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Inquiry Regarding Unusual CBC Findings

6/29/2025, 11:30:21 PMMale25-34

I'm a 26-year-old woman, standing 5'3" and weighing 120 pounds. I visited the emergency room today due to symptoms resembling those of a collapsed lung. Fortunately, after my evaluation, the doctor confirmed that I was in good health and I returned home. However, while reviewing my test results, I discovered that my complete blood count (CBC) indicated abnormalities. Specifically, my hemoglobin level was elevated at 15.6, my hematocrit read at 45, and my mean corpuscular volume (MCV) was high at 97. Sadly, I lack health insurance and I'm unable to afford a follow-up consultation. I would appreciate any guidance on whether these results warrant concern and if further testing is advisable despite my financial limitations.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

6/29/2025, 11:30:40 PM

OpenHealth AI

Your recent CBC results show elevated levels of hemoglobin and hematocrit, as well as a high mean corpuscular volume (MCV). While these findings may raise concerns, they do not necessarily indicate an immediate health crisis. It's good that you're feeling well overall, as reported by the ER physician.

Explanation:

  • Hemoglobin and Hematocrit: High levels can sometimes suggest dehydration, smoking, or other factors, indicating that your blood is more concentrated.
  • Mean Corpuscular Volume (MCV): Elevated MCV can imply larger-than-normal red blood cells, which can occur due to vitamin B12 or folate deficiency, liver disease, or other reasons.

Next Steps:

  1. Hydration: Ensure you are drinking plenty of fluids. Dehydration can concentrate your blood components, affecting hemoglobin and hematocrit levels.

  2. Monitor Symptoms: Since you mentioned experiencing lung-related symptoms, if you notice any returning or worsening symptoms (like difficulty breathing, chest pain, or other concerning signs), it's crucial to seek immediate care.

  3. Nutrition: Focus on a balanced diet rich in vitamins and minerals, particularly foods high in B12 (like eggs, meat, and dairy) and folate (such as leafy greens, beans, and citrus fruits) to ensure your body has the necessary nutrients.

  4. Self-Observation: Keep a diary of your symptoms along with any new physical changes or concerns over the next couple of weeks. This will help you track your health more effectively.

  5. Periodically Reassess: If possible, consider utilizing community health clinics that may offer reduced costs or sliding scale fees for blood work if your symptoms persist or worsen.

While financial limitations can make access to care challenging, focusing on hydration, nutrition, and self-monitoring can help you manage your health effectively in the meantime. Please stay attuned to your body’s signals and seek help if needed.

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