Dr. Goswami Parth Rajendragiri
Pathology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am an 18-year-old female and I had recently had some blood test done. My hemoglobin was 17.4 g/dL. My doctor called me in straight away to discuss the abnormal results. We had looked at my previous blood results and it was 15.3 g/dL at age 14 and at 16 it had gone up to 17.0 g/dL. None of my doctors have told me anything about it till now. Should I be concerned?
Hello,
Welcome to icliniq.com.
I have reviewed your query and here is my advise.
Your hemoglobin level is slightly high according to history. I need to know your hematocrit (PCV- packed cell volume), RBC count and total WBC count as well to guide you further. If you have any respiratory or cardiac problem then mention that. Only hemoglobin rise cannot be taken as seriously. If your HCT (hematocrit) and RBC are also elevated then investigate with EPO (erythropoietin). So you can attach your reports for giving more comment.
Patient's Query
Thank you doctor,
HCT is currently 0.52. RBC is currently 6.0. WBC is currently 7.7. I have been experiencing heart palpitations and breathing problems and a tightening feeling in my throat.
Hello,
Welcome back to icliniq.com.
Your RBC and HCT are elevated slightly. Kindly provide a reference range for HCT as it is usually expressed in percentage. For your breathing and heart palpitation problem, you should do further workup as follows:
For that you can consult pulmonologist for examination and above work up. You can additionally investigate with EPO erythropoietin estimation to rule out secondary erythrocytosis. Take care.
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Pathology
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