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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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

Family Physician, General Practitioner, Hematologist, Pathologist

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 »

What does it mean when hemoglobin and hematocrit are high?

Query: Hello doctor, Last week I went to the doctor for several reasons like headche, weakness, tightness and pressure in the head and body pain. He ordered some blood work and chest x-ray. Doctor told me that chest x-ray report is good and he just told I have low vitamin B12 level and I have bacteria in s...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to the icliniq.com. I have gone through your history and reports. (attachment removed to protect patient identity). You had a complaint of left side abdominal pain with a headache. Hence gastritis can be the possibility and for that antibiotic and antacid course are prescribed. S...  Read Full »

Is my hematocrit suggestive of polycythemia?

Query: Hello doctor, I am 40 and Male, do not smoke. Four years back, hemoglobin was 18.1, RBC normal, hematocrit 50 % normal. Now, hemoglobin was 18.4 (value was up to 17.7) RBC normal 5.78 value up to 6, and hematocrit at 50 %. Platelets were 226. The doctor thinks I just run high but nervous. Would the...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. Your hemoglobin level and red blood cells count are slight high (attachment removed to protect patient identity). The hematocrit level is within limit. So you can have secondary polycythemia case. Drink lots of water at least 2-3 liter per day. I suggest you investig...  Read Full »

What is the reason for recurrent diarrhea, nausea and extreme fatigue?

Query: Hello doctor, I am having some recurrent symptoms: • Nausea (intermittent). • Diarrhea. • Extreme fatigue (daily). • Severe insomnia even on Ambien (falling asleep faster but still wake up three times a night, and I always wake up exhausted). • Muscle weakness especia...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. I have read the attached reports. (attachment removed to protect patient identity). The red blood cells count, hemoglobin and HCT (hematocrit) are slightly raised. So secondary polycythemia seems most likely. The smoking habit, heart problem, chronic lung disease...  Read Full »

Is anisopoikilocytosis dangerous?

Query: Hello doctor, I am a 53 year old woman diagnosed with polycythemia vera (PV) three years ago. I am being treated with phlebotomy. I have fatigue at times, as well as some thinking impairment at times. Over time I have developed various anomalies in my blood test results, which my doctor explained as...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query regarding polycythemia, my opinion is as follows: Due to nutritional deficiencies, secondary to excessive RBC (red blood cell) production and also mild dyserythropoiesis (defective development of red blood cells), you can find microcytic hypochromic...  Read Full »

I am diagnosed with polycythemia (JAK 2 negative). Kindly explain.

Query: Hello doctor, I am diagnosed with polycythemia (JAK 2 negative). I need more knowledge, my BM and JAK 2 studies are within normal limit.  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. Your present CBC report is not suggestive of polycythemia especially polycythemia vera which is blood cancer condition (attachment removed to protect patient identity). Your JAK 2, EXON 12 study and bone marrow report is normal as per history. So polycythemia vera is...  Read Full »

I was recently diagnosed with polycythemia. Would it be due to smoking?

Query: Hello doctor,I was recently diagnosed with polycythemia due to increased red cell count of 5.28x10^12/L, HCT 0.466, and hemoglobin of 161 g/l. I stopped smoking two weeks ago. Six months ago, when I started to smoke, I smoke only four cigarettes per day. Would the high red cell count be a case of se...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to the icliniq.com. You have polycythemia. It can be primary or secondary polycythemia. The primary polycythemia is the cancer of bone marrow, which means myeloproliferative neoplasm. However your total WBC count and platelet count within range. So the chance of primary polycythemia...  Read Full »

What can be the reason for elevated RBC, Hb and Hct?

Query: Hi doctor, I am a 34 year old female. I have been itching all over for months and constantly covered with bruises, petechiae and livedo reticularis. I was diagnosed with erythromyalgia. I also have severe bone pain. My blood work came back with elevated¬†RBC, Hb, Hct, low alkaline phosphate, low BUN...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: The elevated hemoglobin, red blood cell count and hematocrit signify polycythemia. Elevated Vitamin B12 level is one of the markers of myeloproliferative disorder. I would strongly think of polycythemia vera. Other valu...  Read Full »

Is there any association between polycythemia and hemochromatosis?

Query: Hello doctor, Is there an association between polycythemia and hemochromatosis? I have a high Hb of 18 and hematocrit of 51 %. I am a student and found to have incidental polycythemia. I tested for all myeloproliferative neoplasm and bone marrow biopsy is negative for MPN. However, I was tested to ...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. Usually, in hemochromatosis, storage iron is increased, that is serum ferritin. So you can investigate with serum ferritin as well. If you have myeloproliferative neoplasm like polycythemia, then usually it can be clear from bone marrow study and JAK2 mutation. It co...  Read Full »

What does high hemoglobin level indicate?

Query: Hello doctor, I am so worried. I had a blood test and my hemoglobin is 16 g/dl (9.9 mmol/l) and hematocrit is 46 PTC. I am female, 39, and healthy. My white blood cells, platelets, and thrombocytes are in normal middle range. Is a bit high hemoglobin sign of some sickness? What to do next?  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome back to icliniq.com. So, actually, your hemoglobin level is borderline high and not low. So, you are not having anemia. You are probably thinking about polycythemia. But as your hemoglobin is not much elevated and your total WBC count with platelet count are within range, no need to wo...  Read Full »

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