Question
The child has been constantly sneezing, suffering from tonsillitis, and feeling weak in the limbs, wanting to take a nap during the day. The blood test results show several abnormalities: neutrophil count 44.9%, hemoglobin 98, red blood cell hematocrit 32.0, mean corpuscular volume 61.6, mean corpuscular hemoglobin concentration 18.9, mean corpuscular hemoglobin concentration 307, red blood cell variation coefficient 16.2. What could be the cause of this?
Answer
Considering the child’s tonsillitis, treatment is necessary followed by a recheck of the routine blood test. The child has a slight case of anemia and can take iron-fortified oral liquid. It is recommended to first treat the tonsillitis, check the routine blood test, and if there are still abnormalities, actively treat the anemia. Prevent anemia from causing poor growth and development in children. Additionally, a hemoglobin level of 98 indicates mild anemia due to a low mean corpuscular volume, suggesting iron deficiency anemia. This is a normal physiological phenomenon that gradually reaches adult standards after the age of 7.