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Doctor insights on: Is It Possible For Polycythemia Rubra Vera To Begin With An Anemia

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Is it possible for polycythemia rubra vera to begin with an anemia?

Is it possible for polycythemia rubra vera to begin with an anemia?

No....yes: Intuitively i would say no...The disease itself is classified by having too many red blood cells. However, i did discover a clinical scenario (http://www.Medscape.Com/viewarticle/410587) where this was thought to be the case. Just as sugars may fluctuate before developing diabetes and the TSH often bounces around before hypothyroidism....Anything is possible. ...Read more

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Dr. Steven Ginsberg
1,284 doctors shared insights

Anemia (Definition)

A condition marked by a deficiency of red blood cells or hemoglobin in the blood, resulting ...Read more


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How is it possible for a baby to have sickle-cell anemia and leukemia?

How is it possible for a baby to have sickle-cell anemia and leukemia?

It is possible: It is not common- but unfortunately it can happen. Sickle cell anemia does not protect somebody to have leukemia and vise versa. ...Read more

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Is it safe for a person with aplastic anemia to exercise?

Please ask your doct: Exercise is crucial for everyone. The amount of exercise and the type of exercise will be dependent on your blood count and your general physical condition. Your doctor may recommend just walking or gentle bike riding. The treatments for aplastic anemia may govern the types of exercise, as well. ...Read more

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Is it possible for men with sickle cell to have kids?

Yes. : Some complications of sickle cell can make fathering a child difficult. But in most situations there is no trouble. ...Read more

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Is it possible to take care of an autoimmune disease with hiv?

Is it possible to take care of an autoimmune disease with hiv?

Clarify?: If you are asking "does HIV cure autoimmune disease" then the answer is no. Getting HIV does not make your autoimmune disease go away. If you are asking "can a patient with both HIV and autoimmune diseases be cured" then the answer is yes the symptoms of both diseases can be addressed to make the patient feel better, but neither disease has a cure yet. ...Read more

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Is it possible for someone to have leukemia and not anemia?

Is it possible for someone to have leukemia and not anemia?

Yes: Depending on the type of leukemia, this is possible. For example, chronic lymphocytic leukemia is a slowly prgressive disease and it may take a while before the marrow becomes significantly involved to the point of affecting the red blood cells. Also, in the early stages of leukemia, anemia may not be present. ...Read more

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Is it possible for mild normocytic normochromic anemia to be caused by blood thinners?

Is it possible for mild normocytic normochromic anemia to be caused by blood thinners?

Not likely at all: That probably is not the reason for your anemia. You need further tests. ...Read more

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Is it possible for you to just get sickle cell as an adult?

Is it possible for you to just get sickle cell as an adult?

No: Sickle cell is a genetic condition that you are born with.You cannot acquire it as an adult. ...Read more

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My mom got a blood disease called polycythemia vera. May i know the price for interferon-alpha which can be used to cure this disease. Also could you recommend me some brand of this medicine?

My mom got a blood disease called polycythemia vera. May i know the price for interferon-alpha which can be used to cure this disease. Also could you recommend me some brand of this medicine?

She needs a speciali: A good specialist is what she needs first. You should seek the advice of a hematologist who works in a major cancer center. P. Vera has some new treatments(jak2 inhibitors) which are in clinical trials. Interferon( has some activity and can be beneficial but it is an older treatment which has many serious side effects and it is very expensive .Too alpha-2b) also called introna) ask for this bran. ...Read more

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Is it possible for low platelets to be the start of leukemia?

Is it possible for low platelets to be the start of leukemia?

Low Platelet Count: Leukemia can cause low platelets. But there are MUCH more common causes of low platelets, such as: lab error (PLT clumping), pregnancy, liver disease, autoimmune ITP, inherited syndromes, infections (especially viral), medications, OTC nutritional supplements, tonic water (quinine), alcohol, and other causes. Leukemia often shows abnormal WBC count and anemia. Doc visit is needed to pinpoint cause ...Read more

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Is it possible for someone with hemophilia to donate blood?

Is it possible for someone with hemophilia to donate blood?

Possible but not: Advised. Any person who has received a blood product is defered for at least one year. Some coagulation factor concentrates are made form blood components and there is a risk of infection with known and unknown agents. Plasma form hemophiliacs is deficient in one key factor needed for coagulation. ...Read more

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Is it possible for someone to have high hemoglobin and also a vitamin B12 deficiency?

Is it possible for someone to have high hemoglobin and also a vitamin B12 deficiency?

B12 Deficiency: There are several things that happen with a B12 deficiency including anemia, neuropathies, and non-soecific neurological affects such as fatigue, depression, irritability, and psychosis. You ask an excellent question. Through research, i could not find any whether the neurological symptoms could occur before the anemia. Clinically, patients are diagnosed with B12 deficiency through anemia first. ...Read more

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Is it true phlebotomy a good treatment for polycythaemia vera?

Is it true phlebotomy a good treatment for polycythaemia vera?

Yes: I am not an expert, but it is my understanding that for many, it is the treatment of choice. I think most patients just go and essentially give blood about once a week and everything works out very well. A hematologist is the type of specialist that one with this condition should see for evaluation and treatment. ...Read more

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What is the worst that can happen for an infant with an iron deficiency?

What is the worst that can happen for an infant with an iron deficiency?

See below: general fatigue. weakness. pale skin. shortness of breath. dizziness. strange cravings for non-food items, such as dirt, ice, and clay. tingling or a crawling feeling in the legs. swelling or soreness in the tongue. Severe iron-deficiency anemia can lead to heart problems, infections, problems with growth and development i ...Read more

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Is anemia always present in sickle cell anemia? And for how long can i experience pain without this being a crisis for sickle cell?

Is anemia always present in sickle cell anemia? And for how long can  i experience pain without this being a crisis for sickle cell?

They call it sickle: Cell anemia because, indeed, patients essentially all have anemia. The anemia actually improves the rheologic (flow) properties of blood in these patients, whose rbcs are otherwise rigid with reduced degrees of freedom for deformability. Sickle cell pain occurs due to microvascular occlusion and tissue compromise. Oral opiates/ nsaids may provide relief, but IV opiates may be needed (pain crisis). ...Read more

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Can polycythemia be hereditary? What is the gene for too many red blood cells?

Can polycythemia be hereditary?  What is the gene for too many red blood cells?

Maybe "genetic risk: Polycythemia can be acquired. It is a natural respohse to living on a high mountain. There are oxygen censors in the brainstem and if oxidation is compromised a signal goes to the kidney to produce erythropoietin. This then signals the bone marrow to produce more red cells to compensate for the rarefied air. Exactly the same thing can happen with vitamin b1 deficiency induced by excess of sugar. ...Read more

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Dr. Angelica Balingit
199 doctors shared insights

Polycythemia Vera (Definition)

A slow-growing blood cancer in which the bone marrow makes too ...Read more