Understanding Hemogram

A hemogram can tell you a lot about your blood. For instance, red and white blood cells, as well as platelets (also called thrombocytes), will be counted and examined for size, shape, volume, and degree of organization. Specific factors that may affect these parameters include a total number of erythrocyte progenitor stem cells; RBC membrane stiffness; frequency of RBC production; distribution and frequency of phagocytosis (cellular breakdown); distribution and type of leukocytes (white blood cells) in circulation; vitamin deficiencies like folic acid or B12 deficiency. The number of toxic substances such as lead poisoning can also be analyzed from a hemogram.

Your hemoglobin levels should be high and your white cell count should be low. It's very important to have a blood test done when you're pregnant to make sure that you don't have any type of disease that the blood could transmit to the baby through the placenta, such as hepatitis B or C, HIV/AIDS, syphilis, or other diseases.

It's also important when giving birth if one is Rh-negative and hasn't been vaccinated against it (if they can't remember their past). If they were exposed in pregnancy and gave birth with an Rh-positive partner, there's a chance for their newborn baby to receive too many RBCs from mom and develop jaundice/anemia;

A hemogram is a blood test that measures the hematocrit, hemoglobin levels, and other substances in the blood (such as total protein and red blood cells). Hemograms can be differential or comprehensive. Comprehensive: performs a complete analysis of all forms of an organism's entire circulating cellular mass. Differential: analyzes two sources from one specimen- for example, plasma and white cells, platelets and red cells, prothrombin time combined with partial thromboplastin time (PTT), D-dimer level with complete lipid profile to provide a clear diagnosis of possible metabolic liver problems.

A blood count measures the number of each type of cell found in one cubic millimeter (1/10th of a teaspoon) or 500 microliters (a little less than half a cup) of whole blood. The numbers are reported as cells per cubic millimeter, so you need to know how many millions there are to divide by 10 to get the actual headcount. In this way, for example, someone under 20 could have 1.0x1012 neutrophils and have a CBC that says they have 10x109 neutrophils per cubic millimeter."

The blood count may reveal, for example, an abnormally high number of red blood cells (confirmatory diagnosis) or determinations made by routine inspection that are not obvious without the additional information present in the hemogram. A hemogram is typically conducted to investigate an abnormal indication on a CBC. For instance, if you have very low white counts and no cause for this can be determined using other lab tests like a peripheral smear or bone marrow biopsy, it's possible that your doctor will perform a complete hemogram. Most often abnormalities are seen on the CBC.

When you're involved in extreme sports like skateboarding, your chances of getting injured are much greater than if you're at the pool or sipping tea. Hematoma is a condition that usually arises from some form of blunt force or direct trauma-related injury to the muscles and/or bones due to the high blood vessels around those areas. This injury can cause swelling which creates pressure on these vessels causing red blood cells to either leak into the soft tissue, tissues fluids, or even lead to a blocked flow of fresh oxygenated blood through these vessels if not treated promptly with an incision.

A hematocrit test analyzes the volume of red blood cells in one cubic millimeter of blood. Red blood cells contain hemoglobin, which carries oxygen and carbon dioxide to and from tissues and organs. The more severely an individual is afflicted with anemia, the lower the percentage of red blood cells they would have in one cubic millimeter of their own cardiac tissue.

If you endure a deep cut on your arm, your body will release stress hormones such as cortisol or epinephrine that prepare your immune system for increased levels of intense activity. These types of stress hormones also trigger a large release of iron from storage sites on red blood cells so that enough iron is available to help form new erythrocytes.

A haemogram is a study of the cellular inclusions in one's blood based on their shape, color, size, and specific gene expression. This process involves pumping a person's blood through a machine (this machine includes some spinning disks that separate out each type of cell for study). However, this test is not commonly done. Instead, analysis is usually limited to basic counts of red and white blood cells as well as platelets.

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Stroke Warning Signs for Indians Over 40: Early Detection Can Save Lives

Introduction

Stroke is a major health issue in India — both as a cause of death and lifelong disability. For people over 40, the risk climbs sharply. The earlier a stroke is recognized and treated, the better the chances of recovery. In this post, we’ll look at the warning signs of stroke especially relevant in Indians over 40, backed by real survey data, the risk factors common in India, what to do, and how to act fast. Understanding these can help you or your loved ones catch a stroke early and reduce damage.

How Big Is the Problem in India, Especially After 40

According to a 2024 study using Global Burden of Disease data, stroke incidence in India has increased from 76 per 100,000 people in 1990 to ??88 per 100,000 in 2021 for all ages.
Stroke incidence and burden are especially high among people aged 50-69 and over 70.
Another study in North India showed that a large number of adults over 45 lacked awareness about warning signs of stroke: nearly 46% didn’t know warning signs.
Among hypertensive patients (~mean age 54) from Western Rajasthan, about 75% recognized at least one stroke symptom like slurred speech or body-weakness, but 25-30% still lacked awareness.

These figures show that though awareness is improving, there is a significant gap in recognition of warning signs among people over 40 — a high-risk group.

