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What Does My Blood Test Report Indicate?
Question: my father in law is having loss of appetite and his weight has decreased by 5 to 6 kgs in the past 6 weeks. additionally he keeps complaining of stomach ache and flatulence. he has had a history of alcohol abuse (no alcohol consumption for last 2 years) and currently consumes tobacco for 2 - 3 times a day. his blood test findings are as follows: (also attached)
haemoglobin - 5.7 (low)
rbc - 3.5 (low)
packed cells volume - 22.6 (low)
mean corpuscular volume - 64.57 (low)
mean corp hb - 16.29 (low)
mean corp hb conc. (mchc) - 25.22 (low)
rdw - 18.5 (high)
platelets - 3.14 (normal)
rbc morphology - hypochromia (++)
microcytosis (++)
anisocytosis (+)
pokilocytosis (+)
esr is 40
urine shows traces of leukocytes abd squamous epithelial cells
lft is normal but serum globulin is little high at 3.8 and albumin:globumin ratio is 0.89
renal function test is normal
patient is 54 years old male
request your first cut diagnosis and prelimnary treatment suggestion
haemoglobin - 5.7 (low)
rbc - 3.5 (low)
packed cells volume - 22.6 (low)
mean corpuscular volume - 64.57 (low)
mean corp hb - 16.29 (low)
mean corp hb conc. (mchc) - 25.22 (low)
rdw - 18.5 (high)
platelets - 3.14 (normal)
rbc morphology - hypochromia (++)
microcytosis (++)
anisocytosis (+)
pokilocytosis (+)
esr is 40
urine shows traces of leukocytes abd squamous epithelial cells
lft is normal but serum globulin is little high at 3.8 and albumin:globumin ratio is 0.89
renal function test is normal
patient is 54 years old male
request your first cut diagnosis and prelimnary treatment suggestion
Brief Answer:
Endoscopy and Colonoscopy.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
Now this requires evaluation for any evidence of malignancy.
I would strongly recommend to get his Upper GI Endoscopy and Colonoscopy at the earliest.
There might be bleeding ulcers causing blood loss and iron deficiency anemia or there could be colon carcinoma.
With these reports no treatment can be suggested as we have to find out the cause of severe anemia and weight loss.
Once the cause is found that would be treated and he should be given either iron injections or blood transfusions.
I hope it helps you.
If you have any further query, please ask me.
Endoscopy and Colonoscopy.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
Now this requires evaluation for any evidence of malignancy.
I would strongly recommend to get his Upper GI Endoscopy and Colonoscopy at the earliest.
There might be bleeding ulcers causing blood loss and iron deficiency anemia or there could be colon carcinoma.
With these reports no treatment can be suggested as we have to find out the cause of severe anemia and weight loss.
Once the cause is found that would be treated and he should be given either iron injections or blood transfusions.
I hope it helps you.
If you have any further query, please ask me.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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