What should I do if my reticulocyte count is high?

Reticulocytes are red blood cells that have just been denucleated and are not yet fully mature. There are three conditions in which a high reticulocyte count can occur, and different treatments should be given for these three conditions. In the first case, when the body has blood loss, such as excessive menstruation, gastrointestinal bleeding, etc., the reticulocyte count is high, you need to go to the gynecology and gastroenterology department to solve the excessive menstruation or gastrointestinal bleeding, bleeding stops reticulocyte count will gradually return to normal. In the second case, there is hemolysis, such as the destruction of red blood cell lysis, the reticulocytes in the bone marrow are not fully matured will be released, resulting in high reticulocyte count, you need to take glucocorticoid treatment, the hemolysis will stop reticulocyte count will gradually drop to normal. In the third case, in patients with nutritional anemia such as iron deficiency anemia or megaloblastic anemia, after treatment, the reticulocyte count will be high due to the replenishment of hematopoietic material, which is a normal reaction and indicates that the treatment is effective and does not require special treatment, but it is necessary to continue the treatment with replenishment of hematopoietic material.