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Blood test

Understanding RDW (Red Cell Distribution Width) in Full Blood Count Blood Tests

Blood tests are essential tools for diagnosing and monitoring various health conditions. Among the array of blood tests available, the full blood count (FBC) blood test stands out as one of the most comprehensive and informative. One key parameter measured in an FBC is the Red Cell Distribution Width (RDW). RDW plays a vital role in assessing the variability in the size of red blood cells, offering significant information about potential underlying health issues.


One Day Tests offers both home test kits and clinic phlebotomy appointments, making it easier and more convenient to access detailed blood tests and results. With our state-of-the-art laboratory and innovative Health Dashboard, we can provide you with the actionable insights needed to manage your health proactively.

Red blood cells

What is RDW?

Red Cell Distribution Width (RDW) is a measurement that reflects the variability in the size of your red blood cells. Specifically, RDW indicates the degree of variation in the volume and size of these cells within a blood sample. It is a crucial parameter in medical testing because it helps in identifying a range of health conditions that affect red blood cell production and lifespan.


What is RDW in a Full Blood Count Test?


In the context of a full blood count (FBC), RDW is essential for evaluating your red blood cells' overall health and functionality. Red blood cells are responsible for transporting oxygen from your lungs to the rest of your body, and any significant variation in their size can indicate underlying health issues.


RDW is measured as part of a full blood count, where it works alongside other indices like Mean Corpuscular Volume (MCV) to provide a comprehensive picture of red blood cell health. A high RDW value indicates a larger variability in cell size, which can be a sign of various conditions, such as anaemia, nutrient deficiencies, or bone marrow disorders.

Liver disease

What Does it Mean if Your RDW is High?

High RDW levels indicate a greater variability in the size of red blood cells (RBCs). Several factors can cause this and can point to a variety of health conditions:


  • Vitamin Deficiencies: A common cause of high RDW is a deficiency in essential vitamins such as vitamin B12, folate, and iron. These vitamins are crucial for proper red blood cell production and maturation. When there is a deficiency, it can result in the production of red blood cells of varying sizes.

  • Anaemia: Different types of anaemia, including iron-deficiency anaemia and pernicious anaemia, can lead to high RDW levels. Iron deficiency anaemia typically causes a combination of small and large red blood cells due to irregular production.

  • Chronic Illnesses: Conditions like chronic kidney disease and liver disease can disrupt normal red blood cell production and lead to increased RDW levels.

  • Bone Marrow Disorders: Disorders such as myelodysplastic syndromes and other bone marrow diseases can also cause a significant increase in RDW as the bone marrow produces abnormal red blood cells.


High RDW levels signal healthcare providers to investigate further and identify the underlying cause, enabling appropriate treatment and management of the condition.

What Causes Low RDW?

Low RDW levels are less common and generally indicate a more uniform size of red blood cells. While low RDW levels are not typically associated with specific health issues, they may suggest:


  • Stable Red Blood Cell Production: A low RDW can indicate that the red blood cells are being produced consistently and uniformly, which is often a sign of stable bone marrow function and overall health.

  • Certain Chronic Conditions: In some cases, chronic conditions that do not significantly disrupt red blood cell production may result in low RDW levels. However, this is relatively rare and usually requires other symptoms or tests for confirmation.

Combined Analysis

RDW is most informative when interpreted alongside other red blood cell indices, particularly Mean Corpuscular Volume (MCV):


  • High RDW and Low MCV: This combination can indicate conditions like iron deficiency anaemia or thalassaemia, where there is a mix of small and irregularly sized red blood cells.

  • High RDW and High MCV: This pattern is often seen in cases of vitamin B12 or folate deficiency anaemia, where there are large and varied red blood cells.

  • Normal RDW and Abnormal MCV: Normal RDW with a high or low MCV can help narrow down the type of anaemia. For example, a low MCV with normal RDW might indicate thalassaemia, while a high MCV with normal RDW could point towards liver disease or alcoholism.

  • Normal RDW and Normal MCV: Generally indicates stable red blood cell production and is typically seen in healthy individuals or those with chronic diseases that do not affect red blood cell size variability.
Blood tests

RDW and Health Monitoring

At One Day Tests, we make it easy to incorporate regular blood testing into your health routine with our home test kits and convenient clinic appointments. Our quick and reliable results ensure that you stay informed about your health without the hassle of long waits.


Keeping track of RDW is not just about monitoring current health but also about taking proactive steps to prevent future health problems. Here’s how regular RDW monitoring contributes to preventative health:

  • Early Detection of Anaemia and Deficiencies: Regular RDW measurements can help identify early signs of anaemia and nutrient deficiencies, such as iron, vitamin B12, and folate deficiencies. Addressing these issues promptly can prevent complications like fatigue, weakness, and cognitive impairments.

  • Chronic Disease Management: For individuals with chronic conditions such as kidney disease, liver disease, or heart disease, monitoring RDW can provide valuable information on the progression of these conditions. Adjustments in treatment plans can be made based on these insights, improving overall disease management.

  • Bone Marrow Health: RDW can also indicate potential bone marrow disorders. Early detection of abnormalities can lead to quicker diagnostic testing and treatment, potentially improving outcomes for conditions like myelodysplastic syndromes or other hematologic diseases.

  • Holistic Health Approach: Understanding RDW levels in the context of your overall health encourages a more holistic approach to wellness. It prompts discussions with healthcare providers about diet, lifestyle changes, and other preventative measures that can enhance your long-term health.


One Day Tests is committed to empowering you with the tools and information needed to take control of your health. Our detailed blood tests, including RDW measurement, are designed to provide you with the insights required for effective preventative health care.

Our Full Blood Count Blood Test

Monitor Your Health Effectively With One Day Tests

Regular monitoring of your health through comprehensive blood tests is an essential aspect of proactive health management. By understanding and tracking RDW levels, you can take significant steps towards maintaining and improving your overall well-being.


At One Day Tests, we are dedicated to making health monitoring accessible and convenient. Our home test kits and clinic phlebotomy appointments ensure that you can get detailed and accurate blood test results without the hassle of long waits.

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