What is haemoglobin?
Haemoglobin (Hb or Hgb) is the iron-containing protein inside red blood cells that binds to oxygen in the lungs and delivers it throughout the body. It also carries carbon dioxide back to the lungs. The haemoglobin test is part of a Complete Blood Count (CBC) and is the primary test for diagnosing anaemia.
Haemoglobin normal range
| Group | Normal Range (g/dL) | Interpretation |
|---|---|---|
| Adult men | 13.5 – 17.5 | Normal |
| Adult women | 12.0 – 15.5 | Normal |
| Pregnant women | ≥ 11.0 | Acceptable in pregnancy |
| Children (6-12 yrs) | 11.5 – 15.5 | Normal |
| Severe anaemia | < 8.0 (any adult) | Urgent assessment |
LOW Haemoglobin: Anaemia
Low haemoglobin is called anaemia. The most common cause worldwide is iron deficiency due to poor diet, blood loss (heavy periods, GI bleeding) or poor absorption. Other causes: vitamin B12 or folate deficiency (megaloblastic anaemia), chronic kidney disease, chronic inflammatory conditions, thalassaemia and haemolytic anaemia. Symptoms include fatigue, weakness, pale skin, shortness of breath, dizziness and rapid heartbeat.
HIGH Haemoglobin: Polycythaemia
High haemoglobin (polycythaemia or erythrocytosis) causes include dehydration, high-altitude living, smoking, chronic lung disease (COPD) and polycythaemia vera (a bone marrow condition). Very high Hb thickens the blood and raises clot, stroke and heart attack risk.
Grades of anaemia
| Severity | Hb (g/dL) | Typical symptoms |
|---|---|---|
| Mild | 10 – 12 (women) / 10 – 13.5 (men) | Few or none |
| Moderate | 8 – 9.9 | Fatigue, breathlessness on exertion |
| Severe | < 8 | Breathlessness at rest, chest pain |
| Critical | < 6.5 | Emergency: may need transfusion |
Questions to ask your doctor
- What type of anaemia do I have?
- Do I need iron, B12 or folate supplements?
- Should I have ferritin and iron studies?
- Do I need a colonoscopy to check for GI bleeding?
- When should I retest?
Frequently Asked Questions
What does a low haemoglobin level mean?
What causes a high haemoglobin level?
How is haemoglobin different from ferritin?
References
The clinical information on this page is drawn from peer-reviewed sources indexed by the US National Library of Medicine. Links go to the source so you can read it yourself.
- Anemia. In: StatPearls. Treasure Island (FL): StatPearls Publishing. NCBI Bookshelf NBK499994
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