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How can one lower hemoglobin levels?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My hemoglobin (Hb) is 18.4 g/dL, red blood cell (RBC) count is 6.24 million/µL, and packed cell volume (PCV) is 52.5 percent. The doctor performed a computed tomography (CT) coronary scan, and the report mentioned an incomplete myocardial bridge. I was prescribed Aspirin and Bisoprolol 5 mg. Should I be worried about high hemoglobin? My only symptom is a headache.

Kindly help.

Answered by Dr. Vandana Andrews

Education:

MD

Professional Bio:

Dr. Vandana Andrews is a dedicated General Practitioner and Family Physician specializing in General Medicine. She has expertise in managing acute and chronic illnesses, preventive healthcare, and patient education. Skilled in treating conditions such as diabetes, hypertension, and respiratory infections, Dr. Andrews is known for her compassionate, patient-focused care. She is committed to delivering comprehensive, evidence-based medical services to individuals and families across all age groups.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

I would like to inform you that a high hemoglobin level, such as 18.4 g/dL, can indicate several factors, including dehydration, high altitude, or underlying medical conditions like chronic lung disease or polycythemia. Your elevated red blood cell (RBC) count and packed cell volume (PCV) suggest a possible increase in red blood cells, which can thicken the blood and increase the risk of clotting. Since you are experiencing headaches, it is important to monitor your symptoms and consult your doctor.

Your CT (computed tomography) coronary scan report mentioned an incomplete myocardial bridge, which is a structural variant in the heart that can sometimes cause chest discomfort or other symptoms. The prescription of aspirin and bisoprolol suggests your doctor is addressing potential cardiovascular risks. Continue following medical advice, stay hydrated, and report any worsening symptoms, especially headaches, dizziness, or shortness of breath.

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At March 5, 2025
Reviewed At March 5, 2025

Education:

MD

Professional Bio:

Dr. Vandana Andrews is a dedicated General Practitioner and Family Physician specializing in General Medicine. She has expertise in managing acute and chronic illnesses, preventive healthcare, and patient education. Skilled in treating conditions such as diabetes, hypertension, and respiratory infections, Dr. Andrews is known for her compassionate, patient-focused care. She is committed to delivering comprehensive, evidence-based medical services to individuals and families across all age groups.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Vandana Andrews is a dedicated General Practitioner and Family Physician specializing in General Medicine. She has expertise in managing acute and chronic illnesses, preventive healthcare, and patient education. Skilled in treating conditions such as diabetes, hypertension, and respiratory infections, Dr. Andrews is known for her compassionate, patient-focused care. She is committed to delivering comprehensive, evidence-based medical services to individuals and families across all age groups.

This doctor is not available for online consultations on the platform anymore.

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