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Hemoglobin HPLC/Electrophoresis with CBC

Also referred as
Hb Electrophoresis
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Abnormal Hb studies
Hemoglobin variant analysis
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The Hemoglobin HPLC/Electrophoresis with CBC test is a specialized blood test used to identify and quantify different types of hemoglobin present in blood using HPLC along with complete blood count (CBC). The test helps identify abnormal hemoglobin variants and assess red blood cell characteristics, supporting the screening and diagnosis of inherited blood disorders, such as thalassemia and sickle cell disease. 

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Understanding Hemoglobin HPLC/Electrophoresis with CBC

Hemoglobin (Hb) is a protein in red blood cells that carries oxygen to the body’s organs and tissues. The Hemoglobin HPLC / Electrophoresis test separates and identifies different types of hemoglobin, such as HbA (normal adult hemoglobin), HbF (fetal hemoglobin), and abnormal variants such as HbS, HbC, and HbD. The CBC provides information about red blood cells, white blood cells, and platelets, including parameters such as hemoglobin, hematocrit, and red blood cell indices. Together, these tests are useful in evaluating anemia and identifying patterns that may suggest hemoglobin disorders such as thalassemia and sickle cell disease.

The doctor may advise this test if a blood disorder like thalassemia or sickle cell disease is suspected. Common signs include dizziness, weakness, pale skin, cold hands and feet, frequent infections, shortness of breath, fast heartbeat, or weight loss. The test may also be suggested if there is a family history of blood disorders, unexplained anemia, or abnormal results in other blood tests. The CBC component can help assess the size, number, and characteristics of blood cells and may provide additional clues about the cause of anemia.

Fasting is not required for this test. Eat and drink as per the daily routine. However, clinical history is required for this test. Also, let the doctor know if you have a recent history of blood transfusion, as it can affect the test results. 

The normal ranges of results can vary based on age, gender, health history, and the lab that does the test. The doctor will explain the results by looking at the hemoglobin pattern, CBC parameters, family history, and overall health. Based on the findings, the doctor will decide if further evaluation or management is needed.

Test result ranges are approximate and vary depending on age, gender, health history, and methodology used by the laboratories. Talk to the doctor about specific test results. The doctor may consider several additional factors while interpreting the significance of abnormal hemoglobin, including family history, the results of CBC, and more. Based on the test results, the doctor decides whether or not medication will be required to manage the condition and formulate an overall treatment plan.

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What does Hemoglobin HPLC/Electrophoresis with CBC measure?

Contains 22 tests

The Hemoglobin HPLC/Electrophoresis with CBC test identifies and measures different types of hemoglobin in the blood and assesses blood cell parameters through a CBC to help diagnose and keep track of certain blood disorders. These types of hemoglobin include: adult type (HbA2), fetal type (HbF), hemoglobin S (HbS), hemoglobin C (HbC), and hemoglobin E (HbE), among others.

The CBC measures parameters such as:

  • Hemoglobin (Hb): Measures the amount of hemoglobin in the blood.
  • Hematocrit (HCT): Measures the proportion of blood made up of red blood cells.
  • Red blood cell (RBC) count: Measures the number of red blood cells in the blood.
  • Red blood cell indices: Include MCV, MCH, MCHC, and RDW, which provide information about the size, hemoglobin content, and variation in the size of red blood cells.
  • White blood cell (WBC) count and platelet count: Provide information about other blood cell types.

Normal hemoglobin types:

  • Hemoglobin A (HbA): The main type of hemoglobin in healthy adults.
  • Hemoglobin F (HbF): Found in unborn babies and newborns. It is slowly replaced by HbA after birth.

If the levels of HbA or HbF are not normal, it may indicate certain types of anemia. The interpretation depends on the overall hemoglobin pattern and CBC findings.

Abnormal hemoglobin types:

  • Hemoglobin S (HbS): Found in people with sickle cell anemia. It causes red blood cells to become stiff and sickle-shaped, leading to pain and other health problems.
  • Hemoglobin C (HbC): Linked to a condition called hemolytic anemia, where red blood cells break down faster than normal.
  • Hemoglobin E (HbE): Common in people from Southeast Asia. It may cause mild anemia or sometimes no symptoms at all in the heterozygous state.
  • Hemoglobin D (HbD): Causes mild hemolytic anemia and mild to moderate spleen enlargement. The Hb D Punjab variant is most commonly seen in people from Gujarat and among Sikhs of Punjab.

The HPLC or electrophoresis pattern, together with CBC findings and clinical history, helps the doctor assess whether further testing is required.

Hemoglobin HPLC/Electrophoresis

The CBC (Complete Blood Count) test measures the number of 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. Therefore, 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)

  • 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

  • The 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.

