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Why is Aspirin given for high hemoglobin and RBC count?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

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Published At March 26, 2017
Reviewed AtDecember 21, 2023

Patient's Query

Hi doctor,

I am a 40-year-old male. My hemoglobin was 18.3 g/dL, but it has come down to 17.7 g/dL in the last two months. My RBC count varies between 6.1 to 6.27 now, and my PCV is 51.9 %. I am taking mini Aspirin as suggested by my doctor. Do I have any reason to worry?

Hi,

Welcome to icliniq.com.

Your hemoglobin level, RBC (red blood cells), and PCV (packed cell volume) are high. The lymph node, liver, and spleen need to be clinically examined.

Do you have a history of dizziness, weakness, and stroke?

High levels of RBC and hemoglobin can cause blood clots and can lead to vascular complications like stroke. This is the reason your doctor gave you Aspirin.

You are at risk of polycythemia vera, and it has to be ruled out by bone marrow study or molecular testing for JAK2 gene mutation.

Phlebotomy might be needed to reduce RBC mass. Consult your physician or a nearby hematologist for examination and further workup.

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

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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