23-10-2026

How to Check for Anaemia: Symptoms, Blood Tests & Haemoglobin Levels

What Is Anaemia? 

Anaemia is one of the most common blood conditions in the world, yet many people walk around with it for months  sometimes even years  without knowing they have it. Simply put, anaemia occurs when your blood does not have enough healthy red blood cells or haemoglobin to carry adequate oxygen to your body's tissues.

Haemoglobin is a protein found inside red blood cells. Its job is to pick up oxygen from your lungs and deliver it to every organ, muscle, and cell in your body. When haemoglobin levels drop below normal, your organs do not get enough oxygen, and that is when you start to feel tired, weak, breathless, or dizzy.

In India, anaemia is a significant public health issue. According to the National Family Health Survey (NFHS-5), more than 57% of women between 15 and 49 years of age in India are anaemic. Children, pregnant women, elderly individuals, and people with certain chronic illnesses are especially vulnerable.

The good news is that anaemia is highly detectable with simple blood tests and, in most cases, treatable once the underlying cause is identified. That is why learning how to check for anaemia early is so important.

Why Is It Important to Check for Anaemia? 

Many people dismiss the early signs of anaemia as everyday tiredness or stress. This delay in getting tested can lead to worsening symptoms, reduced quality of life, and in severe cases, complications affecting the heart and other vital organs.

Here is why you should not delay checking for anaemia:

  • Early detection leads to faster treatment. The sooner anaemia is diagnosed, the sooner you can start treatment and feel better.
  • It may signal another underlying condition. Anaemia is sometimes a symptom of a more serious illness like kidney disease, cancer, or an autoimmune disorder.
  • It affects productivity and mental function. Anaemia causes fatigue and difficulty concentrating, which can seriously impact your daily work and personal life.
  • It is dangerous during pregnancy. Anaemia during pregnancy can affect the baby's growth and increase the risk of premature birth.
  • In children, it can harm brain development. Iron deficiency anaemia in young children can affect cognitive development and school performance.

Getting a blood test to check for anaemia is quick, affordable, and can provide life-changing information.

Common Symptoms of Anaemia You Should Not Ignore 

One of the reasons anaemia often goes undetected is that its symptoms can be vague and easy to brush off. However, if you are experiencing several of these signs together, it is a strong signal that you should check for anaemia with a blood test.

General Symptoms

  • Persistent fatigue and tiredness  This is the most common symptom. You feel exhausted even after a full night's sleep.
  • Weakness  Everyday tasks like climbing stairs or carrying groceries feel harder than they should.
  • Shortness of breath  You get breathless during mild activities or even while resting.
  • Dizziness or lightheadedness  Especially when you stand up quickly.
  • Headaches  Frequent, dull headaches that do not go away easily.
  • Cold hands and feet  Poor circulation due to low haemoglobin.
  • Pale or yellowish skin  Your skin may look lighter or dull, especially on the face, lips, and inside of the eyelids.
  • Irregular or fast heartbeat (palpitations)  Your heart works harder to compensate for low oxygen levels.
  • Chest pain  In more severe cases, anaemia can cause chest discomfort.
  • Difficulty concentrating or brain fog  Trouble focusing or remembering things.

Symptoms Specific to Iron Deficiency Anaemia

  • Craving for non-food items like ice, clay, or chalk (a condition called pica)
  • Brittle or spoon-shaped nails
  • Hair loss or thinning
  • Sore or swollen tongue
  • Restless legs syndrome (uncomfortable sensations in the legs at night)

Symptoms of Vitamin B12 or Folate Deficiency Anaemia

  • Tingling or numbness in hands and feet
  • Difficulty walking or balance problems
  • Memory problems or mood changes
  • Inflamed tongue (glossitis)

If you notice any combination of these symptoms  especially persistent tiredness, pale skin, or breathlessness  please do not ignore them. Visit a diagnostic centre and get a haemoglobin test or CBC blood test done at the earliest.

