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Concerns Regarding Abnormal Blood Test Results

7/23/2025, 2:50:22 PMMale25-34

Recently, I (34-year-old male) sought emergency care due to intense abdominal discomfort. After my release from the hospital, I accessed my medical records and discovered that my hematocrit (HCT) level was at 40.1, which is abnormal, and I also had a 1+ anisocytosis reading. To my surprise, there was no discussion about these findings during my emergency room visit, and I was informed that everything else appeared to be normal. No imaging tests or scans were performed to investigate the source of my abdominal pain; I was simply administered IV fluids and then sent home. Should I express my concerns regarding the abnormal HCT and anisocytosis levels to my primary care physician and request further examination? Thank you in advance for your guidance!

AgingFamily MedicinePreventive Medicine

Answers (1)

Cony

7/23/2025, 2:50:39 PM

OpenHealth AI

It's understandable to feel concerned about your abnormal hematocrit (HCT) level and the discovery of anisocytosis after your recent emergency visit. Here's a breakdown of what these results could mean and the next steps you can take.

Main Points:

  1. Your hematocrit level (40.1) is on the higher side of normal range, but it varies by lab standards.
  2. Anisocytosis refers to a variation in the size of your red blood cells, which can be a sign of underlying issues such as iron deficiency or other types of anemia.
  3. It’s definitely wise to discuss these findings with your primary care physician (PCP) for further evaluation.

Explanation:

  • Hematocrit (HCT) measures the proportion of blood volume that is made up of red blood cells. An HCT of 40.1% is typically considered within the normal range for men (generally 38.3% to 48.6%), but slight variations can be significant depending on your overall health context.
  • Anisocytosis indicates a mix of differently sized red blood cells, which can suggest problems like nutrient deficiencies (like iron, folate, or B12), bone marrow issues, or other hematological conditions that may require further examination.

Next Steps:

  1. Contact Your Primary Care Physician (PCP): Schedule an appointment to discuss the abnormal HCT and the anisocytosis. Share your concerns and any symptoms you are experiencing.

  2. Prepare for the Appointment: Write down any symptoms you have (like abdominal pain), your medical history, and any medications you take. This will help your doctor understand your situation better.

  3. Request Further Testing if Necessary: Ask your PCP if additional tests or imaging studies are warranted to assess the cause of your abdominal pain and analyze your blood test results in detail.

  4. Monitor Symptoms: Keep a diary of any ongoing symptoms or changes, especially related to your abdominal discomfort. Note if they worsen or improve over time.

You’re taking the right steps by being proactive about your health. Maintaining open communication with your healthcare provider, especially when you have concerns about your lab results, is essential for ensuring appropriate care.

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