Explain the report. My crp is increase!

It's a feature of anaemia

Take tab combiflam one every 8hours for 3 days, after meals. Haemoglobin is marginally low. Take cap Siderfol one morning and one evening for 2 weeks. Tab neurobion forte one daily for 2 weeks. Include fresh vegetables fruits, nuts, in your diet.

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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.  Contact me on Practo or WhatsApp chat. 92469306sevenfour Dr. Harichandana,  MBBS, MD (General medicine)

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Mild anemia. WBC and CRP raised → suggests infection/inflammation. Kidney function normal. With fever and breast pain, rule out breast infection. If redness or fever persists, please consult me.

Your CBC report shows mild anemia that is microcytic (small red blood cells) and hypochromic (pale red blood cells), which is the most common type of anemia in women of your age (37 years female). Key abnormal findings explained simply: • Hemoglobin 11.3 g/dL → mild anemia (normal for women is 12–15 g/dL) • PCV (Hematocrit) 35.6% → low (normal 36–46%) • RBC count 4.01 million → slightly low • MCV 79.9 fL → borderline microcytic (normal 80–100 fL) • MCH 28.2 pg → low-normal • MCHC 31.7 g/dL → low-normal • RDW-CV 13.3% → mildly elevated (variation in red cell size) • RDW-SD 43.1 fL → elevated • Mentzer index 22.21 → >13 suggests iron deficiency anemia (IDA) is more likely than thalassemia trait • Neutrophils 77.3% → mildly high (relative neutrophilia) • Lymphocytes 14.9% → low (relative lymphopenia) • Total WBC 11.37 → mildly elevated (suggests some inflammation/infection) • Platelets normal (323,000) Overall interpretation: This is classic iron deficiency anemia (IDA) — small, pale red cells, high RDW, high Mentzer index. Mild fever + elevated CRP (from your previous message) + breast/shoulder pain + neutrophilia → likely mild ongoing inflammation or infection (could be viral, post-viral, or early bacterial). Breast/shoulder pain could be musculoskeletal (from fever/myalgia) or referred from chest/lung if any mild respiratory involvement, but nothing in CBC suggests major infection or malignancy. Is it serious? • No — mild anemia + mild inflammation is not serious right now. • But needs correction — untreated iron deficiency causes fatigue, hair fall, poor concentration, breathlessness, and can worsen over time. • Mild fever + high CRP + neutrophilia → watch for any infection source (throat, urine, chest, breast abscess if pain localized).

1. See a general physician or gynecologist within 3–7 days (not emergency unless fever >101°F, severe pain, or breathlessness). • Mention: mild fever, breast/shoulder pain, fatigue, any heavy periods (common cause of IDA in women). 2. Essential tests to request (to confirm cause & treat): • Serum ferritin (most important — low in IDA) • Serum iron + TIBC + transferrin saturation (full iron profile) • Vitamin B12 + folic acid (mixed deficiency possible) • CRP repeat + ESR (monitor inflammation) • Stool occult blood (if any GI loss) • TSH (hypothyroidism can cause anemia + pain) • Ultrasound breast (if breast pain is localized/swelling)

• Do NOT start iron tablets blindly — wait for ferritin (if low, then start). • Diet right now (safe & helpful): • Iron + vitamin C together: spinach + lemon, beetroot + amla, dates + orange, pomegranate • Non-veg (if you eat): chicken liver, egg yolk, fish • Avoid tea/coffee with meals — blocks iron • Increase protein: dal, paneer, curd, eggs • Pain & fever: • Paracetamol 650 mg every 6 hours as needed (safe) • Warm compress on shoulder/breast if muscular • Rest + hydration • Follow-up: • Repeat CBC + ferritin in 6–8 weeks after treatment • If periods heavy → gynecologist for evaluation This is very common in women 30–40 (heavy periods, poor diet, low iron intake) and fully correctable — most people feel much better in 4–8 weeks after iron correction. For a detailed, personalized plan (exact iron supplement if ferritin low, diet chart for Indian food, which doctor in your city is best for anemia + breast pain, how to manage fever/pain safely, and when to retest), please book an online consultation with me — I’ll review your full report, symptoms (fever pattern, breast pain details, periods), and diet to give you clear steps so you get energy back and pain resolves quickly. Looking forward to helping you feel strong and comfortable again — book now and let’s fix this together

Can help you, kindly consult and provide detailed history for proper diagnosis and further management