Types of Anaemia and Their Causes 

Understanding the type of anaemia you have is crucial because the treatment varies depending on the cause. Here are the most common types:

1. Iron Deficiency Anaemia

This is the most common type worldwide. It happens when your body does not have enough iron to produce haemoglobin. Causes include:

  • Poor dietary intake of iron
  • Heavy menstrual periods
  • Pregnancy (increased iron demand)
  • Internal bleeding (from ulcers, haemorrhoids, or bowel conditions)
  • Poor iron absorption (due to celiac disease or gut issues)

2. Vitamin B12 Deficiency Anaemia (Megaloblastic Anaemia)

Lack of Vitamin B12 leads to large, abnormal red blood cells that do not function properly. Causes include:

  • Strict vegetarian or vegan diet (B12 is mainly found in animal products)
  • Pernicious anaemia (an autoimmune condition)
  • Stomach or intestinal surgery affecting B12 absorption

3. Folate Deficiency Anaemia

Folate (Vitamin B9) is necessary for producing healthy red blood cells. Causes include:

  • Poor diet lacking in green leafy vegetables, fruits, and legumes
  • Excessive alcohol consumption
  • Pregnancy (higher folate requirement)
  • Certain medications

4. Anaemia of Chronic Disease

This type occurs alongside long-term illnesses such as:

  • Chronic kidney disease
  • Rheumatoid arthritis
  • Cancer
  • HIV/AIDS
  • Inflammatory bowel disease

5. Haemolytic Anaemia

This occurs when red blood cells are destroyed faster than they can be made. It can be inherited (like in sickle cell anaemia or thalassemia) or acquired.

6. Aplastic Anaemia

A rare but serious condition where the bone marrow stops producing enough blood cells. This can be caused by autoimmune diseases, radiation exposure, or certain medications.

7. Sickle Cell Anaemia and Thalassemia

These are inherited genetic disorders common in certain communities in India. They affect the shape and function of red blood cells.

 

How to Check for Anaemia: Diagnostic Tests Explained 

The most reliable way to check for anaemia is through blood tests conducted at a certified diagnostic centre. Here is a breakdown of the tests your doctor may recommend:

Step 1: Visit Your Doctor or Diagnostic Centre

If you have symptoms of anaemia, your first step should be to consult a doctor or visit a trusted diagnostic centre. Based on your symptoms, they will advise the appropriate tests.

Step 2: Blood Sample Collection

A small blood sample is drawn from a vein in your arm. The process takes just a few minutes and is relatively painless.

Step 3: Laboratory Analysis

The blood sample is sent to a pathology laboratory where trained technicians and pathologists analyse it using advanced equipment.

Key Tests to Diagnose Anaemia:

Test

What It Checks

Complete Blood Count (CBC)

Overall picture of blood health including RBC, WBC, haemoglobin, haematocrit, and platelets

Haemoglobin Test

Measures the amount of haemoglobin in the blood

Haematocrit

Percentage of blood volume made up of red blood cells

Peripheral Blood Smear

Examines the shape and size of red blood cells under a microscope

Serum Ferritin Test

Measures iron storage in the body

Serum Iron Test

Measures the amount of iron in the blood

TIBC (Total Iron Binding Capacity)

Checks how well iron is being transported in the blood

Vitamin B12 Test

Measures B12 levels in the blood

Folate Test

Measures folate (B9) levels

Reticulocyte Count

Measures young red blood cells  indicates how fast RBCs are being produced

LDH (Lactate Dehydrogenase)

Elevated in haemolytic anaemia

Bone Marrow Biopsy

Used in rare cases to check how blood cells are being produced

At NDC Diagnostic, all these tests are available under one roof across multiple locations, ensuring you get accurate and timely results.

Understanding Haemoglobin Levels 

Haemoglobin is measured in grams per decilitre (g/dL) of blood. Here are the standard reference ranges:

Normal Haemoglobin Levels

Category

Normal Range (g/dL)

Men (Adult)

13.5 – 17.5 g/dL

Women (Adult)

12.0 – 15.5 g/dL

Pregnant Women

11.0 g/dL or above

Children (6 months – 6 years)

11.0 – 14.0 g/dL

Children (6–14 years)

12.0 – 16.0 g/dL

Elderly Men

12.5 – 17.5 g/dL

Elderly Women

11.5 – 15.5 g/dL

Severity of Anaemia Based on Haemoglobin Levels

Severity

Haemoglobin Level (g/dL)

Mild Anaemia

10 – 12 g/dL (women) / 10 – 13 g/dL (men)

Moderate Anaemia

8 – 10 g/dL

Severe Anaemia

6 – 8 g/dL

Very Severe Anaemia

Below 6 g/dL

If your haemoglobin is below the normal range for your age and gender, your doctor will consider it as anaemia and recommend further tests to find out the cause.

