Polycythemia Vera

Polycythemia vera is a slowly progressive and rare blood cancer where the bone marrow produces a lot of red blood cells. This excess red blood cells thicken the blood and cause the blood to flow slowly. It can cause blood clots that can result in heart attack and stroke.

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Does A Hematocrit Of 49.2 Indicate Polycythemia?

Query: Hello doctor,My Hb is 15.8 but HCT is 49.2 and total RBC count is 5.63. What is the reason? I fear about polycythemia. Is it possible to reduce HCT?  Read Full »


Dr. Abdul Aziz Khan

Hematologist, Medical Oncologist

Answer: Hello, Welcome to icliniq.com. If you are a smoker, then stop smoking. At this stage, secondary polycythemia is more common than primary and smoking is the most common reason for secondary. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hemat...  Read Full »

My CBC shows high hemoglobin and hematocrit. Should I be concerned about PV?

Query: Hello doctor, I am a 55-year-old male. Routine CBC report shows hemoglobin 17.1, hematocrit 51.5, and platelets 255 (up from 201 last year). Should I be concerned about PV?   Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to the icliniq.com. In polycythemia vera, hemoglobin level is usually more than 17.5, and hematocrit is more than 55. So you need not concern about polycythemia vera. The chance of secondary polycythemia also seems to be very less. So you need not worry about your CBC (complete bloo...  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 polycythemia vera related to cancer?

Query: Hello doctor,I am a female, 50 years old and want to know whether polycythemia vera is related to cancer or not. I have taken JAK2 mutation test which is negative. What is this test for? I have erythromelalgia blood disorder. Is all this connected to cancer? I want to understand this test and doubts...  Read Full »


Dr. Satyajit Jalinder Pawar

Internal Medicine Physician, Medical Oncologist, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. Polycythemia vera is not exactly cancer. It comes under the group of diseases called myeloproliferative disorders. Basically, it is an uncontrolled proliferation of your blood cells. In polycythemia vera, your red blood cells increase in an uncontrolled way. Usually ...  Read Full »

Is it possible to have low erythropoietin count and high RBC count together?

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 ...  Read Full »


Dr. Girish C Kamat

Internal Medicine Physician, Hematologist

Answer: Hello, Welcome to icliniq.com. Your hemogram and erythropoietin levels 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. For further queries consult a hematolog...  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

Family Physician, General Practitioner, Hematologist, Pathologist

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 »

Can capsule endoscopy be done in a polycythemia vera patient?

Query: Hello doctor, My uncle is suffering from bleeding through stool and has undergone colonoscopy and endoscopy. But the bleeding location has not been detected. We have been asked for doing capsule endoscopy. Should we go for CT abdomen with CT angio first for diagnosis? The patient has polycythemia v...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. Bleeding through stool is a serious concern and must be evaluated in detail and treated early. Endoscopy reports (upper and lower GI) show no significant active bleeding in the areas visualized...  Read Full »

I have severe pain in my fingertips and toes. What could this be?

Query: Hello doctor, I have had chronic bloating, indigestion, stomach pain, nausea, and diarrhea for over a month. During that same time, I developed frequent shortness of breath and palpitations with exertion upon waking and after eating. Also, during the same time, I began having severe pain in my fing...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. Based on your query, my opinion is as follows: The serum protein and creatinine levels are a bit high possibly due to increased protein intake or associated dehydration in recent times. Monocytes are mildly elevated and BUN (blood urea nitrogen) levels are in the u...  Read Full »

Why should I see a hematologist for high Hb and Hct?

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

Geriatrician, Hematologist, Pathologist

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 »

Kindly see my blood report, and tell me if something is wrong.

Query: Hello doctor, I got a blood test done recently. In the reports, which I have attached, most of my results are fine, but some major concerns are my vitamin B12 level is 1477 ng/mL, T4 is 3.8, TSH is 12.63, and platelet count is 140. Is something wrong going on in my body? Are these indicating some ...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). Your T4 level is low, and TSH (thyroid stimulating hormone) is high, it suggests primary hypothyroidism. For which, I suggest Levothyroxine 25 or 50 mcg daily. You also have vitamin D deficiency, ...  Read Full »

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