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Packed Cell Volume (PCV) / Hematocrit Test

Packed Cell Volume (PCV) / Hematocrit Test

The Packed Cell Volume (PCV) / Hematocrit Test measures the proportion of red blood cells (RBCs) in the blood. Red blood cells are responsible for carrying oxygen throughout the body, and their levels can indicate various blood disorders, dehydration, and oxygen-carrying capacity.

This test is an essential component of a complete blood count (CBC) and is often used to diagnose anemia, polycythemia, and hydration status. Hematocrit values are expressed as a percentage of total blood volume occupied by red blood cells.

What is the PCV / Hematocrit Test Used For?

This test is used to:

  • Diagnose anemia (low hematocrit) or polycythemia (high hematocrit).
  • Assess hydration status—low levels may indicate overhydration, while high levels suggest dehydration.
  • Monitor treatment response in anemia or polycythemia.
  • Evaluate blood loss after injury, surgery, or internal bleeding.

Check for bone marrow disorders affecting red blood cell production.

What are The Symptoms of Anemia

Symptoms of Anemia Anemia occurs when there aren’t enough healthy red blood cells to carry oxygen throughout the body. Symptoms can vary based on severity and cause.

Fatigue & weakness

Fatigue & weakness

Pale or yellowish skin

Pale or yellowish skin

Shortness of breath (especially with exertion)

Shortness of breath (especially with exertion)

Dizziness or lightheadedness

Dizziness or lightheadedness

Cold hands and feet

Cold hands and feet

Headaches

Headaches

Preparation for the Test

No fasting is required unless advised by a doctor. A blood sample is drawn from a vein for analysis. Stay hydrated before the test, as dehydration can falsely elevate results. Inform your doctor about any iron, vitamin B12, or folate supplements you are taking.

Interpretation of Results

  • Normal PCV / Hematocrit Levels:
    • Men: 40–54%
    • Women: 36–48%
    • Children: 35–44%
    • Newborns: 44–64%
  • Low Hematocrit (<36% in women, <40% in men): May indicate anemia, kidney disease, or internal bleeding.

High Hematocrit (>48% in women, >54% in men): Suggests dehydration, polycythemia, or chronic lung disease.

FAQs

What does a low hematocrit mean?

A low hematocrit suggests anemia, blood loss, or chronic disease affecting red blood cell production.

Can dehydration affect hematocrit levels?

Yes, dehydration causes a false elevation in hematocrit due to decreased plasma volume.

How does altitude affect hematocrit levels?

People living at high altitudes have higher hematocrit levels due to low oxygen availability, which stimulates red blood cell production.

What other tests are done along with PCV?

PCV is often part of a Complete Blood Count (CBC), along with hemoglobin, RBC count, and other indices.

How can I increase my hematocrit naturally?

Eating iron-rich foods (red meat, leafy greens, beans) and taking vitamin B12 or folate supplements can help improve hematocrit levels.

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