Doctor insights on:
Phlebotomy For Secondary Polycythemia
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
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
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
Can acid reflux cause secondary polycythemia? I've had all the tests for blood disorders and everything comes back negative.
No: I have never read of any association between the two. ...Read more
The doctor is testing my husband for secondary polycythemia. What causes this? What is the treatment for it?
I have secondary polycythemia and horrible restless leg syndrome that keeps me awake at night. Could I be anemic even with secondary polycythemia?
No: By definition of you are policythemic ie too many rbcs, then you cannot be anemic. ...Read more
I have stage 4 emphysema and secondary polycythemia; take inhalers, weigh 86 lbs. And can't have lung transplant. Prognosis? I'm 58. Don't need 02.
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
Life expectancy in 18 year old male diagnosed with polycythemia vera being tested with phlebotomy?
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
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
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
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
Have polycythemia vera. Had my labs done today to see if I need phlebotomy. RBC was 6.23, Hemg 11, and hymatocrit 41, platelet 850. Is that dangerous?
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
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
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
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
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
Depends: Phlebology or blood drawing by itself is a way to earn income but I do not know its pay scale. It seems to me that a medical assistant would be a better choice because in addition to phlebology, you would be able to assist a nurse or physician in an office environment. This would give you more options in the work force. ...Read more
It depends: If polycythemia occurs in a newborn, either as the result of maternal diabetes, placental insufficiency, or maternal-fetal transfusion at delivery (e.g., delayed cord clamping) then the extra red blood cells will slowly be removed naturally by the infant's body. There is no therapy required. Rarely, polycythemia is associated with an underlying hematologic problem, in which case it will persist. ...Read more
Abnormal platelets: Individuals with polycythemia (an acquired disorder of the bone marrow that causes an abnormal increase in all three blood cell types: red blood cells, white blood cells, and platelets) have an increased tendency to form blood clots that can result in strokes or heart attacks. Some people also have abnormal bleeding because their platelets (responsible for clotting) are abnormal. ...Read more
Sure: If you enjoy taking care of patients and contributing to their wellness...sure! There is plenty of need for phlebotomists. ...Read more
Elevated RBC: Polycythemia refers to abnormally high of hemoglobin/hematocrit or. Rbc. There are many factors that can explain polycythemia-primary bone marrow problem- i.e. Polycythemia vera (pv) -vs. Other condition such as- problems with lung/sleep apnea that can result in decrease o2 level in the body (hypoxia), other condition is kidney/liver, familial disorder etc. See and discuss further with your md. ...Read more