I have raised RBC and Haemocrit. Has anyone any ideas?

Question

All tests done at the hospital have come back negative. I don't have a genetic mutation so it isn't iron overload disease and the erythro tests are normal and polycythemia vera has been ruled out. I don't smoke or drink (never have) and my specialist is stumped. He is doing regular phlebotomies but that only has a temporary effect. I see him again in July and have written to him to ask what the nxt step is but have had no reply yet.

The tests have been going on for a year now and I'm totally frustrated as I can't get insurance etc. Also losing pay because I am at the hospital so much.

I'm not dehydrated and all the conditions RosieC mentions have been ruled out.

I'm in the UK so don't need health care payment insurance but I want to change mortgage lenders and can't get life or income protection insurance. Neither can I get travel insurance. As I said it's been a year now and both numbers are going up slowly but steadily.

I don't have Addison's or Cushing's. I was cured of hyperaldosteronism in 2002 but been told that is not a factor in present problems.

Other symptoms are exhaustion, thirst, easy bruising, excess bleeding from any injury and it takes a long time to heal from any injury. I bruise from the most gentle touch - even leaning over the partitions at work gives me bruises n my arms. Specialist knows this but has no explaination.

Answer 1

Differential diagnoses for elevated RBC's and elevated Hematocrit: :

1) increased blood sugar values. or Hyperglycemia
2) blood collected in Heparin as RBC'S have only 120 days to survive.
3) sickle cell anemia
4) Nutritional Deficiency of Vitamin B12 and folate or Iron causes Macrocytic Megaloblastic Anemia
5) blood loss
6) genetic disorders.
7) chronic inflammatory diseases
8) decreased production of RBC's.
9) increased destruction of RBC's or hemolysis

My ex-husband had this problem. the doctor prescribed VIT B 12 shots but the problem was not addressed at all. Eventually, he gave up. And he called it Idiopathic. or Hidden or Occult. If you have no other symptoms; it shouldn't be a problem.

Answer 2

could be caused by dehydration ; but there would then be an underying cause as to why you were so dehydrated.

Sorry can't be more help it's a tricky one. Has your doctor ruled out addisons disease.

Answer 3

if you have over active bone marrow, they can produce lots of rbcs

if you have thalassimia, your rbc count will also go up

Answer 4

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