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A red blood cell count is a blood test that your doctor uses to find out how many red blood cells (RBCs) you have. It’s also known as an erythrocyte count.
The test is important because RBCs contain hemoglobin, which carries oxygen to your body’s tissues. The number of RBCs you have can affect how much oxygen your tissues receive. Your tissues need oxygen to function.
If your RBC count is too high or too low, you could experience symptoms and complications.
If you have a low RBC count, symptoms could include:
If you have a high RBC count, you could experience symptoms such as:
If you experience these symptoms your doctor can order an RBC count.
According to the American Association for Clinical Chemistry (AACC), the test is almost always a part of a complete blood count (CBC) test. A CBC test measures the number of all components in the blood, including:
Your hematocrit is the volume of red blood cells in your body. A hematocrit test measures the ratio of RBCs in your blood.
Platelets are small cells that circulate in the blood and form blood clots that allow wounds to heal and prevent excessive bleeding.
Your doctor may order the test if they suspect you have a condition that affects your RBCs, or if you show symptoms of low blood oxygen. These could include:
A CBC test will often be part of a routine physical exam. It can be an indicator of your overall health. It may also be performed before a surgery.
If you have a diagnosed blood condition that may affect RBC count, or you’re taking any medications that affect your RBCs, your doctor may order the test to monitor your condition or treatment. Doctors can use CBC tests to monitor conditions like leukemia and infections of the blood.
An RBC count is a simple blood test performed at your doctor’s office. You doctor will draw blood from your vein, usually on the inside of your elbow. The steps involved in the blood draw are:
There’s typically no special preparation needed for this test. But you should tell your doctor if you’re taking medications. These include any over-the-counter (OTC) drugs or supplements.
Your doctor will be able to tell you about any other necessary precautions.
As with any blood test, there’s a risk of bleeding, bruising, or infection at the puncture site. You may feel moderate pain or a sharp pricking sensation when the needle enters your arm.
According to the Leukemia & Lymphoma Society:
These ranges may vary depending on the laboratory or doctor.
You have erythrocytosis if your RBC count is higher than normal. This may be due to:
When you move to a higher altitude, your RBC count may increase for several weeks because there’s less oxygen in the air.
Certain drugs like gentamicin and methyldopa can increase your RBC count. Gentamicin is an antibiotic used to treat bacterial infections in the blood. Methyldopa is often used to treat high blood pressure. It works by relaxing the blood vessels to allow blood to flow more easily through the body. Be sure to tell your doctor about any medications you take.
A high RBC count may be a result of sleep apnea, pulmonary fibrosis, and other conditions that cause low oxygen levels in the blood. Performance-enhancing drugs like protein injections and anabolic steroids can also increase RBCs. Kidney disease and kidney cancers can lead to high RBC counts as well.
If the number of RBCs is lower than normal, it may be caused by:
Certain drugs can also lower your RBC count, especially:
Blood cancers can affect the production and function of red blood cells. They can also result in unusual RBC levels.
Each type of blood cancer has a unique impact on RBC count. The three main types of blood cancer are:
Your doctor will discuss any abnormal results with you. Depending on the results, they may need to order additional tests.
These can include blood smears, where a film of your blood is examined under a microscope. Blood smears can help detect abnormalities in the blood cells (such as sickle cell anemia), white blood cell disorders such as leukemia, and bloodborne parasites like malaria.
A bone marrow biopsy can show how the different cells of your blood are made within your bone marrow. Diagnostic tests, such as ultrasounds or electrocardiograms, can look for conditions affecting the kidneys or heart.
Lifestyle changes can affect your RBC count. Some of these changes include:
You may be able to decrease your RBC with the following lifestyle changes:
Dietary changes can play a major part in home treatment by increasing or lowering your RBC count.
You may be able to increase your RBC with the following dietary changes:
Written by: Jacquelyn Cafasso and Ana Gotter
Medically reviewed on: Apr 06, 2017: Deborah Weatherspoon, PhD, RN, CRNA
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