Do you happen to know what can cause RBCs to stack together in a
way they form something call a rouleax formation? Out of curiosity
I went to a local chinese medical clinic to learn about their "live
cell technology" whereby they uses a microscope and a slide of thin
blood flim and a dried blood flim to study the RBCs for illness. I
find their technology interesting. But their diagnosis kinda very
general. And the physician said my RBCs are seriously stacked
together, like they sticked together and said quite impossible
given my age.. kinda worrying.. and said that itself can quite
explain my fatigue. But I made a thin blood flim myself too but it
didn't really look that bad. So the chinese physician advised me to
excercise more to disperse the RBCs..oh dear if only I can find the
energy and motivation to do excercise I won't be there in the first
place
Don't be worried for nothing. Rouleax formation in your case is
probably an artefact. If you take blood and allow it to stand for a
while before making the smear or if the technique is poor, you can
can create rouleaux. True rouleaux formation may indicate increased
plasma proteins such as in myeloma but it is hardly likely in such
a young age. If your ESR is normal and they do not find a
paraprotein, threre is nothing to worry about.
Exercise will not disperse the RBCs, although it is good in
itself.
