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Hematology · Blood Disorders & Blood Cancer

Hematology: Blood Disorder & Cancer Care in Nepal

Most abnormal blood reports we see in Nepal turn out to be iron deficiency, a recent viral fever, or an inherited but manageable condition — not cancer. Our hematology team reads the whole picture, tells you plainly what your result means, and treats you here whether the answer is simple or serious.

24-Hour Report Review In-House Pathology Free Ring Road Pickup
4Specialists
8,000+Patients Treated
1stCAR-T Programme in Nepal

नेपालीमा पढ्नुहोस् (Read this page in Nepali)

Blood film microscopy abrormal blood cells

Quick Facts

SpecialtyHematology — blood disorders and blood cancer
Team4 hemato-oncology specialists
Common non-cancer causesIron/B12 deficiency, viral fevers (dengue), thalassemia trait, sickle cell disease
Cancers treatedLeukemia, lymphoma, multiple myeloma
Advanced treatmentNepal's first CAR-T cell therapy programme
LocationTathali, Bhaktapur (main hospital), with free Ring Road pickup , City Clinic in New Baneshwor,Kathmandu
Our Team

Four Hematology Specialists, One Team

A dedicated team of this size for hematology alone is uncommon in Nepal. Every complex case is reviewed by all four before a plan is set.

Dr. Sanjay Gelal, Clinical Hematologist at Kathmandu Cancer Center

Dr. Sanjay Gelal

Clinical Haematology

MBBS · FCPS Clinical Haematology

Benign & malignant blood disorders

Dr. Sachita Baniya, Haemato-Oncologist at Kathmandu Cancer Center

Dr. Sachita Baniya

Haemato-Oncology

MBBS · FCPS Clinical Haematology

Leukemia, lymphoma & bone marrow transplant

Dr. Ritu Lamichhane

Dr. Ritu Lamichhane

Pediatric Oncology

Pediatric blood disorders & blood cancers

Dr. Sweta Maharjan, Haemato-Oncologist at Kathmandu Cancer Center

Dr. Sweta Maharjan

Haemato-Oncology

MBBS · FCPS Clinical Haematology

Leukemia, lymphoma, myeloma & CAR-T cell therapy

Where to Start

Which Best Describes You?

I'm Tired, Pale, or Bleed Easily

Often iron or B12 deficiency — go for test and treatment.

See likely causes

I Have an Abnormal Blood Report

Sometimes abnormal report or number is minor issue; but somethimes it is worth checking with blood speacilist.

Concerned about your results? Read our guide on what to do if you have an abnormal blood report.

I'm Concerned About Blood Cancer

Leukemia, lymphoma, or myeloma — treated here with KCC's full oncology infrastructure.

Know more about blood cancer and treatment. Read our guide on how we treat blood cancers (also available in नेपाली / Nepali).

Overview

What Can a Hematologist (Blood specialist) Help With?

A hematologist evaluates disorders affecting red blood cells, white blood cells, platelets, blood clotting, and the bone marrow. You may be referred to one because of an abnormal CBC, anemia, an unexplained change in platelet or white-cell counts, recurrent infections, unusual bleeding or bruising, enlarged lymph nodes, or a suspected bone-marrow disorder.

At KCC, the same specialists who evaluate these common — and usually benign — findings also treat the smaller number of cases that turn out to be blood cancer, using the hospital's full pathology, imaging, and oncology infrastructure rather than referring that step elsewhere.

Conditions We Evaluate

The Full Range of What We See

Organized by what actually brings people in, not by medical terminology.

Abnormal Blood Counts

Low or high hemoglobin, low or high platelets, low or high white blood cells, pancytopenia, persistently abnormal CBC.

Bleeding & Clotting

Easy bruising, bleeding disorders, prolonged PT/INR or aPTT, blood clots (DVT), abnormal D-dimer.

Inherited Blood Disorders

Thalassemia, sickle cell disease, other hemoglobin disorders, G6PD deficiency.

Nutritional Deficiencies

Iron deficiency, vitamin B12 deficiency, folate deficiency.

Blood Cancers

Leukemia, lymphoma, multiple myeloma, myelodysplastic syndromes, myeloproliferative neoplasms.

Bone Marrow Disorders

Aplastic anemia, myelofibrosis, and other causes of marrow failure.

Why Results Go Abnormal

Common Causes in Nepal

Nepal's 2016 Demographic and Health Survey found roughly 4 in 10 women of reproductive age were anemic, mostly from low iron intake or heavy monthly bleeding no one has checked. Strict vegetarian diets can run low on B12. Viral fevers like dengue commonly drop platelet counts for a week or two before they recover on their own. And inherited conditions — thalassemia trait, and sickle cell disease more common among Tharu and other Terai communities — are often misdiagnosed as simple iron deficiency for years. Many of these patients travel to us from Province 2, Lumbini, and elsewhere in the Terai specifically for a correct diagnosis.

Read the full guide to what an abnormal blood report means →

When to See Us

Signs Worth a Hematologist's Review

Any one of these on its own is usually minor. It's worth a visit if you notice:

Ongoing Fatigue or Paleness

Tiredness, paleness, or breathlessness that doesn't improve with rest.

Easy Bruising or Bleeding

Bruises or bleeding that happen more easily than usual.

Frequent Infections

Infections or fevers that keep coming back.

Swollen Lymph Nodes

In the neck, underarm, or groin.

Weight Loss or Night Sweats

Unexplained weight loss or drenching night sweats.

An Abnormal Blood Report

More than one number marked outside the normal range.

