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Dear Sir,
Good morning, My Daughter has the age of 2 years, her blood report shows the below details,
Hemoglobin - 5.7
MCV - 95
MCH - 28.1
MCHC - 29.7
PCB - 19.2
TRBC - 2.03
Platlet count - 3,38,000
TLC - 7,300
Nutrophils - 34
Limposites - 59
Monosites - 3
Eosiniphiles - 4

The Dr told us your daughter has the problem, the bone marrows are not generating the hemoglobin. the actual Decease name told is nutritious anemia.

Kindly suggest me to proceed further to have proper treatment in which hospital and which expert i need to meet.

Neha sharma

Category: Hematologist

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Category: Hematologist
 19 Doctors Online

Dear Ms. Neha Sharma,
Thank you for your query at
Your daughter has severe anemia. Microcytic hypochromic anemia generally means iron deficiency anemia, but it is necessary to rule out underlying Thalassemia. If it is pure iron deficiency anemia, the MCV would be low, but in your daughter, MCV is 95. Hence, it could be a combination of vitamin B12/folate deficiency anemia with iron deficiency anemia. This entity is known as Nutritional anemia. This could be due to inadequate intake or excessive losses. Worm infestation, lack of adequate nutrients in diet are commonest To confirm if it is, you need to get the following tests done:
1. Reticulocyte index
2. Haemoglobin electrophoresis/ HPLC
3. A peripheral smear examination from another lab ( to confirm the smear findings).
4. Stool examination for ova/cyst/ worms
Kindly see a pediatrician or a pediatric hematologist in person. He/ she would examine the child's abdomen for any organomegaly. They would also guide you in the right duration based on the reports and examination findings.

Dr. Prasad Eswaran
Category: Hematologist
Doctorate in Medicine (Fellowship in Oncology), DM,  Madras Medical College & Govt. General Hospital, Chennai, India.

Doctor of Medicine (Residency in Radiation Oncology) , MD, Christian Medical College, Vellore, Tamilnadu, India, 2004-06.

Diploma in Medical Radiology & Therapy (Residency in Radiation Oncology), D.M.R.T, Madras Medical College & Govt. General Hospital, Chennai, India, 2004-06.

Bachelor of Medicine & Bachelor of Surgery - M.B.B.S, Govt. Stanley Medical College & Hospital, Chennai, India, 1998-2004.
Dr. Prasad Eswaran and 4 other Medical Specialists are ready to help you

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