Normal Hematocrit Levels

Diet ClinicB.Sc.(Hons), P.G.DieteticsDietitian/Nutritionist

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Your hemoglobin and other findings are too low! You must visit the doctor immediately. You are having Anemia. And other issues. In patients with anemia, hemoglobin levels are low and the patient may be frequently tired and have little energy. This is because there is not enough hemoglobin to carry oxygen to the stationary tissues; thus, there is not enough oxygen available to convert nutrients into energy. The RBC count, hematocrit level, MCV, MCH and MCHC might also be low in patients with anemia. 

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Looks VIT B12 deficiency. Pls check your VIT B12 levels. Nothing to worry, if we supplement it, your levels will be normal within a month. Visit in private with VIT B12 report. 

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Dr. Nitin SahuMD - General Medicine, MBBS Bachelor of Medicine and Bachelor of SurgeryGeneral Physician

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You have mild iron deficiency anemia Anaemia occurs when you have a decreased level of hemoglobin in your red blood cells (RBCs). Hemoglobin is the protein in your RBCs that is responsible for carrying oxygen to your tissues. Iron deficiency anemia is the most common type of anemia, and it occurs when your body doesn’t have enough of the mineral iron. Your body needs iron to make hemoglobin. When there isn’t enough iron in your blood stream, the rest of your body can’t get the amount of oxygen it needs. While the condition may be common, many people don’t know they have iron deficiency anaemia. It’s possible to experience the symptoms for years without ever knowing the cause. In women of childbearing age, the most common cause of iron deficiency anaemia is a loss of iron in the blood due to heavy menstruation or pregnancy. A poor diet or certain intestinal diseases that affect how the body absorbs iron can also cause iron deficiency anaemia Iron Deficiency Anemia Symptoms Causes Risk factors Diagnosis Anemia in women Complications Treatment Prevention Outlook What is iron deficiency anemia? Anemia occurs when you have a decreased level of hemoglobin in your red blood cells (RBCs). Hemoglobin is the protein in your RBCs that is responsible for carrying oxygen to your tissues. Iron deficiency anemia is the most common type of anemia, and it occurs when your body doesn’t have enough of the mineral iron. Your body needs iron to make hemoglobin. When there isn’t enough iron in your blood stream, the rest of your body can’t get the amount of oxygen it needs. While the condition may be common, many people don’t know they have iron deficiency anemia. It’s possible to experience the symptoms for years without ever knowing the cause. In women of childbearing age, the most common cause of iron deficiency anemia is a loss of iron in the blood due to heavy menstruation or pregnancy. A poor diet or certain intestinal diseases that affect how the body absorbs iron can also cause iron deficiency anemia. Doctors normally treat the condition with iron supplements or changes to diet. SYMPTOMS Symptoms of iron deficiency anemia The symptoms of iron deficiency anemia can be mild at first, and you may not even notice them. According to the American Society of Hematology (ASH), most people don’t realize they have mild anemia until they have a routine blood test. The symptoms of moderate to severe iron deficiency anemia include: general fatigue weakness pale skin shortness of breath dizziness strange cravings to eat items that aren’t food, such as dirt, ice, or clay a tingling or crawling feeling in the legs tongue swelling or soreness cold hands and feet fast or irregular heartbeat brittle nails headaches CAUSES Causes of iron deficiency anemia According to the ASH, iron deficiency is the most common cause of anemia. There are many reasons why a person might become deficient in iron. These include: Inadequate iron intake Eating too little iron over an extended amount of time can cause a shortage in your body. Foods such as meat, eggs, and some green leafy vegetables are high in iron. Because iron is essential during times of rapid growth and development, pregnant women and young children may need even more iron-rich foods in their diet. Pregnancy or blood loss due to menstruation Heavy menstrual bleeding and blood loss during childbirth are the most common causes of iron deficiency anemia in women of childbearing age. Internal bleeding Certain medical conditions can cause internal bleeding, which can lead to iron deficiency anemia. Examples include an ulcer in your stomach, polyps in the colon or intestines, or colon cancer. Regular use of pain relievers, such as aspirin, can also cause bleeding in the stomach. Read more: Learn about cytopenia and anemia's relationship » Inability to absorb iron Certain disorders or surgeries that affect the intestines can also interfere with how your body absorbs iron. Even if you get enough iron in your diet, celiac disease or intestinal surgery such as gastric bypass may limit the amount of iron your body can absorb. RISK FACTORS Risk factors Anemia is a common condition and can occur in both men and women of any age and from any ethnic group. Some people may be at greater risk of iron deficiency anemia than others, including: women of childbearing age pregnant women people with poor diets people who donate blood frequently infants and children, especially those born prematurely or experiencing a growth spurt vegetarians who don’t replace meat with another iron-rich food If you’re at risk of iron deficiency anemia, talk to your doctor to determine if blood testing or dietary changes