1. Community
  2. Blood & Immune System
  3. Polycythaemia Rubra Vera

High RBC

Posted , 3 users are following.

r74762
r74762

So i had a blood test few days back and my rbc came back high . i am 17 years old male and have high blood pressure . ( I become too nervous at Doctor's office while my bp is being measured and my cardiologist already confirmed it's White Coat but still i am on Vinicor D 25 and Solopose plus . {The doctor prescribed me solopose because of anxiety and sleep disorders} . I had an ultrasound of abdomen and pelvis which came back to be normal . My chest x Ray is also normal. I had an echocardiogram which was also normal . i had an ecg which showed tachycardia which my cardiologist said was due to high anxiety and sleep disorders . Here are my blood test reports . I have already tested for JAK 2 Mutation and Serum EPO (reports are yet to come)

                                           Hematology

Haemoglobin                15.5 

Total Leucocyte count   6200  / cu mm

Total Platlet Count          2.72 lac / cu mm

Total Erythrocyte Count   7.07 million /cu mm

PCV                                  47.3%

MCV                                  66.9 fl

MCH                                  21.9 pg

MCHC                                 32.8%

                                             Differential count 

Neutrophil                           53%

Lymphocyte                          42%

Eosinophil                              02%

Basophil                                 00%

Monocyte                                 03%

                                              Kidney Fuction Test 

Urea                                           19.0 mg/dl

Ceratitine                                         0.8 mg/dl            Laboratory range (0.9 - 1.4 mg/dl)

Uric acid                                       4.0 mg/dl                        (was taking meds to reduce uric acid levels as i had uric acid levels of 8.5    two months back)

                                           Liver Function Test 

Total Billirubin                           0.6 mg/dl

Conjugated Billirubin                  0.2 mg/dl

S.G.O.T                             40.0   IU/L

SGPT                                  38.0 IU/L

ALKALINE PHOSPHATASE   110.0

ALBUMIN                                   4.1 gm/dl

PROTEIN                                     6.8gm/dl

Please help , is there anything serious to worry about . 

0 likes, 3 replies

3 Replies

  • saad1000
    saad1000 r74762

    Posted

    Welcome r74762.  I am newly diagnosed and I'm not a doctor but I would say there is nothing to be overly worried about.  Your PCV is slightly elevated but your doctor has ordered the JAK2 test already and you will learn a lot more from that.  If it comes back negative, I would guess they might ask you questions about your sleep disorders.  I know that they asked me a lot of questions about sleep apnea because it can cause secondary polycythemia.  If the apnea is causing the high blood counts, then they will likely focus on treating it to bring your numbers under control. 

    It sounds like your doctor may have experience with PV, and they are following the diagnostic procedures. 

    • r74762
      r74762 saad1000

      Posted

      Thanks for your response . 

      I got my blood test reports today and following are the results . 

      ERYTHROPOIETIN (EPO) , SERUM @ (CLIA)                                                   14.60mIU/ml

      JAK 2 , GENE MUTATION , PCR QUALITATIVE @ (Real Time PCR )          :      Not Detected       

      What do you infer from this ? what is the cause of increase in RBC in my blood?

  • PO32_6AP
    PO32_6AP r74762

    Posted

    Hi don't worry some people are actually born with PV , and can live a normally happy long life, with a heamotolgist in the background for help if required. 

    Hope this helps . 

    Regards 

Back to top

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.