte and Moncyte are way above average See attached. My natural father and 2 brothers had Hodgkins Lymphoma. Should I be worried. My doctors have scheduled me for a bone biopsy
     4.0 x10(9)/L     4.0 - 11.0 x10(9)/L
RED BLOOD CELL COUNT     4.05 x10(12)/L     4.60 - 6.20 x10(12)/L
HEMOGLOBIN     13.3 g/dL     14.0 - 18.0 g/dL
HEMATOCRIT     41.7 %     40.0 - 54.0 %
MEAN CORPUSCULAR VOL     102.9 fL     80.0 - 95.0 fL
(MCH)MEAN CORP HGB     32.8 pg     26.0 - 33.0 pg
MEAN CORP HGB CONC     31.9 g/dL     31.0 - 36.0 g/dL
RED CELL DIST WIDTH     12.5 %     11.5 - 14.5 %
PLATELET COUNT     192 x10(9)/L     150 - 430 x10(9)/L
MEAN PLATELET VOLUME     9.80 fL     8.00 - 12.00 fL
See also:
0.1 /100 WBC's     0.0 - 1.0 /100 WBC's
NEUTROPHIL%AUTO     38.2 %     45.0 - 70.0 %
LYMPH%AUTO     49.1 %     22.0 - 40.0 %
MONOCYTE%AUTO     10.8 %     0.0 - 8.0 %
EOSINOPHIL%AUTO     1.3 %     0.0 - 8.0 %
BASOPHILE%AUTO     0.6 %     0.0 - 2.0 %
NEUTROPHIL ABSOLUTE#     1.50 x10(9)/L     1.80 - 7.70 x10(9)/L
LYMPH ABSOLUTE #     2.0 x10(9)/L     1.0 - 5.0 x10(9)/L
MONOCYTE ABSOLUTE #     0.40 x10

Answered by Dr. Shailja Puri (1 hour later)

Brief Answer:
Blood report suggests anemia and high MCV (macrocytosis)

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
Your blood report shows all normal values expect for few abnormal ones.
Firstly, your hemoglobin is low and thus you have anemia.
The MCV is high so you have a macrocytic anemia.
Macrocytic anemia can occur due to liver disease, alcohol consumption, vitamin B 12-folic acid deficiency, etc.
The neutrophil count on lower side and thus there is relative lymphocytosis or an increase in lymphocyte count.
White blood cell count is also on the lower side of the normal range.
Although the white blood cell count is on lower side but it is of serious consequence.
I suggest you to consult your physician for clinical assessment.
You may take up vitamin B 12 and folic acid test.

Thanks and take care
Dr Shailja Puri

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Above answer was peer-reviewed by : Dr. Raju A.T