Sir, I have been experiencing daily chest pain for the past 2 months, mainly between 5 to 8 a.m. My recent investigations are as follows: Chest Xray report: Heart size: Normal Lung fields: Clear Costophrenic angles: Free Blood report: RBC: 4.35 million/microlitre Total WBC: 10,400 cells/microlitre Neutrophils: 73 percent Lymphocytes: 22 percent Monocytes: 3 percent Platelets: 1.7 lakh/microlitre MCV: 106 fL MCH: 36 pg MCHC: 34 g/dL RDWCV: 14.5 percent ESR: 1st hr 20 mm, 2nd hr 35 mm

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

Consult Now

High MCV may indicate B12 deficiency or alcohol use. Chest pain requires further evaluation despite normal Xray.

Dr. Dhankecha Suggests...

Take a Vitamin B12 Test Test

Book Vitamin B12 Test Test

Answered 11/09/2025

More CBC Test (Complete Blood Count) Health Queries

View all

What is MCH in a blood test?

Answered by Apollo Doctors

My skin is oily and sensitive, and I have been facing this problem for the last 5 to 6 years. I get a lot of acne on my forehead, and my face looks very dull. Day by day, my skin tone is also becoming darker. My LFT, KFT, and thyroid reports are all normal. Please suggest what I can do.

Answered by Apollo Doctors

My Vitamin B12 is 163, which is below the normal range. I am experiencing tingling, numbness, weakness, shortness of breath, fatigue, tiredness, and body pain. I have taken Vitcofol 6, 2 ml injections over the last 10 days. My questions are: Which tests can I do to check iron levels, as I suspect low iron may be causing low hemoglobin? How can I alleviate these symptoms, and how many more B12 injections might I need, considering I am on PPI for GERD, which caused these issues? I may need to continue PPI for a few more months as GERD is almost resolved. I would also like tips to increase my hemoglobin and RBC levels.

Answered by Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.