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Q. What is your suggestion for polycythemia?

Answered by
Dr. Goswami Parth Rajendragiri
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 10, 2017 and last reviewed on: Aug 18, 2021

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.

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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, and in that case, the prognosis will not be good as it is considered under myeloproliferative neoplasm.

Primary polycythemia called polycythemia vera and for that JAK2 mutation study done by a molecular method to confirm it.

For polycythemia, the treatment is therapeutic phlebotomy in which 250 to 400 mL of blood is removed as per needed frequency.

Our aim is to maintain HCT - hematocrit of less than 45% in polycythemia male patient.

Initially, phlebotomy can be somewhat aggressive with more frequency and then maintained as less frequency. Hydroxyurea drug has proven effective in polycythemia.

Consult a nearby physician for examination with keeping all this in mind and stop smoking as soon as possible.

For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist


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