  • Hb (Hemoglobin)

  • The Hb (Hemoglobin) test measures the concentration of hemoglobin in your blood. Hemoglobin binds oxygen molecules and carries them to body tissues while removing carbon dioxide. Low hemoglobin suggests reduced oxygen-carrying capacity. It can be due to anemia, bleeding, nutritional deficiencies (iron, vitamin B12, folate), or chronic disease. High hemoglobin may occur in dehydration, living at high altitudes, smoking, or diseases like polycythemia vera.

  • Platelet Count

  • The 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. 

  • Total Leukocyte Count

  • The 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.

  • Hematocrit

  • The 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.

  • Mean Corpuscular Volume

  • The 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 of average size and volume or whether they are bigger or smaller.

  • 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.

  • 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. 

  • Absolute Leucocyte Count

  • The Absolute Leucocyte Count test measures the total number of white blood cells (leucocytes) in the given volume of blood. It examines different types of white blood cells such as neutrophils, lymphocytes, monocytes, basophils and eosinophils. These cells tell about the status of the immune system and its ability to fight off infections and other conditions like inflammation, allergies, bone marrow disorders etc.

    This further contains

    • Absolute Lymphocyte Count (ALC)
    • Absolute Neutrophil Count
    • Absolute Basophil Count
    • Absolute Monocyte Count
    • Absolute Eosinophil Count
  • 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. 

  • PDW

  • The 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.

  • RDW CV

  • The 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.

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Hemoglobin HPLC/Electrophoresis with CBC test price for other cities

Price inBangaloreRs. 1169
Price inNew DelhiRs. 1059
Price inKolkataRs. 1039
Price inMumbaiRs. 1129
Price inPuneRs. 1129
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FAQs related to Hemoglobin HPLC/Electrophoresis with CBC

The Hemoglobin HPLC/Electrophoresis with CBC is a blood test that identifies and measures different types of hemoglobin through a HB-HPLC and evaluates blood cell parameters through a Complete Blood Count (CBC). It can help assess conditions such as anemia, thalassemia, sickle cell disorders, and other hemoglobin abnormalities.
The Hemoglobin HPLC/Electrophoresis with CBC may be done to evaluate abnormal hemoglobin, unexplained anemia, or changes in red blood cell parameters. It can also help screen for inherited hemoglobin disorders such as thalassemia and sickle cell disorders.
Your doctor may recommend the Hemoglobin HPLC/Electrophoresis with CBC if you have unexplained anemia, abnormal CBC results, a family history of hemoglobin disorders, or symptoms that may be associated with a blood disorder. It may also be recommended as part of screening when an inherited hemoglobin disorder is suspected.
The test may be recommended for people with unexplained or persistent anemia, abnormal red blood cell indices, suspected thalassemia or sickle cell disorders, or a family history of hemoglobin disorders. It may also be advised before or during pregnancy in certain situations based on medical history and screening requirements.
The test is absolutely safe. You might feel a bit sore or get a minor bruise where the needle is put in, but severe issues such as infection or excessive bleeding are uncommon.
Factors such as your diet, age, gender, smoking, altitude (where you reside), some medicines, and illness may influence the results.
Yes, in case of a familial history of hemoglobin disorders, this test can be used to screen other members of the family. It can also assist in family planning.
Yes, hemoglobin analysis can be performed as part of newborn screening in some settings to detect certain hemoglobin disorders early and support timely evaluation and management. The specific tests used for newborn screening may vary by screening programme and age.
Hemoglobinopathy is a term for a family of inherited disorders in which the body produces abnormal hemoglobin. Such diseases are inherited from parents to offspring.
Hemoglobin C disease, hemoglobin S-C disease, sickle cell anemia, and thalassemia are common hemoglobinopathies.
Thalassemia can result in infections, iron overload, bone changes, enlarged spleen, retarded growth, and cardiac complications.
Talk to your doctor if your hemoglobin is low. Eating iron-rich foods, taking iron supplements, and adding vitamin C to your diet can help improve your hemoglobin levels.
Hemoglobin HPLC/Electrophoresis signifies a Hemoglobinopathy Evaluation Test used to identify and quantify different types of hemoglobin in the blood and detect abnormal hemoglobin variants. It indicates that hemoglobin variant analysis may be performed using either HPLC or electrophoresis, depending on the laboratory's methodology. Currently performed using HPLC.
A CBC provides information about red blood cells, white blood cells, and platelets. Red blood cell parameters such as hemoglobin, MCV, MCH, and RDW can provide additional clues when assessing conditions such as thalassemia, anemia, or other blood disorders. The doctor may interpret the CBC together with the hemoglobin pattern and clinical history.
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