Warning Signs of Stroke (What to Look Out For)

In Indians over 40, common symptoms are similar globally, but here are those particularly reported in Indian surveys:

Sudden Weakness or Numbness on One Side
Many people identified “paralysis of one side of the body” or weakness in an arm or leg. In a Tamil Nadu hospital-based survey, 56% of respondents recognized this symptom.
Facial Droop or Deviation
One side of face droops or mouth slants. In the same survey, ~20% noted deviation of the mouth.
Speech Problems
Slurring, garbled speech, or trouble understanding what others are saying. ~16% in that survey recognized speech impairment.
Vision Disturbance
Sudden trouble with sight in one or both eyes (blurring, loss of vision). Awareness of this is lower: about 53% recognized vision disturbances in a Kerala survey.
Loss of Balance, Dizziness, Severe Headache
Sudden loss of balance or coordination, dizziness, confusion, or sudden, severe headache are also warning signs. Surveys show these are less well recognized compared to motor or speech symptoms but still important.

Risk Factors: What Makes Stroke More Likely After Age 40

Understanding risk helps prevention:

Hypertension (High Blood Pressure) — arguably the biggest factor. Many over-40 Indians have undiagnosed or uncontrolled high BP.
Diabetes Mellitus — often co-exists; increases damage to blood vessels.
Dyslipidemia (High Cholesterol / Lipids)
Smoking & Tobacco Use — cigarettes, chewing tobacco.
Alcohol Use
Obesity / Sedentary Lifestyle
Dietary Risks — high sodium, low fruits/vegetables.
Heart Conditions — atrial fibrillation, prior heart disease.
Other — age itself, stress, sometimes air pollution.

Awareness & Knowledge: What Indian Surveys Reveal

In the Rajasthan survey among hypertensive patients (mean age ~54), around 75-80% knew at least one major warning sign (one?side weakness, speech or vision issues), but 25-30% were unaware.
In a community survey in Kerala, 94.2% identified facial weakness, 86.6% speech disturbances, 84.5% limb weakness. But only ~53% recognized vision issues as a symptom.
In a North Indian telephone survey, nearly half the participants (?46%) did not know warning signs.

So even in literate, more urban or health-aware areas, a non-trivial proportion of people over 40 are not fully aware.

Why Early Recognition Matters

Treatments like thrombolysis (clot-busting medications) are time sensitive — often must be given within a few hours (“golden hour”). Delays drastically reduce benefit.
Early hospital arrival, correct diagnosis, and starting therapy quickly can reduce severity, prevent permanent disability, reduce mortality.
Preventing recurrence: once someone has had a stroke (or mini-stroke), risk of further strokes increases. Early intervention (lifestyle, medicines) matters.

What to Do If You or Someone Over 40 Notices These Signs

Don’t Delay — If sudden facial droop, weakness on one side, speech issues, vision trouble, or sudden severe headache occurs, seek emergency medical help immediately (call ambulance / go to hospital).
Note the Time — When symptoms started. Critical for treatment options.
Diagnostic Tests may include CT/MRI brain, ECG, carotid imaging, labs (blood sugar, lipids etc.).
Medical Management — Control high blood pressure, diabetes, cholesterol; anticoagulants if needed; lifestyle changes.
Rehabilitation — Speech therapy, physiotherapy, occupational therapy if deficits remain.

Real Numbers: What Are the Outcomes / Burden

Adjusted stroke prevalence in India is estimated between 84 and 262 strokes per 100,000 in rural areas, and 334-424 per 100,000 in urban areas depending on the region.
Among those aged 55+, stroke rates jump — e.g., in Trivandrum, rate is ~7.1 per 1,000 people per year for 55+, rising to 13.3 per 1,000 for those aged 75+.
The chance of having a stroke after 55 is roughly 1 in 5 for women and 1 in 6 for men in certain studies, though this includes all adults over 55.

Challenges in India

Delays in recognising signs and reaching hospital. Many people don’t know less obvious symptoms.
Low awareness of treatments and golden period for therapy. Surveys show only a small fraction know about clot lysis or emergency window.
Access issues: hospitals with stroke care, imaging etc. may be far. Costs, transport, awareness all barriers.
Comorbidities often unmanaged (hypertension, diabetes).

Prevention: What Indians Over 40 Can Do Now

Regular health checkups: Monitor blood pressure, blood sugar, cholesterol.
Lifestyle changes: Healthy diet (low salt, more fruits/veg), active lifestyle, avoid tobacco, limit alcohol.
Stay alert to symptoms: Educate self / family about warning signs.
Emergency planning: Know nearest hospital that handles stroke, keep travel / transport options ready.
Medication adherence: If prescribed (for BP, diabetes, heart conditions), don’t skip.

Conclusion & Call to Action

Stroke warning signs for Indians over 40 are often clear—but awareness is still incomplete. Because stroke risk increases with age, recognizing the early warning signs like sudden weakness, facial droop, speech trouble, vision disturbance, and balance issues can make all the difference.

If you or someone over 40 feels any of these, act fast. Time matters. Go to the hospital immediately.

CTA: If you’re over 40, schedule a stroke risk assessment today — check your blood pressure, diabetes, cholesterol, and get informed about warning signs. A simple health check can save your life or someone you care about.

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