could benefit you. DIAGNOSIS How it’s diagnosed A doctor can diagnose anemia with blood tests. These include: Complete blood cell (CBC) test A complete blood count (CBC) is usually the first test a doctor will use. A CBC measures the amount of all components in the blood, including: red blood cells (RBCs) white blood cells (WBCs) hemoglobin hematocrit platelets The CBC provides information about your blood that is helpful in diagnosing iron deficiency anemia. This information includes: the hematocrit level, which is the percent of blood volume that is made up of RBCs the hemoglobin level the size of your RBCs A normal hematocrit range is 34.9 to 44.5 percent for adult women and 38.8 to 50 percent for adult men. The normal hemoglobin range is 12.0 to 15.5 grams per deciliter for an adult woman and 13.5 to 17.5 grams per deciliter for an adult man. In iron deficiency anemia, the hematocrit and hemoglobin levels are low. Also, RBCs are usually smaller in size than normal. A CBC test is often performed as part of a routine physical examination. It’s a good indicator of a person’s overall health. It may also be performed routinely before a surgery. This test is useful to diagnose this type of anemia because most people who have an iron deficiency don’t realize it. Other tests Anemia can usually be confirmed with a CBC test. Your doctor might order additional blood tests to determine how severe your anemia is and help determine treatments. They may also examine your blood through a microscope. These blood tests will provide information, including: the iron level in your blood your RBC size and color (RBCs are pale if they’re deficient in iron) your ferritin levels your total iron-binding capacity (TIBC) Ferritin is a protein that helps with iron storage in your body. Low levels of ferritin indicate low iron storage. A TIBC test is used to determine the amount transferrin that’s carrying iron. Transferrin is a protein that transports iron. Tests for internal bleeding If your doctor is concerned that internal bleeding is causing your anemia, additional tests may be needed. One test you may have is fecal occult test to look for blood in your feces. Blood in your feces may indicate bleeding in your intestine. Your doctor may also perform an endoscopy, in which they use a small camera on a flexible tube to view the linings of your gastrointestinal tract. An EGD test, or upper endoscopy, allows a doctor to examine the lining of the esophagus, stomach, and the upper part of the small intestine. A colonoscopy, or lower endoscopy, allows a doctor to examine the lining of the colon, which is the lower portion of the large intestine. These tests can help identify sources of gastrointestinal bleeding. ANEMIA IN WOMEN Iron deficiency anemia in women Pregnancy, significant menstrual bleeding, and uterine fibroids are all reasons why women are more likely to experience iron deficiency anemia. Heavy menstrual bleeding occurs when a woman bleeds more or longer than women typically bleed during menstruation. According to the Centers for Disease Control and Prevention, typical menstrual bleeding lasts for 4 to 5 days and the amount of blood lost ranges from 2 to 3 tablespoons. Women with excess menstrual bleeding typically bleed for more than seven days and lose twice as much blood as normal. According to the National Heart, Lung, and Blood Institute, an estimated 20 percent of women of childbearing age have iron deficiency anemia. Pregnant women are even more likely to have iron deficiency anemia because they require greater amounts of blood to support their growing babies. A pelvic ultrasound can help a doctor look for the source of excess bleeding during a woman’s period, such as fibroids. Like iron deficiency anemia, uterine fibroids often don’t cause symptoms. They occur when muscular tumors grow in the uterus. While they’re not usually cancerous, they can cause heavy menstrual bleeding that can lead to iron deficiency anemia. COMPLICATIONS Health complications of iron deficiency anemia Most cases of iron deficiency anemia are mild and don’t cause complications. The condition can usually be corrected easily. However, if anemia or iron deficiency is left untreated, it can lead to other health problems. These include: Rapid or irregular heartbeat When you’re anemic, your heart has to pump more blood to make up for the low amount of oxygen. This can lead to irregular heartbeat. In severe cases, it can lead to heart failure or an enlarged heart. Pregnancy complications In severe cases of iron deficiency, a child may be born prematurely or with a low birth weight. Most pregnant women take iron supplements as part of their prenatal care to prevent this from happening. Delayed growth in infants and children Infants and children who are severely deficient in iron may experience delayed growth and development. They may also be more prone to infections. TREATMENT Treatment options Iron supplements Iron tablets can help restore iron levels in your body. If possible, you should take iron tablets on an empty stomach, which helps the body absorb them better. If they upset your stomach, you can take them with meals. You may need to take the supplements for several months. Iron supplements may cause constipation or black stools. Diet Diets that include the following foods can help treat or prevent iron deficiency: red meat dark green, leafy vegetables dried fruits nuts iron-fortified cereals Additionally, vitamin C helps your body absorb iron. If you’re taking iron tablets, a doctor might suggest taking the tablets along with a source of vitamin C, such as a glass of orange juice or citrus fruiYour TSH is mildly elevated you may repeat the test after 3 months. You don't require any medicines right now. 

