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My dog's blood work shows high immature red cells. Anemic? Anesthesia safe?

Updated on September 23rd, 2025

Pet's info: Dog | Mixed Breed Medium (23 - 60lb) | Male | neutered | 44.6 lbs

My 10 year old dog had blood work done and had high RETIC (139) and low RETIC-HGB (21.5) results. All other counts were normal. Would they be considered anemic? Is anaesthesia safe with these results?

1 Answer

Most Helpful Answer

Jennifer Summerfield, DVM CPDT-KA

Answered By Jennifer Summerfield, DVM CPDT-KA

Veterinarian, Certified Dog Trainer

Published on August 26th, 2021

Hi there. If Clyde's other CBC values were all in the normal range, then no - he would not be considered anemic, and I would not expect this to have any impact whatsoever on his anesthesia risk. :) Anemia has to do with the actual red blood cell count, or hematocrit (which are normally abbreviated RBC and HCT on lab reports, respectively).

Reticulocytes are immature red blood cells released by the bone marrow, and it's completely normal to have a certain number of them in circulation at any given time. RETIC-HGB refers to the hemoglobin content of the reticulocytes, not the red blood cells as a whole.

If we see an elevated reticulocyte count in a dog who IS anemic (low RBC or HCT), then this can give us some additional information about the types of things that might be causing the anemia. But in a dog who *isn't* anemic, it doesn't really mean much of anything or have any particular clinical significance. If you're concerned about it, you could always opt to have lab work repeated in a few weeks to see if the elevation is repeatable, or if there is any kind of trend in his overall hemoglobin level or hematocrit that might warrant further investigation.
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