Doctor insights on:
How Does Polycythemia Affect Your Blood
Being treated for polycythemia vera with phlebotomies. How does taking blood approximately every six weeks treat this condition? I don't understand.
Decr risk clotting: Keeping the hematocrit in a normal range (hct <45% in men & 42% in women) can decrease the risk of thrombosis (blood clots) in polycythemia vera (pv). Phlebotomies can reduce the hct. For patients at high risk for thrombosis (age >60 or hisotry of thrombosis) phlebotomy can be combined with Hydroxyurea to lower hct. Keeping WBC in the normal range may also be important. ...Read more
I herd that polycythemia vera is just a type of blood and when excess blood is removed and life can be saved. Is it true?
Polycythemia vera(PV: PV is an overproduction of red blood cells by the body. White cells and platelets may be elevated as well. The treatment is to try to suppress the production of the cell line with hydroxylurea or agrylin (anagrelide). The goal is to prevent blood clots due to the thickness of blood due to the increase volume. Periodic phlebotomies to keep the hematocrit below 45. At least 10-20 year survival with treatment. ...Read more
To the extent that: P vera would be associated with increased rbc turnover, a modest increase in bili is possible. However, the disease is one of proliferation more than destruction, so if the bili is quite high we need to evaluate. ...Read more
I have polycythemia but im suffering from leg pain: can my blood disorder be the cause of my leg pain?
Yes: Polycythemia can caused sluggish blood flow in your blood vessels. This sluggish blood flow can indeed lead to cramping of the muscles as by products of metabolism are not carted away as efficiently and can build up (things like lactic acid) and cause the cramps. Increase fluid intake, massage affected areas gently, and pause or rest during activity may help. ...Read more
I have had polycythemia vera about 10 years. Now my blood work is reversed and low numbers. What does that mean? I am so tired
See your doctor.: The hematologist who first did the evaluation on the polycythemia would be a good reference for the subsequent anemia. Low rbc levels will cause significant fatigue due to inadequate transport of oxygen. The underlying cause may be much more serious than polycythemia -- get this checked out asap. ...Read more
I have polycythemia and the cause is currently unknown. How much should I expect my red blood cell counts to drop from phlebotomy alone?
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