High Hematocrit

Hematocrit is also called as packed cell volume test. It evaluates the proportion of red blood cells in the blood. The normal range for men is 38.3 to 47.6 percent. The normal range for women is 35.5 percent to 44.0 percent. High hematocrit is seen in patients with lung disease, heart disease, polycythemia vera, and dehydration.

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What is the reason for the increase in Hb and Hct values in me?

Query: Hi doctor, I am really worried that my Hgb is 17.6 and Hct is 54.6. I have been recommended to consult a hematologist in cancer care center. I am bothered whether it is a major illness. Can you please help me out?  Read Full »


Dr. Prakash H Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Your¬†hemoglobin (Hb or Hgb) and hematocrit (Hct) is a bit high and hence further evaluation is being done. If you are from a hill station or a smoker or with lung disorder then this may be normal. This is called as polycythe...  Read Full »

Are my levels of hematocrit, hemoglobin, and RBC raised due to polycythemia vera?

Query: Hi doctor, My laboratory results from last week show increased hematocrit (50.7%) and high end of normal hemoglobin (16.7%) and RBC (5.72). While the hemoglobin and the RBC are technically within the normal range, historically, I never had high values like this. Usually, my RBC (red blood cells) is...  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to the icliniq.com. Following is my opinion for your asked question. Hemoglobin level above 16.5 and hematocrit more than 49 should be investigated further, especially for secondary polycythemia. You can investigate with ECG (electrocardiogram) and chest x-ray to check for the car...  Read Full »

Why are my hemoglobin and hematocrit values high without any symptoms?

Query: Hello doctor, I underwent routine bloodwork during my regular gynecological checkup. It showed a hemoglobin of 16.4 g/dL and hematocrit of 47.3 %. All other laboratory values are normal, and I do not have any symptoms. I am currently on Norethindrone for birth control and Spironolactone 100 mg for ...  Read Full »


Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. Elevated hemoglobin is seen in dehydration, smokers, people living at high altitudes, congestive cardiac failure, chronic obstructive pulmonary disease, erythropoietin secreting adenomas of the kidney, and rarely could be a part of primary polycythemia. I sugges...  Read Full »

What does it mean if my RBC and hematocrit values are elevated?

Query: Hello doctor, I am a 21-year-old female. My height is 5'8", and my weight is 185 lbs. I take tablet Tirosint 50 mcg for my Hashimoto's thyroiditis and tablet Slynd for PCOS. My blood reports showed slightly elevated RBC and hematocrit and low MCH. I have had migraines for six years. What is ca...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. I have checked your CBC (complete blood count) report (attachments removed to protect the patient’s identity). In the attached blood report, red blood cells and hematocrit are slightly high, while MCH (mean corpuscular hemoglobin) is borderline low. Thes...  Read Full »

I suffer from polycythemia. Can it be caused due to smoking?

Query: Hi doctor, I am a 37 year old male. I am suffering from polycythemia for the last two years. My Hb is 19.17 and HCT is 51.9. The doctors informed me that it is all due to smoking. Is there any serious problem with me? What will you suggest? Thank you.  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. Chronic smoking can lead to heart failure, chronic lung disease, etc., and hence, polycythemia occurs. It is called secondary polycythemia. With the treatment, the prognosis is good in secondary polycythemia. But, polycythemia can occur as primary polycythemia as well, an...  Read Full »

Why do I have high hemoglobin and hematocrit values?

Query: Hi doctor, I am a 31 year old female. I have a history of celiac disease and a past medical history of Hodgkin's lymphoma, a stage 2 cervical lymph node and tumors in my chest. I had a blood test last week which showed B12 and folic acid deficiency, raised hemoglobin of 161 and raised hematocrit of ...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. You are having celiac disease in which because of malabsorption vitamin B12 deficiency and folate deficiency can occur. This deficiency also can be developed if polycythemia present in which proliferation more. Here hemoglobin and HCT is high as per history. Hence if it i...  Read Full »

Does a mild rise in hemoglobin, hematocrit, and WBC indicate polycythemia vera?

Query: Hi doctor, I have left and right-sided abdominal pain. I had bloody mucus in the stool, which has resolved, having itchy dry skin all over. Blood test says high white blood cell count, high hematocrit, high hemoglobin, and a very high ALT in the liver test. The abdominal CT scan was clear, except t...  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. Actually, in the attached graphical report (attachments remove to protect the patient's identity), ALT (alanine aminotransferase) is not raised twofold means not elevated more than 84. So, it does not indicate liver dysfunction. In liver problems, ALT usually rai...  Read Full »

What does high hemoglobin count indicate?

Query: Hi doctor, My hemoglobin level is 18.70, PCV 55.40, MCV 120, MCH 40.70, RDW 8.40. What should I do?  Read Full »


Dr. S D Sinha

Answer: Hi,Welcome to icliniq.com.Please share a copy of all your lab reports. These reports appear out of place.Do you have any history or diagnosis of polycythemia vera in the family or past history?  Read Full »

Can hemoglobin and hematocrit be elevated due to testosterone injections?

Query: Hello doctor, I am concerned about my CBC. Three years back, my hematocrit has usually been in 40 (upper range). Last year, my doctor gave me testosterone injections. Five months ago, we found out my hematocrit went to 52.3. I stopped taking the infusion, and four months back, I went to a hematolog...  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to the icliniq.com. I can understand your concern. Following is my opinion on your asked questions. Initially, four months ago, your hemoglobin and hematocrit are elevated due to testosterone injections. You had secondary polycythemia at that time. Testosterone induced polycythemia...  Read Full »

What could be the reason for raised WBC, neutrophils, hemoglobin, and hematocrit values?

Query: Hello doctor, I have a WBC count of 11.2 and neutrophils are 7.8. Also, my hemoglobin is 17.8 and hematocrit 51.8. Is that serious? Please advice.  Read Full »


Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have recently done CBC (complete blood count) and revealed that WBC (white blood cells) 11.2, neutrophils 7.8, hemoglobin 17.8, and hematocrit 51.8. Your WBC, neutrophils, hemoglobin, and hematocrit are ...  Read Full »

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