Doctor insights on:
Polycythemia Vera Treatment Diet
Yes: PRV is hypercoaguable conditionGet a more detailed answer ›
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
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
Not very: Aloe vera juice is not a standard therapy for ulcerative colitis and will not treat it. In fact, not taking appropriate meds for the disease can lead to serious life threatening complications. Tried and true medical protocols are the safest way to manage uc and you need regular followup with an expert no matter how good you may feel. ...Read moreSee 1 more doctor answer
What does this mean? "Severe crythroid hyperplasia consistent with hematological diagnosis of polycythemia vera"
Erythroid hyperplasi: Erythroid hyperplasia is an excess of red blood cell precursors in the bone marrow. This is can be due to benign/reactive or neoplastic processes. Polycythemia vera is a primary bone marrow disease in which too many red cells (erythroid cells) are produced due to mutation in a cell line. diagnosis is made on blood findings. This is chronic disease (not same as acute leukemia) but needs treatment ...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
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
NO: The average lifespan for someone with polycythemia is about the same as it is without polycythemia. The risk of complications of the disease can be decreased with treatment, when appropriate. This may include Aspirin to decrease the risk of blood clots, phlebotomy to decrease the red blood cell count, and/or medication to control the blood counts. ...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
Not that I know of.: The big changes of this are elevated rbc count, hemoglobin, hematocrit, and decreased ESR (erythrocyte sedimentation rate). The elevations come without decrease in volume, and can be up to 70-80% for hematocrit, and 8-9 million rbc count. Changes in RDW may be from so many rbc's in the system, but even if they do occur, do not apparently have effect on prognosis or relevance to the cause of this. ...Read more
Platelets: Need more information like what is your platelts count and any symptoms. No symptom-no treatment. Since you have diagnosis of essential thrombocythemia and tested positive for philadelphia chromosome mean you have hematologist who has ruled out other causes of thrombocythemia and any lymphocytic leukemia connection. Please stay in touch with hematologist. Wish you best of health. ...Read more
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 moreSee 2 more doctor answers
Can platelet rich plasma injections for surgery harm someone with polycythemia vera? Should PRP not be used in patients with polycythemia vera?
Simply healthy: Hi AMonroe, The good news is that you don't any specific diet restrictions. Aim to stay in a healthy weight range with a BMI of 20-25. Choose fresh foods, eat plenty of vegetables and moderate amounts of fruits. The majority of your nutrient breakdown should be protein and carbs. Fats should be more omega-3s if possible. Stay active, sleep well. Hope this helps. ...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
Please explain what does severe crythroid hyperplasia consistent with hematological diagnosis of polycythemia vera mean?
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