It is important to note that haemoglobin alone does not tell the full story. You need a complete blood count along with additional tests to determine the type and cause of anaemia.

What Is a Complete Blood Count (CBC) Test? 

The Complete Blood Count (CBC) is the most commonly ordered test to check for anaemia. It is a comprehensive blood panel that measures several components of your blood all at once.

What Does a CBC Test Include?

  • Red Blood Cell (RBC) Count  The number of red blood cells per microlitre of blood. Low RBC count suggests anaemia.
  • Haemoglobin (Hb)  The oxygen-carrying protein in RBCs.
  • Haematocrit (HCT)  The percentage of your blood that consists of red blood cells.
  • Mean Corpuscular Volume (MCV)  The average size of your red blood cells. This is very helpful in identifying the type of anaemia:
    • Low MCV → Iron deficiency anaemia or thalassemia (microcytic anaemia)
    • Normal MCV → Anaemia of chronic disease or haemolytic anaemia (normocytic anaemia)
    • High MCV → Vitamin B12 or folate deficiency (macrocytic anaemia)
  • Mean Corpuscular Haemoglobin (MCH)  Average haemoglobin per red blood cell.
  • Mean Corpuscular Haemoglobin Concentration (MCHC)  Concentration of haemoglobin in a given volume of red blood cells.
  • Red Cell Distribution Width (RDW)  Variation in the size of red blood cells. High RDW can indicate mixed deficiencies.
  • White Blood Cell (WBC) Count  Useful to rule out infections or leukaemia.
  • Platelet Count  Helps detect conditions like aplastic anaemia.

The CBC test is affordable, quick, and widely available at NDC Diagnostic's pathology department, where all samples are processed with precision and care.

Other Blood Tests Used to Diagnose Anaemia 

Depending on your CBC results and symptoms, your doctor may recommend the following additional tests:

Serum Ferritin Test

  • What it checks: The amount of stored iron in your body.
  • Why it matters: Low ferritin is the earliest indicator of iron deficiency, even before haemoglobin drops.
  • Normal range: 12–150 ng/mL (women), 12–300 ng/mL (men). Values vary by lab.

Serum Iron and TIBC

  • Serum Iron: Measures the circulating iron in your blood.
  • TIBC: Measures how much iron your blood can carry. High TIBC + low serum iron = classic iron deficiency anaemia pattern.

Peripheral Blood Smear (PBS)

  • A few drops of blood are spread on a glass slide and examined under a microscope.
  • This helps detect abnormal cell shapes such as sickle cells, target cells, or fragmented cells that point to specific types of anaemia.

Reticulocyte Count

  • Reticulocytes are young, newly released red blood cells.
  • High count may indicate blood loss or haemolysis (destruction of red cells).
  • Low count may indicate bone marrow failure or nutritional deficiency.

Vitamin B12 and Folate Tests

  • Blood tests to measure B12 and folate levels.
  • Essential if MCV is high (macrocytic anaemia).

Kidney Function Tests (KFT)

  • The kidneys produce a hormone called erythropoietin that stimulates RBC production.
  • Chronic kidney disease can suppress this hormone and cause anaemia.

Thyroid Function Tests

  • Hypothyroidism (underactive thyroid) can also cause anaemia.

Liver Function Tests (LFT)

  • Liver disease can affect red blood cell production and cause anaemia.

G6PD Test

  • Used to detect G6PD deficiency, a genetic condition that can cause haemolytic anaemia.

HbA1C and Haemoglobin Electrophoresis

  • Used to detect sickle cell anaemia, thalassemia, and other haemoglobin disorders.

All of these pathology tests are available at NDC Diagnostic with quick turnaround times and accurate reports.

