Question

My RDW and LYMPH count is high and my MCV and MCH is low what does this mean?

I have been experiencing slight pain in my lower right abdomen for the past three weeks. Is this the reason why my counts are off? Could this be an infection in progress due to these off blood counts?

Answer

"My RDW and LYMPH count is high and my MCV and MCH is low what does this mean?" -- I've said it before and I'll say it again: The only person who should be interpreting your test results is the health care provider who ordered them. I don't know your health history, I have no other results of previous tests to compare with or consider as part of a total picture. I did not perform an abdominal exam on you, I don't know your vital signs, age, gender, etc. Therefore, I cannot tell what this means in terms of you....I can only tell you what results such as your may suggest in general, what conditions they are associated with. Your results may relate to other diagnostics you've had but I have no way to know if this is so.

I also don't what know what the precise counts are because you haven't disclosed this information. "High" and "low" can be relative. RDW, MCV and MCH are parts of red blood cell indices, another way to say red blood cell count. "Indices" is the plural form of the word "index." Indices are an analysis of your red blood cells (RBCs).

An RDW is the red blood cell distribution width. The RDW is the size (width) differences of your RBCs and is the measurement of the width of the size distribution curve on a histogram. This element of an index is useful in predicting anemias early before symptoms occur. An elevated RDW can indicate iron deficiency, folic acid deficiency or vit. B deficiency anemias. It can also indicate homozygous hemoglobinopathy. There is no decreased RDW. It's either elevated or not and it's not related to infection. (Are you beginning to truly understand now why labs should be interpreted by your provider? For example, how many lay-people know there are several types of anemia?)

An MCV is the mean corpuscular volume and gives information about the size of your RBCs. A decreased level is associated with microcytic and iron deficiency anemias, rheumatoid arthritis and a number of other conditions. It's not related to infection.

An MCH is the mean corpuscular hemoglobin and gives information about the weight of your RBCs. A decreased level is associated with microcytic and hypochromic anemia, to name two conditions. It's not related to infection.

LYMPH is short for lymphocyte count and is part of a white blood cell differential, a breakdown of white blood cells by cell type. Or call it an itemized list, if you prefer. Elevated lymphocytes (lymphocytosis) occur in chronic and viral infections. A slightly elevated count may not be very significant but severe lymphocytosis is commonly caused by chronic lymphocytic leukemia. There are a few other conditions associated with lymphcytosis but the degree of elevation matters.

I advise you to be cautious when asking strangers to interpret your labs and other diagnostic tests. For the most part, you're appealing to people with no medical/nursing background, education, training or experience. No real health care provider will give you an answer that states definitely what's going on. We can't. And don't take the answers you get as gospel truth or, in some cases, even founded in reality. You require clinical correlation. You need a follow up visit with your provider to review your labs.

Jan 1 at 17:40

could be but id go back to the dr and ask about the possibility of appendicitis

infection is usually the cause of off blood counts

Jan 1 at 21:26