Blood Testing Specialist Answer - About Child Hemoglobin Rising

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	Specialist Answers
Question
I had inquired about my then 3 yr old(now 4) son's blood test results back in February. I have had the follow up tests recently and I am again asking for your opinion. He was initially diagnosis with anemia and I had put him on an iron vitamin. In comparision, i will list the results from February and the newest. I am a little confused by the WBC( or the breakdown of the WBC more specifically February 1st results/ April 25 results WBC 6.7 / 6.9 GRA% 42.2 #2.9/ 37.7 #2.7 LYM % 51.1 #3.4/ 52.6 #3.6 MON % 6.7 # .4 / 9.7 #.6 RBC 4.59 / 4.52 HGB 11.9 / 12.4 HCT 35.4 / 35.0 MCV 77 / 78 MCH 25.9 / 27.5 MCHC 33.5 / 35.4 RDW 11.0 / 11.7 PLT 267 / 209 MPV 7 / 7.4 By the reference that came on the test result sheet, everything that was low or high are still either low or high, but the HGB did improve by .5. I want to understand the GRA< LYM & MON results a little better. It seems the percentage levels are either low or high but the numbers following the "#" sign are in the normal range. Can you explain what this shows, since I am confused by it. The doctor's nurse had called and said just to keep him on the vitamins and he acts fine and all and has had no more fatigue problems. Another question would be on the platelet counts, while still in the normal range, it had dropped by 58. I think if I knew more about the tests and how things can vary, I could understand a little better. Can you recommend any sites I can visit to give me a more detailed descriptions of these tests and what the results mean? I appreciate your time and help. Thank you
Answer
Your son's haemoglobin is rising - that is a good sign. You need to continue with the iron supplements to build up his iron stores. Regarding the variation in the counts , you need to first understand that the various cells in the blood have a specific life span for e.g. the platelets survive in the blood for 5-7 days, RBCs for 120 days etc. Thus, the count would vary from day to day due to simultaneous production and destruction of the cells. Thus, even if the number may vary, the counts are in the normal range. Also, the counts may vary due to mechanical variations by the machine counting the cells. Thus you need not worry as they are within the normal range. Back to All Questions

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