Normal vs. Abnormal Blood Test Results for Anaemia 

Here is a simple guide to understanding what your blood test results might mean:

Iron Deficiency Anaemia Pattern:

  • Low Haemoglobin ✓
  • Low MCV (small red cells) ✓
  • Low Serum Ferritin ✓
  • Low Serum Iron ✓
  • High TIBC ✓
  • High RDW ✓

Vitamin B12 / Folate Deficiency Anaemia Pattern:

  • Low Haemoglobin ✓
  • High MCV (large red cells) ✓
  • Low B12 or Folate ✓
  • Normal or Low Iron ✓
  • Possible neurological symptoms

Anaemia of Chronic Disease Pattern:

  • Low to Normal Haemoglobin ✓
  • Normal or Low MCV ✓
  • Low Serum Iron ✓
  • Low TIBC ✓
  • Normal or High Ferritin ✓

Haemolytic Anaemia Pattern:

  • Low Haemoglobin ✓
  • High Reticulocyte Count ✓
  • High Bilirubin ✓
  • High LDH ✓
  • Abnormal cells on peripheral smear ✓

Aplastic Anaemia Pattern:

  • Low Haemoglobin ✓
  • Low WBC ✓
  • Low Platelet Count ✓
  • Low Reticulocyte Count ✓
  • Bone marrow biopsy needed for confirmation ✓

Important: Do not try to interpret your reports on your own. Always consult a qualified doctor who will look at the full picture of your results, symptoms, and medical history.

Who Is at Higher Risk of Anaemia? 

While anaemia can affect anyone, some groups are at significantly higher risk:

Women of Reproductive Age

Monthly menstrual blood loss is a leading cause of iron deficiency anaemia in women. Heavy periods (menorrhagia) increase this risk further.

Pregnant Women

During pregnancy, the body needs significantly more iron and folate to support the growing baby and placenta. Without adequate intake, anaemia develops quickly.

Infants and Young Children

Rapid growth during infancy and early childhood requires large amounts of iron. Babies who are exclusively breastfed after 6 months without iron supplementation are at risk.

Elderly Individuals

Older adults may eat less, absorb nutrients poorly, and have chronic conditions that contribute to anaemia.

Vegetarians and Vegans

Plant-based diets can be low in iron and Vitamin B12. The iron from plant foods (non-heme iron) is also less efficiently absorbed compared to iron from meat (heme iron).

People with Chronic Diseases

Those with kidney disease, cancer, HIV, rheumatoid arthritis, or inflammatory bowel disease have a higher risk.

People Who Donate Blood Frequently

Regular blood donors may deplete their iron stores if they do not compensate with iron-rich foods or supplements.

Those with Genetic Conditions

People with a family history of sickle cell anaemia, thalassemia, or G6PD deficiency are at inherited risk.

If you fall into any of these categories, it is a good idea to schedule a routine haemoglobin or CBC test even if you do not have obvious symptoms. Early detection is always better.

What Happens After Diagnosis? 

Once anaemia is confirmed through blood tests, your doctor will determine the type and cause and recommend a treatment plan. Here is a general overview:

For Iron Deficiency Anaemia:

  • Dietary changes: Increase intake of iron-rich foods  red meat, chicken, fish, beans, lentils, tofu, spinach, and fortified cereals.
  • Iron supplements: Oral iron tablets (ferrous sulphate, ferrous gluconate) are commonly prescribed. Take them with Vitamin C for better absorption.
  • Treating the underlying cause: If iron loss is due to internal bleeding, that must be addressed.
  • Intravenous (IV) iron: For severe cases or when oral iron is not tolerated.

For Vitamin B12 Deficiency Anaemia:

  • Dietary changes: Include more meat, eggs, dairy, and fish.
  • B12 supplements or injections: B12 tablets or intramuscular injections (cyanocobalamin or methylcobalamin) are given depending on the severity.

For Folate Deficiency Anaemia:

  • Folic acid supplements: Usually 5 mg daily for several months.
  • Dietary changes: Increase leafy greens, lentils, beans, and citrus fruits.

For Anaemia of Chronic Disease:

  • Treating the primary disease is the main focus.
  • Erythropoietin injections may be used in cases related to kidney disease.

For Severe or Life-Threatening Anaemia:

  • Blood transfusion may be required to quickly raise haemoglobin levels.

Follow-Up Testing

After starting treatment, your doctor will ask for repeat blood tests  usually after 4–8 weeks  to check if haemoglobin levels are improving. This is an important step and should not be skipped.

Where to Get Tested for Anaemia in Navi Mumbai, Thane & Kalyan ?

