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Hematology/Oncology Q&As 

  • My primary care physician ordered a red cell blood count on me. What is a red blood cell count?


          

    My primary care physician ordered a red cell blood count on me. What is a red blood cell count?

    - Larry, Sandwich, MA



          

    The red blood cell (RBC) count is a blood test which determines the number of red blood cells, or erythrocytes, in a sample of blood. This test also evaluates the shape and the size of the red blood cells. All of this information is then used to determine the number of red blood cells per microliter of blood. Red blood cell count values vary according to the age and the sex of a patient. The RBC count ranges from 4.2-5.0 million red blood cells per microliter of blood for women and 4.6-6.0 million for men. A normal red blood cell count for children is typically between 3.8 and 5.5 million red blood cells per volume. This blood test is considered a very important indicator of a patient's health. A low red blood cell count might mean the patient has anemia, acute or chronic blood loss, malnutrition, chronic inflammation, or a number of nutritional deficiencies including iron, copper, vitamin B-12, or vitamin B-6. On the other hand, a higher than average RBC count, called polycythemia, can be a sign of congenital heart disease, pulmonary fibrosis, or renal problems. An increase of red blood cells can also happen naturally, though. People who live at high altitudes tend to have a higher-than-average RBC count, and smokers generally have a higher number of red blood cells than non-smokers. An RBC count is almost always ordered as a part of the complete blood count (CBC), which determines the number of RBCs, white blood cells, and platelets. This blood test is also generally required for routine physicals and pre-surgical procedures. Patients with chronic anemia, hematological disorders, or chronic bleeding problems have their red blood cell count tested quite often so their physicians can keep track of any significant increase or decrease of red blood cells. Red blood cells are the most common type of cells in the blood, and are extremely important because they carry oxygen from the lungs to the body tissues. How much oxygen the body tissues receive depends on how many RBCs an individual has and how well they work. Thus, a routine blood test to determine the red blood cell count can help an individual stay healthy.

    Thank you for your question!

    Charles Dow, MD, Hematology/Oncology



  • I am so tired all the time, and feel like I have anemia. I know it is a blood disorder, but what causes it?


           

    I am so tired all the time, and feel like I have anemia. I know it is a blood disorder, but what causes it?

    -Lynn, New York, New York



          


    Anemia is the most common blood disorder. Red blood cells carry hemoglobin, an iron-rich protein that attaches to oxygen in the lungs and carries it to tissues throughout the body. Anemia occurs when you do not have enough red blood cells or when your red blood cells do not function properly. When you have anemia, your body lacks oxygen, so you may feel tired or weak. Other symptoms might include:

    • Shortness of breath
    • Dizziness
    • Fast or irregular heartbeat
    • Pounding or "whooshing" in your ears
    • Headache
    • Cold hands or feet
    • Pale or yellow skin
    • Chest pain

    Many people are at risk for anemia because of poor diet, intestinal disorders, chronic diseases, infections, and other conditions. Women who are menstruating or pregnant and people with chronic medical conditions are most at risk for this disease. The risk of anemia increases as people grow older. People who engage in vigorous athletic activities, such as jogging or basketball, may develop anemia as a result of red blood cells breaking down in the bloodstream. Many forms of anemia can be easily treated by eating foods rich in iron (such as dark green leafy vegetables, red meat, fortified cereals, eggs, and peanuts) and/or taking dietary supplements. Other types can be treated by addressing the underlying cause.



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