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Pale skin, nails or eyelids? Check for anaemia with these tests

Anaemia means your blood has less haemoglobin than it should, so less oxygen reaches the body. It is extremely common in India, especially in women, teenage girls, pregnant women and children. Signs include pale inner eyelids and nails, getting tired or breathless on stairs, and cravings for ice or mud. Blood tests can confirm anaemia and also show what type it is.

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Tests to ask about

Complete blood count (CBC)

Confirms anaemia and shows red cell size, which hints at the type.

₹330 Book Details
Iron deficiency profile

Shows serum iron and iron-binding capacity.

₹250 Book Details
Ferritin

The best single marker of iron stores.

₹825 Book Details
Vitamin B12

B12 deficiency causes a different type of anaemia.

₹1,090 Book Details
Folate (folic acid)

Checked with B12 when red cells are large.

₹1,205 Book Details
Thalassaemia screening (Hb HPLC)

If red cells are small but iron is normal, or before planning pregnancy.

₹935 Book Details

Common reasons doctors look for

  • Iron deficiency – the most common type in India
  • Heavy or prolonged periods
  • Low vitamin B12 or folate, especially in vegetarians
  • Worm infestation or blood loss from piles or stomach ulcers
  • Pregnancy, when iron needs go up
  • Inherited conditions like thalassaemia trait

How to prepare

CBC, iron profile, ferritin, B12 and folate do not need strict fasting. Some labs prefer a morning sample for iron studies, so giving the sample before breakfast is a good idea.

When to see a doctor

See a doctor soon if you are breathless at rest, have chest pain or a racing heart, faint, pass black or bloody stools, vomit blood or have very heavy periods. Severe anaemia in pregnancy needs prompt medical care.

Pale Skin & Anaemia Signs – FAQs

Which test confirms anaemia?

A CBC shows haemoglobin and the size of red cells. Iron profile, ferritin, B12 and folate then help find the type and cause.

What is a normal haemoglobin level?

Roughly 12 g/dL and above for adult women and 13 g/dL and above for adult men are considered normal by many labs, but always read it against the range printed on your report and discuss with your doctor.

Can anaemia be from something other than iron?

Yes. B12 or folate deficiency, blood loss, long-term illness and thalassaemia trait can also cause anaemia. That is why doctors check more than just haemoglobin.

Is anaemia testing useful in children?

Yes, anaemia is common in Indian children. Ask your paediatrician which tests are right for your child.

This page is general information, not medical advice or a diagnosis. Please talk to a doctor about your symptoms.

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