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Doctor insights on: Phlebotomy For Secondary Polycythemia

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Could a person have secondary polycythemia at age 21?

Could a person have secondary polycythemia at age 21?

Yes.: Polycythemia vera, a primary disorder of blood would be very rare at age 21, but not impossible. As for sercondary causes, inherited causes of high red blood cells, smoking, lung disease, congenital heart disease, and high altitute living could easily be found at age 21. "blood doping" (using a drug to increase blood count) will cause polycythemia. Read more

Dr. (Liz)Phuong Tran
159 Doctors shared insights

Phlebotomy (Definition)

There is also terapeutic phlebotomy. When someone has too much iron, taking blood will help to bring ...Read more


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How concerning is secondary polycythemia?

How concerning is secondary polycythemia?

Underlying cause: It all depends on the underlying cause of your Secondary polycythemia. The most common cause of polycythemia is low oxygen (hypoxia) secondary to lung (pulmonary) disease like emphysema, R to L shunts in heart or some arterio venous malformation in your lung is resent. All these can cause low blood Oxygen level and thus your kidney responds by increasing Erythropoietin which stimulates your bone Read more

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Please give me an explanation about primary and secondary polycythemia.?

Please give me an explanation about primary and secondary polycythemia.?

See below: Primary polycythemia, Polycythemia vera is a form of blood cancer. There are multiple causes of secondary polycythemia, including smoking lung disease, cyanotic heart disease etc. See this site for more info. Http://www. Medicinenet. Com/polycythemia_high_red_blood_cell_count/article. Htm Read more

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The doctor is testing my husband for secondary polycythemia. What causes this? What is the treatment for it?

The doctor is testing my husband for secondary polycythemia. What causes this? What is the treatment for it?

Multi: Most commonly lung related i.e. snoring, and sleep apnea. It is always best to solve the underlying problem. Alternatively phlebotomy (blood removal) Read more

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Is xarelto a good drg for polycythemia vera along with phlebotomy?

Is xarelto a good drg for polycythemia vera along with phlebotomy?

Depends.: Prv patients are advised to take Aspirin for clot prevention. Anticoagulants like warfarin or xarelto have specific indications such as treatment for a blood clot or stroke prophylaxis in heart disease. I would not use it outside those indications because of greater bleeding risk vs aspirin. No published data on xarelto in prv but should be ok for proper indications. Read more

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Life expectancy in 18 year old male diagnosed with polycythemia vera being tested with phlebotomy?

Life expectancy in 18 year old male diagnosed with polycythemia vera being tested with phlebotomy?

Good: Polycythemia vera patients have an excellent chance of living out a normal life span if properly monitored and treated. Good luck. Read more

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I have polycythemia and the cause is currently unknown. How much should I expect my red blood cell counts to drop from phlebotomy alone?

I have polycythemia and the cause is currently unknown. How much should I expect my red blood cell counts to drop from phlebotomy alone?

Hemoglobin: Removing one unit of blood would, on average, reduce your hemoglobin by 1.0 gm%. In terms of red cell count it would be about 0.3 million RBC/cmm. Read more

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I get routine phlebotomy for polycythemia vera and just found out my iron pheno (feno? Spelling?) is low. What exactly is this pheno/feno?

Ferritin?: Ferritin is the iron storage protein in our body. It goes low when too many red cells are using it for their hemoglobin as woud be expected in polycythemia Read more

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I had my first phlebotomy treatment for polycythemia two days ago. I have had a bad headache each morning since. Is this normal or probably unrelated?

I had my first phlebotomy treatment for polycythemia two days ago. I have had a bad headache each morning since. Is this normal or probably unrelated?

Polycythemia Rx: You need to know what is the cause of polycythemia if it is primary problem in the bone marrow or secondary to other causes in the body. If your doctor did not find any source for the increase in your blood count and you are symptomatic I personally hate phlebotomy since you lose iron from the first blood draw and you start suffering from iron deficiency symptoms. Take Hydroxyurea pills ask Dr. Read more

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I have been diagnosed with polycythemia vera and have been receiving regularly scheduled phlebotomy. Is a WBC level of 21 an immediate concern?

I have been diagnosed with polycythemia vera and have been receiving regularly scheduled phlebotomy. Is a WBC level of 21 an immediate concern?

No: The original criteria for diagnosis of polycythemia was an elevated white count. It depends on your age and comorbidities. If age greater than 65, heart disease, one should consider using hydroxyurea. This is a medication which lowers the white count, hemoglobin and platelet count. Hope this helps. Read more

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I have Polycythemia Vera and after my last phlebotomy my Ferritin level went down to 6. Is that severe? Should I take iron supplements?

That's fine: That's actually what you want, if you've really got polycythemia vera. Now I'm concerned about something. You say you're only 29. At your age, true polycythemia vera would be almost unheard-of. Is the diagnosis correct? Has it been demonstrated by today's molecular biology? It is possible that you have a high-affinity hemoglobin or a right-to-left shunt? Just wondering. 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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Does polycythemia vera secondary effect glaucoma?

Does polycythemia vera secondary effect glaucoma?

Indirectly: Because polycythemia Vera results in too many red blood cells being formed, blood flow may stagnate leading to vascular obstructions. If this occurs in the eye, as in a central retinal vein occlusion, the resulting consequence can lead to secondary glaucoma, which is often very difficult to manage. Read more

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Primary or secondary thrombocytosis/polycythemia vera, what is this?

Polycythemia: P. vera is a primary proliferation of certain bone marrow cells resulting in elevations of the platelet count in the blood. It is considered a pre-neoplastic disorder and merits watching, a bone marrow biopsy perhaps and possible cytogenetic tests. Secondary thrombocythemia is a "reactive" elevation of the platelet count, such as due to anemia, with no malignant potential. Read more

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Polycythemia, appears factitious, no secondary association, draw thrice 1unit blood in 1yr, s.Ferritin 5, weakness, no iron diet, hb.17.8.Help me.?

Polycythemia, appears factitious, no secondary association, draw thrice 1unit blood in 1yr, s.Ferritin 5, weakness, no iron diet, hb.17.8.Help me.?

Need another doctor?: This just isn't adding up. Forgive me. A teen being treated by phlebotomy for presumptive polycythemia vera rubra without having a serum erythropoietin assay or a jak2 assay, cell culture? A check for kidney tumor / hemangioblastoma? You may have a mutant erythropoietin receptor, a high-affinity hemoglobin (my guess); 17.9 is way below the who criteria. Something is wrong; get a 2nd opinion. Read more