Doctor insights on:
Polycythemia Rubra Vera
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
Polycythemia: Polycythemia rubra vera and polycythemia vera are the same thing - a myeloproliferative disorder which causes production of too many red cells (and usually white cells and platelets also). Polycythemia or erythrocytosis just means someone has too many red cells, whether due to prv, high altitude, sleep apnea, emphysema, certain cancers, or certain congenital abnormalities of red cell production. ...Read more
Polycythemia: Polycythemia is a terminology used for a condition where your hemoglobin is elevated above the normal range.It does not tell you what the cause of the condition- which could be caused by a primary bone marrow problem -( which is called polycythemia rubra vera -abbreviated as polycythemia vera) vs some other secondary conditions such as chronic lung problem, sleep apnea, liver mass/renal mass et. ...Read more
Yes: PRV is hypercoaguable conditionGet a more detailed answer ›
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 moreSee 1 more doctor answer
Should superficial veins be removed if someone with polycythemia rubra vera has superficial clots?
No: The only reason for perfroming surgery on superficial veins is for cosmetic reasons. Surgical removal of a clotted vein to remove the clot only leads to more clots. ...Read more
How is polycythemia rubra vera differentiated from polycythemia associated with stress? RBC only elevated once in life. HGB/HCT elevated often.
Stress?: Stress doesn't cause polycythemia. Being dehydrated is a common cause. If your Hgb/Hct is only slightly elevated, stop worrying -- reference ranges are set so that several percent of healthy folks fall outside. If it's well above, consider a workup for the causes, including a variant hemoglobin and a subtle right-to-left shunt. ...Read more
Horny goat weed: This contains icariin which is a compound similar to Viagra, (sildenafil) for sexual potency & erectile dysfunction. I am not aware of it being used for joint pains, or of any interactions with blood disorders. Be careful if liver or kidney issues & talk to your doctor first. ...Read more
If I have Crohn's disease and polycythemia rubra vera is a negative venous us and d dimer good enough to rule out a clot? Have leg swelling lower leg
Nearly: The gold standard to definitively rule out an deep vein clot is venography. However, this is rarely if ever necessary given that compression ultrasonography has a sensitivity and specificity each of around 95% compared to venography. I would recommend further evaluation if you have had an injury in that leg or a previous DVT. Otherwise it is unlikely that you have a thrombus with a negative US. ...Read more
My dad has polycythemia vera rubra and one of his legs is ice cold and he is having leg pain in both legs.... any idea why that could be happening?
Sometimes.: Most patients with polycythemia vera develop the condition in adulthood, most commonly from an acquired mutation in the jak2 gene, and are not born with it. However, there are families who pass on the tendency to have a high red blood cell count through a variety of genetic mutations. It is usually well known in the family when that is the case. ...Read more
Your Doctor is guide: P. Vera is a rare condition. It is not difficult to diagnose provided you have consulted a specialist...A hematologist is the right specialist to help you with this issue. It typically manifests with high hemoglobin( >17 grams) and often has high white blood cell count as well as high platelets associated with high hemoglobin levels. ...Read more
Polycythemia vera: Phlebotomy ( blood removal) will be needed to maintain your blood at certain level to prevent stroke or blood clot. In addition, Aspirin is recommended if there is no risk of bleeding or other contraindication. For patients with high risk to develop stroke/clot (age>60 or prior history of clot)- medication called-hydroxy-urea- is also recommended. Discuss with your hematologist. ...Read moreSee 1 more doctor answer
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