Experiences with

Haemoglobin

Hi, I had a blood test on Monday (because of my weird nails which look like Terry's nails) and the surgery phoned me today and told me my haemoglobin is low and the GP wants to do a repeat test and check the B12 and folate levels.

After having platelet reading of 800 it went down to 510 now today a stand in for my haematologist has phoned and said it is 540 and has upped the hydroxyl, she says my haemoglobin is going down which is surely anaemia and asked if I had any bleeding which I don't!

After my haemoglobin went down to 33, the doctor eventually worked out the AIHA condition and sent me home from hospital with Predisolone (+ folic acid). On 93mg, the first couple of weeks, I initially felt really well with with lots of energy and my haemoglobin climbed back to 111.

Does anyone know how much hydration can affect haemoglobin and haemoticrit levels? Ever since the prospect of PV was raised I have been sure to be very well hydrated before my blood tests. (I have them mid afternoon generally and ensure i have drunk 2l of water before hand).

My WBC has gone down from 180 to 148 and haemoglobin has gone down from 116 to 97 making me anaemic. I am to have more in-depth bloods done and see specialist again in 6 weeks. Should I be worried? Does anyone else have experience of white cells going down as well as haemoglobin dipping?

His blood metrics have starting showing signs of deterioration with haemoglobin at 8.9 and high platelets. The report also says "giant platelets seen" - is anyone aware of what the giant platelet mean and is it a cause of worry? Please advise

Hi, Can anybody tell me the significance of high mean cell volume and high mean haemoglobin volume. Thanks

I had an operation where I suffered a bleed resulting in low haemoglobin. I had 2 blood transfusions and iron infusion. I was then given iron tablets. But my haemoglobin is back to normal now. All my iron results are high and my folate in low normal. Awaiting more blood tests in the new year.

level 30.2 pg [27.0 - 32.0] Mean cell haemoglobin concentration 325 g/L [320.0 - 360.0] Nucleated red blood cell count 0.0 10*9/L [0.0 - 0.01] Was told this time to make a phone call.

Mean cell volume 91 fL [83.0 - 101.0] Mean cell haemoglobin level 28.8 pg [27.0 - 32.0] Mean cell haemoglobin concentration 304 g/L [315.0 - 345.0] Below low reference limit Platelet count - observation 293 10*9/L [150.0 - 410.0] Neutrophil count 4.9 10*9/L [2.0 - 7.0] Lymphocyte count 1.9 10*9/L [1.0

TSH = 0.2 Range (0.27-4.20), FT4 = 15.2 Range (9.0-26.0), FT3 = 5.0 Range (2.8-7.1), VITD = 158 Range >50, Haemoglobin = 3.6

The last blood test said they were at 540 and my haemoglobin has come down to the level of anaemia. Surely the hydroxyl caused this but because my platelets have gone up by 30 she has upped my hydroxyl! I also don't know why I wasn't given iron tablets

concentration 130 g/L [120.0 - 150.0] Haematocrit 0.41 [0.36 - 0.46] Mean cell volume 91 fL [83.0 - 101.0] Mean cell haemoglobin level 28.8 pg [27.0 - 32.0] Mean cell haemoglobin concentration 304 g/L [315.0 - 345.0] Below low reference limit Platelet count - observation 293 10*9/L [150.0 - 410.0

0.352 L/L [0.39 - 0.45] Below low reference limit Mean cell volume 91.0 fL [81.0 - 102.0] Mean cell haemoglobin level 29.5 PG [27.0 - 30.0] Mean cell haemoglobin concentration 324 g/L [317.0 - 340.0] Red blood cell distribution width 13.9 % [12.2 - 14.8] Neutrophil count 2.1 10*9/L [2.0 - 7.1]

Haematocrit 0.352 L/L [0.39 - 0.45] Below low reference limit Mean cell volume 91.0 fL [81.0 - 102.0] Mean cell haemoglobin level 29.5 PG [27.0 - 30.0] Mean cell haemoglobin concentration 324 g/L [317.0 - 340.0] Red blood cell distribution width 13.9 % [12.2 - 14.8] Neutrophil count 2.1 10*9/L

Stable CT scans since, but now AST liver enzyme rising, my Ferritin (which is odd with low haemoglobin) and AST is very high, my haemoglobin has started to drop since Christmas after being stable at just normal range of 115g/L, WBC always low from Ibrance so I am on 75mg and a 2 week break.

FULL BLOOD COUNT Red blood cell 5.10 (4.3-5.75) Haemoglobin concentration 154 g/L (135-172) Haematocrit 0.455 L/L (0.395-0.505) Mean cell volume 89.4 fL (80-99) Mean cell haemoglobin 30.3 pg (27-33.5) Red cell distribution width 12.6% (11-16) Platelets 249 (150-370) Platelet distribution width

I have been having regular blood tests which has shown that the cancerous cells have not increased and the haemoglobin levels are low but stable. I do not have any classic symptoms as yet.I am currently on a 'watch' & 'wait' Therefore I am being monitored to see when treatment may commence.

a1c 5.4 4-6 Haemoglobin a1c 35 mmol/mol 20-42

Full blood count Total white blood count 8.02 10*9/L [4.0 - 10.0] Red blood cell count 4.57 10*12/L [3.8 - 4.8] Haemoglobin concentration 134 g/L [120.0 - 150.0] Haematocrit 0.427 [0.36 - 0.46] Mean cell volume 93.4 fL [83.0 - 101.0] Mean cell haemoglobin level 29.3 pg [27.0 - 32.0] Mean cell