I am hemalatha 42 years.i am having low heamoglobin of 6.7 gm%.my hematocrit 23.3,mcv 59,mch17.0,mchc28.6,rdw22.6 and my leukocytes are all in normal ranges.platelets also in normal.but smear study saysmicrocytic and hyprochromic in appearance withanisopoikilocytosis.target,elongatedand teardrop shaped red cells are seen.This is my report. Next week only I got an appointment with my Doctor. Before that I want to know whether there is any problem in my reports. Please suggest me.Thankyou
Hello! Thanks for being with Chat Doctor. Microcytic hypodermic red blood cells means red blood cells are small and amount of hemoglobin inside the cells is less.  Slight variation in size and shape that is also called endocytosis and poikilocytosis. You have Hemoglobin of 6.7 GMT, hematocrit 23.3,MTV 59,mch17.0,MHC 28.6,raw 22.6 and normal leukocytes and platelets. These changes can be seen in: 1.iron deficiency anemia 2.chronic blood loss due to peptic ulcer, hemorrhoids,heavy menstruation, etc 3. Anaemia of chronic disease such as chronic kidney disease, tuberculosis,malabsorption.  You need to go further testing with serum iron studies and other investigations for cause of iron deficiency and treatment with iron supplement as per the physicians' opinion. Hope this could help you. Wish you good health.