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Complete Hemogram (CBC & ESR)

Also known as Hemogram test, Hmg, Haemogram
Complete Hemogram (CBC & ESR) Test Includes 22 testsView All
399441 9% Off
You need to provide
Blood
This test is for
Male, Female
Test Preparation
  1. No special preparation is required.

Understanding Complete Hemogram (CBC & ESR)


What is Complete Hemogram (CBC & ESR)?

A Complete Hemogram (CBC & ESR) test includes a complete blood count (CBC) test and an erythrocyte sedimentation rate (ESR) test. The CBC test provides information about blood cells, and the ESR test determines the presence of inflammation in the body. Together, these help assess your overall health.

The blood consists of red blood cells (RBCs), white blood cells (WBCs), and platelets that perform important bodily functions. RBCs are the most abundant cells in the blood that consist of a protein called hemoglobin. This protein helps transport oxygen throughout the body. WBCs are the components of the immune system and help protect the body against infections and cancers. Platelets are responsible for blood clotting and controlling bleeding. Therefore, determining the levels of these cells can provide significant health information.

Your doctor may advise a Complete Hemogram (CBC & ESR) test if you show symptoms like weakness, fever, fatigue, unexplained weight loss, joint stiffness, shoulder pain, or bruising. This test may also help screen, detect, and monitor medical conditions like infections, nutritional deficiencies, anemia, bleeding disorders, and blood cancers. Furthermore, It also allows the doctor to monitor existing blood disorders and ongoing treatments of conditions that affect your blood cells, like inflammatory diseases and chemotherapy. No special preparation is needed for a hemogram test. You can eat or drink normally as per your daily routine. However, talk to the doctor about all the pre-test instructions.

Test result ranges are approximate and may differ slightly between labs depending on the methodology and laboratory guidelines. Talk to your doctor about your specific test results. Narrate your complete medical history to help the doctor correlate your clinical and laboratory findings. The test results will help them determine your medical condition, make recommendations for lifestyle modifications such as diet and exercise, decide whether or not medication will be required to manage your condition and formulate your overall treatment plan. 

What is Complete Hemogram (CBC & ESR) used for?

A Complete Hemogram (CBC & ESR) test is done:

  • To monitor your overall health as a part of routine checkups.
  • If you have symptoms such as weakness, fatigue, or fever.
  • To identify diseases like anemia (low number of red blood cells), immune system disorders, blood cancers, bleeding disorders, etc.
  • To detect the presence of inflammation induced by infections, tumors, or autoimmune illnesses.
  • To monitor the effects of treatments known to affect blood cells, such as chemotherapy or radiotherapy.
  • To evaluate the treatment response of inflammatory diseases.

What does Complete Hemogram (CBC & ESR) measure?

Contains 22 tests

A Complete Hemogram (CBC & ESR) test combines a complete blood count (CBC) test and an erythrocyte sedimentation rate (ESR) test. The CBC test evaluates all of your blood cells (red, white, and platelets) that reflect your general health. The ESR test, on the other hand, determines the presence of any inflammation or infection in your body.

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ESR (Erythrocyte Sedimentation Rate)

An ESR test measures the rate at which red blood cells (erythrocytes) settle (sediment) in one hour at the bottom of a tube that contains a blood sample.

When there is inflammation in the body, certain proteins, mainly fibrinogen, increase in the blood. This increased amount of fibrinogen causes the red blood cells to form a stack (rouleaux formation) that settles quickly due to its high density, leading to an increase in the ESR.

An ESR test is a non-specific measure of inflammation and can be affected by conditions other than inflammation. This test cannot identify the exact location of the inflammation in your body or what is causing it. Hence, an ESR test is usually performed along with a few other tests to identify or treat possible health concerns.

Know more about ESR (Erythrocyte Sedimentation Rate)

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CBC (Complete Blood Count)

A CBC (Complete Blood Count) test evaluates red blood cells (RBCs), white blood cells (WBCs}, and platelets. Each of these blood cells performs essential functions–RBCs carry oxygen from your lungs to the various body parts, WBCs help fight infections and other diseases, and platelets help your blood to clot–so determining their levels can provide significant health information. A CBC test also determines the hemoglobin level, a protein in RBC that carries oxygen from the lungs to the rest of your body. Evaluating all these components together can provide important information about your overall health.