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Dr. Arijit NagMBBS, MD - Internal Medicine, MRCP (UK), DM - Clinical HaematologyHematologist

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No anemia. You can relax. However, your symptoms can be due to some other cause. Get in touch with your physician. 

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Dr. Dibyendu DeDM - Clinical Haematology, MD - General Medicine, MBBSHematologist

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The normal range for Hemoglobin is 13-17g/dl for male and 12-15 g/dl for female. However recent update in WHO diagnostic criteria for Polycythemia Vera has Hemoglobin cut-off of 16.5, which has mild overlap with normal range. This is because, the concept of disease etiology has undergone sea change with the newer highlights on genetic mutations and it is found that few people who otherwise have high normal hemoglobin level can have the genetic mutations and thus develops full blown polycythemia vera, as time flies by. Therefore, if someone have high normal hemoglobin, even though it falls well within normal range, the physicians should be alert of possibility of polycythemia vera and should prescribe for bone marrow studies and genetic studies, which are essential for diagnosis of polycythemia vera. (sole increase in Hemoglobin level above 16.5 gm/dl is not sufficient for diagnosis ). This helps in starting patients with preventive measures, so that life threatening complications of polycythemia vera, like stroke or AMI, can be prevented. Hope it helps and clarifies your doubts thanks. 

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Dr. K V AnandBASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental HealthPsychologist

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In polycythemia, the levels of hemoglobin (Hgb), hematocrit (Hct), or the red blood cell (RBC) count may be elevated when measured in the complete blood count (CBC), as compared to normal. Hemoglobin levels greater than 16.5 g/dL (grams per deciliter) in women and greater than 18.5 g/dL in men suggest polycythemia. stress controls hemoglobin levels in blood. Summary: ... This process is mediated by the hemoglobin in our blood, which carries oxygen. Since air contains less oxygen on high mountains, the body is under pressure to make hemoglobin rapidly 

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Dr. Neelam NathDiploma in Obstetrics & Gynaecology, MBBSGeneral Physician

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white collar hypertension doesn't have to be dependent on medicines reduce salt and take more potassium through citrus fruits like oranges and lemon juice and water with honey reduce stress and anxiety related issues with the help of yoga and meditation reduce weight also eat more of seasonal vegetables and fruits less trans fats and non veg food drink lots of water and simple exercises that relaxes the body 

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Dr. Rushali AngchekarBHMSHomeopath

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Its normal.. Higher than normal hematocrit levels represent elevated red blood cell counts. High hematocrits can be seen in people living at high altitudes and in chronic smokers. Dehydration produces a falsely high hematocrit that disappears when proper fluid balance is restored. 

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Dr. Ankur MittalMBBS, MD, FICHHematologist

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Hi, It's difficult to comment any thing on these two values. One has to correlate the whole CBC report. As per know hb of 13 for Indian woman is fine. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SGeneral Physician

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Normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (dL) in adult males and 0.5 to 1.1 milligrams per deciliter in adult females If your report is 1.3 this report is fine. 

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