Common "Polycythemia" queries answered by top doctors | iCliniq


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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Can you diagnose my condition based on my CBC report and chest X-ray?

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. Goswami Parth Rajendragiri

Answer: Hi, Welcome to 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 »

I have tiredness and headache with high Hb and hematocrit. Why?

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. Goswami Parth Rajendragiri

Answer: Hello, Welcome to the 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 »

I have high RBC count, low MCV, and MCH. Why?

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. Goswami Parth Rajendragiri

Answer: Hi, Welcome to 1. 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 myeloprolifera...  Read Full »

Should I undergo further evaluation for polycythemia?

Query: Hello doctor, I am 27 years old male, 6 feet, and 180 lbs. I started a new job and the life insurance company wanted me to take a blood test. The results are attached. My blood test shows a low erythropoietin of 4.4 U/L (normal range 4.3 to 29) and high red blood cell count of 5.6x10^12/L (normal ra...  Read Full »

Dr. Girish Chandrakant Kamat

Answer: Hello, Welcome to Your hemogram and erythropoietinlevels are normal. I would not evaluate you any further. They should not have asked for a hematology consultation, but if it is mandatory, get it done. All the best and do well in your new job.   Read Full »

I have high hemoglobin levels. Is it normal?

Query: Hi doctor,I am a 27-year-old male. My hemoglobin level is 17.1. Last month when I donated blood I came to know this. Again this month, when I checked, the level remains the same. I would like to know whether it is normal. If it is abnormal what should I follow to bring back that to normal?  Read Full »

Dr. Prakash. H. M.

Answer: Hi, Welcome to Based on your query, my opinion is as follows: A hemoglobin level of 17.1 g/dl is near normal. Increased hemoglobin can be seen in conditions, where oxygenation is less, like hilly areas, lung disorders and the air you breathe is low in oxygen. To compensate red blood ...  Read Full »

Will quitting alcohol and cigarettes improve my blood tests?

Query: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly ...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi,Welcome to have gone through your attached reports (attachment removed to protect patient identity).The diagnosis is polycythemia. Polycythemia can be secondary or primary. Secondary polycythemia occurs because of hypoxia, which activates the oxygen sensor and more erythropoietin is...  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 headache, weakness, tightness and pressure in the head, and body pain. He ordered some blood work and a chest X-ray. The doctor told me that the chest X-ray report is good and he just told me I have low vitamin B12 level and I have...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello,Welcome to 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 a possibility and for that antibiotics and antacid courses are prescribed.Sometimes the ...  Read Full »

I was refrained from donating blood as my hemoglobin levels were elevated. What to do?

Query: Hi doctor, I have donated blood twice in the past. However, when I went for a blood donation last week, they refused as my hemoglobin was 21.6 g/dL. What to do now? Please help.  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to I went through your query and understood your concern. Elevated hemoglobin is seen in smokers, people living at high altitudes, congestive cardiac failure, chronic obstructive pulmonary disease, some erythropoietin-secreting adenomas of the kidney, and very rarely, it ...  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. Goswami Parth Rajendragiri

Answer: Hello, Welcome to 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, polycythemia can...  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 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 »

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