Know more about CBC (Complete Blood Count)

  • RDW CV

  • An RDW CV test which is part of red cell indices, helps identify characteristics of red blood cells. RDW (red cell distribution width) measures the variations in the sizes of red blood cells, indicating how much they differ from each other in a blood sample. RDW is expressed as RDW-CV, a coefficient of variation. A higher RDW may suggest more variation in red cell sizes, while a lower RDW indicates more uniform red cell sizes.

  • Hematocrit

  • A Hematocrit test measures the proportion of red blood cells (RBCs) in your blood as a percentage of the total blood volume. It is a crucial part of a complete blood count (CBC) and helps in assessing your blood health. RBCs are responsible for carrying oxygen from the lungs to different parts of the body. The hematocrit test provides valuable information about your blood's oxygen-carrying capacity.

    Higher-than-normal amounts of RBCs produced by the bone marrow can cause the hematocrit to increase, leading to increased blood density and slow blood flow. On the other hand, lower-than-normal hematocrit can be caused by low production of RBCs, reduced lifespan of RBCs in circulation, or excessive bleeding, leading to a reduced amount of oxygen being transported by RBCs. Monitoring your hematocrit levels is essential for diagnosing and managing various blood-related disorders.

  • Total Leukocyte Count

  • A Total Leukocyte Count test measures the numbers of all types of leukocytes, namely neutrophil, lymphocyte, monocyte, eosinophil, and basophil, in your blood. Leukocytes or WBCs are an essential part of our immune system. These cells are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.

  • Absolute Lymphocyte Count

  • An Absolute Lymphocyte Count test measures the total number of lymphocytes in the blood. Lymphocytes are a type of white blood cells that play an important role in your immune system and help your body fight disease and infection. There are two main types of lymphocytes:

    • T lymphocytes (T cells): T cells control your body’s immune system response and directly attack and kill infected cells and tumor cells.

    • B lymphocytes (B cells): B cells make antibodies. Antibodies are proteins that target viruses, bacteria, and other foreign pathogens.

    Lymphocytes help your immune system remember every antigen (a foreign substance) it comes in contact with. After an encounter, some lymphocytes turn into memory cells. When these memory cells run into an antigen again, they recognize it and quickly respond. It is also the reason why getting vaccinated helps prevent certain diseases.

  • Hb (Hemoglobin)

  • An Hb (Hemoglobin) test measures the concentration of hemoglobin protein in your blood. Hemoglobin is made up of iron and globulin proteins. It is an essential part of RBCs and is critical for oxygen transfer from the lungs to all body tissues. Most blood cells, including RBCs, are produced regularly in your bone marrow. The Hb test is a fundamental part of a complete blood count (CBC) and is used to monitor blood health, diagnose various blood disorders, and assess your response to treatments if needed.

  • Absolute Neutrophil Count

  • An Absolute Neutrophil Count test measures the percentage of neutrophils per microliter of blood. Neutrophils are a type of WBC and play an integral part in the body's immune system. They help fight off bacterial infections in the body by identifying and destroying foreign invaders, such as disease-causing microorganisms. 

  • Mean Corpuscular Hemoglobin

  • An MCH test measures the average amount of hemoglobin in a single red blood cell (RBC). Hemoglobin is an iron-containing protein in RBCs, and its major function is to transport oxygen from the lungs to all body parts. This test provides information about how much oxygen is being delivered to the body by a certain number of RBCs.

  • Absolute Basophil Count

  • An Absolute Basophil Count test measures the total number of basophils in the blood. Basophils are small, spherically-shaped cells that originate from bone marrow and make up almost 1% of the total white blood cells in the body. They attack a foreign substance and release proteins like histamine and heparin to destroy harmful substances, such as allergens, pathogens, or parasites. Histamine helps widen the blood vessels and make space for more immune cells to come to the site of infection or injury, whereas heparin acts as a blood-thinning agent and helps to avoid blood clotting at that site.