If you are looking for a reliable and affordable place to check for anaemia through blood tests, NDC Diagnostic is one of the most trusted diagnostic centres in the Mumbai Metropolitan Region.

NDC Diagnostic offers a full range of pathology services including CBC, haemoglobin tests, serum ferritin, Vitamin B12, folate, peripheral blood smear, and much more  all processed with accurate, NABL-standard equipment and reported by experienced pathologists.

NDC Diagnostic Centres Near You:

Location

Details

Seawoods

NDC Diagnostic - Seawoods

Kharghar

NDC Diagnostic - Kharghar

Kalyan

NDC Diagnostic - Kalyan

Kurla

NDC Diagnostic - Kurla

Thane - Khopat

NDC Diagnostic - Thane Khopat

NDC Diagnostic also offers radiology services including ultrasound and X-rays, which can sometimes be needed when internal bleeding or organ-related causes of anaemia are being investigated.

📞 Book your blood test today at the NDC Diagnostic centre nearest to you. Early detection of anaemia can make a real difference in your health and quality of life.

Frequently Asked Questions 

Q1. Can I check for anaemia at home?

While there are home haemoglobin testing devices available, they are not as accurate as laboratory blood tests. The only reliable way to diagnose anaemia and identify its type is through a certified laboratory. A simple CBC test at a diagnostic centre like NDC Diagnostic gives far more detailed and accurate results.

Q2. How long does it take to get anaemia test results?

Most routine blood tests like CBC and haemoglobin are processed within 4 to 24 hours. Specialised tests like B12, ferritin, or peripheral smear may take a bit longer depending on the lab.

Q3. Do I need to fast before a blood test for anaemia?

For a basic CBC or haemoglobin test, fasting is usually not required. However, if your doctor has ordered a full blood panel that includes glucose or lipid tests alongside anaemia tests, fasting may be needed. Always check with your diagnostic centre beforehand.

Q4. What is the difference between anaemia and low blood pressure?

Anaemia relates to low haemoglobin or red blood cells, while low blood pressure is about the force at which blood flows through your vessels. Both can cause dizziness and fatigue, but they are different conditions. You need separate tests to check for each.

Q5. Can anaemia be cured completely?

Yes, in most cases  especially iron deficiency, B12, or folate deficiency anaemia  it can be treated and resolved with the right supplements and dietary changes. Genetic forms of anaemia like thalassemia or sickle cell anaemia require ongoing management but can be controlled.

Q6. How often should I get tested for anaemia?

If you are at high risk (pregnant, have heavy periods, are vegetarian, have chronic disease), getting tested once or twice a year is advisable. Your doctor may recommend more frequent monitoring if you are on treatment for anaemia.

Q7. Is anaemia the same as iron deficiency?

Not exactly. Iron deficiency is one cause of anaemia, but there are many other causes. You can be iron deficient without being anaemic yet, and you can be anaemic without iron deficiency (for example, in B12 deficiency or bone marrow disorders).

Q8. Can anaemia affect my heart?

Yes. Severe or long-standing anaemia forces the heart to work harder to pump blood, which can lead to an enlarged heart or heart failure in extreme cases. This is one more reason why it is important to diagnose and treat anaemia early.

Conclusion 

Anaemia is far more common than most people realise, and the fact that its symptoms often resemble everyday tiredness makes it easy to overlook. But when you understand how to check for anaemia  through simple blood tests like the Complete Blood Count, haemoglobin test, serum ferritin, and Vitamin B12 levels  you put yourself in a position to take control of your health.

Whether you are experiencing persistent fatigue, pale skin, breathlessness, or frequent headaches, please do not dismiss these signs. They could be your body's way of telling you that your blood needs attention. A quick visit to a diagnostic centre and a few simple tests are all it takes to find out.

At NDC Diagnostic, you can access a full range of pathology tests in a comfortable, hygienic, and professional environment. With centres in Seawoods, Kharghar, Kalyan, Kurla, and Thane - Khopat, getting tested has never been more convenient.

Do not wait for symptoms to get worse. Book your anaemia screening today at your nearest NDC Diagnostic centre and take the first step towards better health.

Disclaimer: This blog post is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional for diagnosis and treatment of any medical condition.

 

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