The difference between macrocytic anemia and microcytic anemia.

Written by Zhang Xiao Le
Hematology
Updated on June 30, 2025
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Anemia can be classified according to the morphological characteristics of red blood cells into macrocytic anemia, normocytic anemia, and microcytic hypochromic anemia. The diagnosis of macrocytic anemia includes a mean red blood cell volume greater than 100fL and a mean red blood cell hemoglobin concentration between 32%-35%. Common diseases associated with macrocytic anemia include megaloblastic anemia, hemolytic anemia with extensive reticulocytosis, myelodysplastic syndromes, and liver diseases. Microcytic hypochromic anemia, on the other hand, is diagnosed when the average red blood cell volume is less than 80fL and the average red blood cell hemoglobin concentration is less than 32%. Common diseases associated with microcytic hypochromic anemia include iron deficiency anemia, sideroblastic anemia, and thalassemia.

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Written by Li Fang Fang
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Can anemia cause tinnitus?

Anemia can cause tinnitus. When anemia is severe, various organs of the body are in a state of ischemia and hypoxia. The nervous system can exhibit symptoms such as dizziness, headaches, and a feeling of heaviness in the head, as well as tinnitus. At this point, infusing red blood cells to correct the anemia can alleviate symptoms like tinnitus. It is also important to actively seek the underlying causes of the anemia. Anemia can be categorized based on the size of red blood cells into microcytic hypochromic anemia, normocytic anemia, and macrocytic anemia. Microcytic hypochromic anemia is commonly seen in chronic disease anemia and iron deficiency anemia, normocytic anemia is commonly found in conditions such as leukemia, multiple myeloma, and acute blood loss anemia, while macrocytic anemia is typical in megaloblastic anemia and myelodysplastic syndromes.

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Causes of Anemia in Late Pregnancy

Anemia can be categorized into several different types, each caused by different reasons. Iron-deficiency anemia occurs in late pregnancy when the intake or absorption of iron by pregnant women is insufficient. Megaloblastic anemia is caused by a deficiency of folate or vitamin B12 in the patient's body. Additionally, there is thalassemia, which is caused by a genetic deficiency in the patient, leading to anemia in the fetus as well. Another type is aplastic anemia, which is caused by abnormal bone marrow hematopoietic function leading to anemia.

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The difference between macrocytic anemia and microcytic anemia.

Anemia can be classified according to the morphological characteristics of red blood cells into macrocytic anemia, normocytic anemia, and microcytic hypochromic anemia. The diagnosis of macrocytic anemia includes a mean red blood cell volume greater than 100fL and a mean red blood cell hemoglobin concentration between 32%-35%. Common diseases associated with macrocytic anemia include megaloblastic anemia, hemolytic anemia with extensive reticulocytosis, myelodysplastic syndromes, and liver diseases. Microcytic hypochromic anemia, on the other hand, is diagnosed when the average red blood cell volume is less than 80fL and the average red blood cell hemoglobin concentration is less than 32%. Common diseases associated with microcytic hypochromic anemia include iron deficiency anemia, sideroblastic anemia, and thalassemia.

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Written by Liu Wei Jie
Obstetrics
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The hazards of anemia in pregnant women

Firstly, the occurrence of anemia during pregnancy is very common, and most cases are mild anemia, but a small proportion can be severe. The harm of anemia comes from two aspects: one is that it is harmful to the fetus, as anemia during pregnancy can affect the intellectual development of the fetus, which is very clear. Another harm comes from the mother, such as the possibility of postpartum hemorrhage or infection. If a cesarean section is performed, our hemoglobin must not be lower than 80 grams. If it is below 80 grams, a blood transfusion or intraoperative blood preparation is needed.

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Symptoms of low blood pressure and anemia

Main clinical symptoms of low blood pressure and anemia: general fatigue, pale complexion, heart palpitations and shortness of breath, cerebral ischemia causing dizziness and vertigo, insomnia and frequent dreams; some patients may also experience loss of appetite, indigestion, and other symptoms. Low blood pressure and anemia are not the same disease, and their clinical treatments differ. Low blood pressure is caused by excessively low blood pressure leading to ischemia above the brain, and the treatment should aim to increase blood volume and elevate blood pressure. Anemia is caused by a reduction in hemoglobin, leading to ischemia and hypoxia in the body, and treatment should involve supplementation of nutrients and the essential trace elements that are lacking, which should be treated seriously.