Report findingCommon causesWhen further evaluation is needed
Low hemoglobinIron/B12/folate deficiency, blood loss, chronic illnessPersistent, severe, or unexplained anemia
Low plateletsViral infection (e.g. dengue), certain medicines, ITPPersistent, very low, or with bleeding
High WBCInfection, inflammation, certain medicines, smokingPersistent, very high, or with other symptoms
Low WBCViral illness, certain medicines, nutritional deficiencyPersistent or with recurrent infections
High plateletsInfection/inflammation, iron deficiencyPersistent, unexplained elevation
Multiple abnormal countsInfection, deficiency, or a marrow-related causeAlways worth a specialist assessment

This is a general guide, not a diagnosis. The only way to tell the difference for certain is a blood test — which is exactly why we start every visit with one.

Diagnosis

How We Reach a Diagnosis

1

Repeat CBC & Blood Film

We repeat your complete blood count and examine your blood under a microscope. This alone answers most questions.

2

Targeted Panel

Iron, B12, and folate levels are checked when the pattern points to a nutritional cause.

3

Hemoglobin Electrophoresis

Used when anemia doesn't improve with iron, to rule in or out thalassemia and sickle cell.

4

Bone Marrow Aspiration or Biopsy

Only when simpler tests haven't given a clear answer — not a routine step.

5

Specialist Review & Plan

You leave with a plain-language explanation of your results and a clear next step.

Is a bone marrow test painful?

It's a short outpatient procedure done under local anaesthesia, usually 15–20 minutes. Most patients feel pressure rather than sharp pain, and it's only ordered when simpler tests haven't given a clear answer.

For most patients, a repeat CBC and blood film is enough to reach an answer- bone marrow testing is the exception, not the rule.

Treatment

Treatment We Provide

Anemia & Deficiency Correction

Iron, B12, and folate replacement, with follow-up testing to confirm recovery.

Platelet Disorder Management

Monitoring and treatment for low platelet counts, including post-viral drops and ITP.

Thalassemia & Sickle Cell Care

Testing, counselling, and ongoing management for inherited blood conditions.

Leukemia, Lymphoma & Myeloma

Protocol-guided treatment for blood cancers, backed by KCC's full oncology infrastructure.

CAR-T Cell Therapy

Nepal's first CAR-T programme, for eligible blood cancer patients.

Learn more

Blood Bank

Safe, monitored blood and platelet transfusion for patients who need it from our in-house blood bak services.

Myeloblasts (immature white blood cells) seen on blood film microscopy, a finding associated with acute leukemia

Blood film microscopy showing blast cells - one of the findings of blood cancer

Why KCC

One Integrated Hematology Team

Pathology, imaging, and hematology work from the same report — you don't have to go to different hospital and clinic.

  • MDT Tumour Board & Nepal's First CAR-T Programme - every complex case reviewed by the full team, with advanced cellular therapy available here when needed.
  • In-House Pathology, 24-Hour Report Review - no outside labs. WhatsApp your report and hear back the same day.
  • Free Ring Road Pickup & Remote Follow-Up - we collect you from anywhere along the Ring Road, and outstation patients can follow up by phone or WhatsApp without travelling back. Get directions

नेपालीमा जानकारी

तपाईंको रगत जाँच रिपोर्टमा केही असामान्य देखिएको छ? धेरैजसो अवस्थामा यो क्यान्सर होइन — प्रायः आइरन वा भिटामिन बी-१२ को कमी, हालसालैको ज्वरो, वा उपचार गर्न सकिने वंशाणुगत अवस्थाका कारण हुन्छ। हाम्रो हेमाटोलोजी टिमले तपाईंको रिपोर्ट हेरेर सजिलो भाषामा बुझाउँछ।

नेपालीमा पूरा पृष्ठ हेर्नुहोस् (See the full page in Nepali) →

FAQ

Frequently Asked Questions

Not usually. A single value slightly outside the normal range is common and often corrects on its own. It's worth a visit if it doesn't improve after 3–4 weeks, if more than one value is abnormal, or if you have symptoms like fatigue, easy bruising, or fever alongside it.
In the large majority of cases, no. Most abnormal CBC results in Nepal trace back to iron or B12 deficiency, a recent viral illness, or an inherited but manageable condition like thalassemia trait. Blood cancer is one of the least common explanations.
It's a short outpatient procedure done under local anaesthesia, usually 15–20 minutes. Most patients feel pressure rather than sharp pain, and it's only ordered when simpler tests haven't given a clear answer.
Many causes are identified from a repeat CBC and blood film within the same visit. Where more testing is needed, results typically take a few days to a couple of weeks.
Yes. WhatsApp a photo of your report for an initial read from our hematology team, who will let you know whether an in-person visit is needed.
Our hematology team consults both at KCC's main hospital in Tathali, Bhaktapur and City Clinic New Baneshwor. with free Ring Road pickup for outstation patients. Call or WhatsApp to confirm which specialist is available.
A general physician handles overall health and common illnesses. A hematologist focuses specifically on the blood, bone marrow, and lymphatic system — the right specialist once a blood result needs a closer, more specific look.
Yes. KCC treats leukemia, lymphoma, and myeloma using NCCN and ASH-aligned protocols, typically at 60-80% lower cost than India, without the expense and disruption of travel. See the full Nepal vs. India comparison.
Cost depends on the exact tests ordered. Use our treatment cost calculator for an estimate, or WhatsApp your situation for a direct answer.
Yes. We work from your existing reports and treatment plan so ongoing chemotherapy or other cycles aren't restarted from scratch. See how the transfer process works.

Have a Blood Report You'd Like Explained?

Send it to us on WhatsApp and hear back from our hematology team within 24 hours.

  • Reviewed by a specialist, not a call centre
  • Plain-language explanation of your result
  • Clear next step, whether it's reassurance or a visit

Main hospital: Tathali, Bhaktapur · City Clinic: New Baneshwor, Kathmandu