Hello doctor, I am a female aged 44 years and height 5'4", weight 100 kg. Current medications Potassium Chloride four times a day, red blood count of 2.2, a white blood count of 3.5, and an HB of 10.2. Is there something to be concerned about? My doctors are not concerned but it seems a little low to me especially since I am someone who used to have a WBC of 6 to 9, an RBC of 4.3 to 4.7, and an HB of 13 to 14.7. I do not know if some of my worsening health symptoms are from this or not. Also can a vitamin deficiency cause those readings? I have heard everything from deficiency to blood loss to lupus and am not even sure how to try to address this and what is the main cause.
Hello. Yes, you should be concerned about it. It is showing a decrease in all the three cell lines so it is moving towards pancytopenia. I guess there is no history of such problems in the family.  There are multiple causes for this, and common is vitamin B12 deficiency and followed by bone marrow problems, lupus, and others. You mentioned lupus. Is it a confirmed diagnosis in you? Were you evaluated for this with blood test like ANA (anti-nuclear antibody), Anti-dsDNA, etc? Your symptoms may be explained by low hemoglobin.  Now, for chest pain, due to pain on exertion or at rest, for how long does it persist? Any relation to meals, deep breathing, etc. It may occur due to gastroesophageal reflux disease. So firstly, along with hemogram you should have peripheral blood film done, which would show the morphology of cells. Also, the values must have been mentioned in current hemogram like MCV, MCHC, MCH, etc. So, please attach your report for analysis, which would point towards the cause. So investigations needed, peripheral blood film, thyroid profile, vitamin B12 and folic acid, serum iron studies, vitamin D, which will help in finding the cause.