  • Differential Leukocyte Count

  • There are five types of WBCs: neutrophils, lymphocytes, monocytes, eosinophils, and basophils. A Differential Leukocyte Count test measures the percentage of each type of WBC in the blood. Leukocytes or WBCs are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.

    This further contains

    • Differential Neutrophil Count
    • Differential Lymphocyte Count
    • Differential Monocyte Count
    • Differential Eosinophil Count
    • Differential Basophil Count
  • Red Blood Cell Count

  • A Red Blood Cell Count test measures the total number of red blood cells in your blood. RBCs are the most abundant cells in the blood with an average lifespan of 120 days. These cells are produced in the bone marrow and destroyed in the spleen or liver. Their primary function is to help carry oxygen from the lungs to different body parts. The normal range of RBC count can vary depending on age, gender, and the equipment and methods used for testing.

  • Mean Corpuscular Volume

  • A Mean Corpuscular Volume test measures the average size of your red blood cells, which carry oxygen through your body. This test tells whether your RBCs are uniform or vary significantly in size.

  • Mean Corpuscular Hemoglobin Concentration

  • An MCHC test measures the average amount of hemoglobin in a given volume of RBCs. MCHC is calculated by dividing the amount of hemoglobin by hematocrit (volume of blood made up of RBCs) and then multiplying it by 100. 

  • PDW

  • A PDW test reflects variability in platelet size, and is considered a marker of platelet function and activation (clot formation in case of an injury). This marker can give you additional information about your platelets and the cause of a high or low platelet count. Larger platelets are usually younger platelets that have been recently released from the bone marrow, while smaller platelets may be older and have been in circulation for a few days. Higher PDW values reflect a larger range of platelet size, which may result from increased activation, destruction and consumption of platelets.

  • Mean Platelet Volume

  • An MPV test measures the average size of the platelets in your blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days. 

    Platelets help stop bleeding whenever there is an injury or trauma to a tissue or blood vessel by adhering and accumulating at the injury site, and by releasing chemical compounds that stimulate the gathering of more platelets. After these steps, a loose platelet plug is formed at the site of injury, and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or are not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding. 

  • Absolute Eosinophil Count

  • An Absolute Eosinophil Count test measures the number of eosinophils in the blood and provides important information about the functioning of the immune system. Eosinophils originate from bone marrow and have a lifespan of 8-18 hours. These cells are involved in fighting certain types of infections and responding to allergic reactions in the body. The eosinophils have varied functions including the physiological role in organ formation, such as the development of post-gestational mammary glands. Other functions of these cells include movement to the inflammation areas, trapping substances, killing cells, and bactericidal and antiparasitic activities. They also help in the treatment of immediate allergic reactions and modulation of inflammatory responses. By measuring the number of eosinophils in the blood, this test provides important information about the functioning of the immune system.

  • Platelet Count

  • A Platelet Count test measures the average number of platelets in the blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days. 

    Platelets help stop the bleeding, whenever there is an injury or trauma to a tissue or blood vessel, by adhering and accumulating at the injury site and releasing chemical compounds that stimulate the gathering of more platelets. A loose platelet plug is formed at the site of injury and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps, including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this step, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding. 

  • Absolute Monocyte Count

  • An Absolute Monocyte Count test measures the total number of monocytes in the blood. Monocytes are a type of WBC that originate from bone marrow and travel to different tissues via the blood. Once they are inside the tissue, these cells get converted to macrophages (a type of cell that digest harmful substances). Monocytes are the second line of defense mechanism of the human body after neutrophils. These cells are also responsible for the removal of injured or dead cells, microorganisms, and other insoluble particles from the blood. 

