Understanding Red Blood Cell Count

A Comprehensive Guide to RBC Testing and Interpretation

Internal Medicine

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Last updated: Mar 24, 2025

What Are Red Blood Cells?

Red blood cells (erythrocytes) are specialized cells that carry oxygen throughout your body. They contain hemoglobin, a protein that gives blood its red color and enables oxygen transport.

Normal RBC Ranges

  • Adult Males: 4.5-5.9 million cells/microliter
  • Adult Females: 4.1-5.1 million cells/microliter
  • Children: Ranges vary by age

Why Is RBC Count Measured?

  • Diagnose or monitor anemia
  • Evaluate blood loss
  • Screen for nutritional deficiencies
  • Monitor chronic health conditions
  • Assess bone marrow function

Abnormal RBC Levels

High RBC Count (Polycythemia)

Causes include:

  • Dehydration
  • Heart or lung disease
  • Living at high altitudes
  • Smoking
  • Certain genetic conditions

Low RBC Count (Anemia)

Common causes:

  • Iron deficiency
  • Vitamin B12 deficiency
  • Blood loss
  • Chronic diseases
  • Bone marrow problems

Related Tests

  • Complete Blood Count (CBC)
  • Hemoglobin levels
  • Hematocrit
  • Mean Corpuscular Volume (MCV)

When to Seek Medical Attention

Consult your healthcare provider if you experience:

  • Unusual fatigue
  • Shortness of breath
  • Dizziness
  • Pale skin
  • Rapid heartbeat

Maintaining Healthy RBC Levels

  1. Eat iron-rich foods
  2. Ensure adequate vitamin B12 and folate intake
  3. Stay hydrated
  4. Exercise regularly
  5. Avoid smoking

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