Polycythemia

Polycythemia is a condition where the volume percentage of red blood cells in the blood (hematocrit) is elevated. It can be either caused due to an increase in the number of red blood cells or a decrease in the volume of plasma. The treatment is done by phlebotomy, that is the removal of blood from the circulation.

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What causes knee pain, swollen feet, fatigue, and bloating?

Query: Hello doctor, I am a 35-year-old female. I have knee pain, swollen feet, bloating, and fatigue. Kindly help.   Read Full »


Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from fatigue, knee pain, bloating, and swollen feet. According to your investigation reports (attachments removed to protect the patient’s identity), your hemoglobin level, platele...  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 »

Do increased levels of RBC and vitamin B12 cause polycythemia vera?

Query: Hi doctor, My RBC levels have been slightly elevated for the past six months. It was 5.17 a year back, and a couple of months back it was 5.39. I noticed that from the last two years, the RBC count has been borderline high. Last week my vitamin B12 was tested due to a nerve issue in my face, which ...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. I appreciate your knowledge and awareness towards your health, and I have seen your reports (attachment removed to protect patient identity). Your vitamin B12 level is certainly high, enough that warrants further investigation. Following are the common causes for high vit...  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 »

What is the relation between increased hemoglobin and blood pressure?

Query: Hello doctor, My son is 30 years old. He is a kidney patient with high blood pressure. He is taking medications for high blood pressure for the last three years. I have attached the prescription and blood test reports. He also had gall bladder stone attacks two times, three years ago and one year a...  Read Full »


Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. What kind of kidney problem is your son having? I went through the data provided by you (attachments removed to protect the patient’s identity). He has a considerably higher level of hemoglobin. His blood pressure is also an effect of high hemoglobin. Elevated he...  Read Full »

Kindly diagnose my condition based on the attached reports.

Query: Hi doctor, I have done these analyses in CBC and I need to know the diagnosis. I have a hemoglobin of 17.3 g/dL, RBC of 6.88 million cells/mcL, hematocrit of 51.6 percent, MCV of 75 fL, MCH of 25.1 pg, RDW-CV of 10.9 percent, RDW-SD of 26 fL, MPV of 12.6 fl, and WBC of 3.5 per microliter of blood. ...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. I understand your concern. I have gone through the report (attachment removed to protect patient identity) and it is suggestive of polycythemia. The cause of polycythemia can be primary myeloproliferative neoplasm or secondary polycythemia by other causes. To rue out po...  Read Full »

Why is my RBC count high after recovering from COVID-19?

Query: Hi doctor, I recovered from COVID-19 almost a month ago. Now my RBC count is 8.7, which is higher than the normal. What can I do now? I currently take Noni.  Read Full »


Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. According to your statement, you have done CBC (complete blood count) test and shown RBC (red blood cell) count is 8.7, which is above normal. Increased RBC is known as polycythemia. The polycythemia may result from...  Read Full »

What should I do for my high hemoglobin and RBC?

Query: Hello doctor, I am 42 years old. My hemoglobin is high for a long time. Currently, my hemoglobin is 18.7, RBC is 6.21. I am feeling itching in the body, and I am taking Cetirizine 10 mg on alternate days. Ten years back, I have taken Stemiz 10 mg and Astemizole after that, no itching for two years,...  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. Following is my opinion on your asked question. The positive alarming finding in your CBC (complete blood count) report. 1. High hemoglobin. 2. High PCV (packed cell volume). 3. High RBC (red blood cells). So, the diagnosis is polycythemia. Now, polycyt...  Read Full »

I have increased RBC along with decreased MCV and MCH. What could be the reason?

Query: Hi doctor, If my complete blood count has high RBC value and low MCV and MCH values, what is the possible diagnosis for me?  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. High RBC count is called polycythemia. If it is persistently high, then the cause should be evaluated. Respiratory causes like COPD (chronic obstructive pulmonary disease) and cardiac causes can lead to secondary polycythemia. Primary polycythemia is a myeloproliferative...  Read Full »

Do high hemoglobin and hematocrit indicate polycythemia?

Query: Hello doctor, I am having too many health issues for the last three weeks. I feel sleepy all the time even I sleep eight hours already. I am feeling weak, tiredness, dizziness, and headache on the right side of my head (pressure and dullness). My bowel habit changed to three to four times a day. I h...  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to the icliniq.com. Hereby I am giving opinion regarding your case. First, let me know do you have any stress or anxiety issues? As severe stress can lead to hyperventilation and dizziness. Stress can change bowel habits as well and it can lead to headaches as well. If stress is pr...  Read Full »

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