Interpreting Complete Hemogram (CBC & ESR) results


Interpretations

Hematocrit (Hct)

 

40-52% (Male)

   

37-46% (Female)

   

31-43% (Child)


Hemoglobin (Hgb)

 

13.2-16.2 gm/dL (Male)

   

12.0-15.2 gm/dL (Female)

Red Blood Cell Count (RBC)

 

4.3-6.2x106/µL (Male)

   

3.8-5.5x106/µL (Female)

   

3.8-5.5x106/µL (Infant/Child)


White Blood Cell Count (WBC)

 

4.1-10.9x103/µL

 


DLC

 
 

Neutrophils

35-80%

 

Lymphocytes 

20-50%

 

Monocytes 

2-12%

 

Eosinophils 

0-7%

 

Basophils 

0-2%

     

Platelet Count (Plt)

 

140-450x103/µL






 

Red Cell Distribution Width (RDW)

Standard Deviation (SD)

35-47 fL

Mean Corpuscular Volume (MCV)

 

82-102 fL (Male)

   

78-101 fL (Female)


Mean Corpuscular Hemoglobin (MCH)                           


Mean Corpuscular Hemoglobin Concentration (MCHC)

 

27-34 pg



31-35 gm/dL

 

  Mean Platelet Volume (MPV)                           6.0-9.5 fL

Erythrocyte sedimentation Rate      

The normal reference range for Erythrocyte Sedimentation Rate (ESR) is:

Men

0-15 millimeters per hour (mm/hr), or 0-20 mm/hr for men older than 50

Women

0-20 mm/hr, or 0-30 mm/hr for women older than 50

Children

0-10 mm/hr

Newborns

0-2 mm/hr

 

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Complete Hemogram (CBC & ESR)


Frequently Asked Questions about Complete Hemogram (CBC & ESR)

Q. What is the purpose of a Complete Hemogram (CBC & ESR) test?

A Complete Hemogram (CBC & ESR) test is done to measure the quantity of blood cells like RBCs, WBCs, and platelets, and the sedimentation rate of WBCs. It is also used to diagnose anemia, hematological cancers, infections, allergies, acute hemorrhagic states, and immunodeficiencies.

Q. When is a Complete Hemogram (CBC & ESR) test performed?

A Complete Hemogram (CBC & ESR) test is performed to find the cause of symptoms like fatigue, weakness, inflammation, and fever.

Q. How is a Complete Hemogram (CBC & ESR) test performed?

A phlebotomist (a trained professional to perform blood draws) will clean the skin using an antiseptic alcohol cotton swab or wipe and take a blood sample from your body using a needle. The blood sample will be stored safely and transported to the lab for analysis.

Q. What is the benefit of getting a Complete Hemogram (CBC & ESR) test done?

A Complete Hemogram (CBC & ESR) provides complete information about your blood cells and helps identify the disease early, thus allowing you to take necessary measures in time.

Q. Is there any risk associated with a Complete Hemogram (CBC & ESR) test?

There is usually no risk associated with this test. However, some people may feel a slight sting when a needle is pricked and may experience some bleeding that is normal and usually not bothersome. Some people may also experience slight swelling or bruising at the site of the needle prick. Applying ice 3-4 times daily for about a week may help reduce swelling and bruising. If it does not get better, consult your doctor.

Q. Can I take a Complete Hemogram (CBC & ESR) test during pregnancy?

Yes, a hemogram test is safe during pregnancy and may help detect any blood cell abnormalities in the mother and their associated risks to the baby.

Q. Which diseases can a Complete Hemogram (CBC & ESR) test detect?

A Complete Hemogram (CBC & ESR) test can help detect various conditions like infections, allergies, or diseases like anemia, polycythemia, or blood cancers.

Q. Can a Complete Hemogram (CBC & ESR) test detect cancers?

A Complete Hemogram (CBC & ESR) test can help detect blood-related abnormalities that may suggest blood cancers, such as acute and chronic leukemias. This test allows the physician to recommend further diagnosis and facilitates guided treatment decisions.
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Complete Hemogram (CBC & ESR) test price for other cities


Price inBangaloreRs. 349
Price inPuneRs. 399
Price inKolkataRs. 349
Price inMumbaiRs. 349
Price inGurgaonRs. 349
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