This kind of increased level of red blood cells is known as primary polycythemia or polycythemia vera. Take plenty of water, Go for antibiotic course for uti. What causes high hemoglobin and hematocrit in blood Genetic Mutation: Polycythemia Vera For some people, the high hemoglobin and hematocrit levels are due to a genetic mutation. I would consider these normal and would not be alarmed by them. Low level of hb might be due to your chronic piles problem and possible that as you have high eosinophils might having warm infestation. The Hemoglobin/Hematocrit and RBC's are all related.
Often viruses can suppress the bone marrow a little and lead to a drop in WBC's. This is an invasive procedure but may be needed in your case to rule out myelodysplastic syndrome. Your WBC count may be a touch low do to a recent infection (symptomatic or not). (c) Lastly a bone marrow aspirate and biopsy may be needed to look for signs of myelodysplastic syndrome. (b) Erythrocyte sedimentation rate and CRP to see for signs of chronic inflammation and also a iron studies to look for serum iron, transferrin saturation levels and Soluble transferrin receptor levels. (a) Stool for fecal occult blood to rule out rectal bleeding (which is a very common source of bleeding in adults although serum ferritin is usually not high but we need to rule this condition out). Although ferritin is not that high in anemia associated with chronic renal diseases but it can be an added component to your problems.ģ) I would recommend the following tests if not already done to get to an accurate diagnosis. The purpose of this study was to determine the relationships of Hct, Hb and red. However, we also need to rule other causes out such as anemia of chronic diseases, or that associated with renal diseases.ġ)Have you had any chronic illness in the past such as infections of any body organ or chronic joint aches?Ģ) Also since your eGFR value is less than 40 in the latest report, has the nephrologist or doctor told about what is the cause of chronic renal disease. High and low hematocrit (Hct) and hemoglobin (Hb) levels are associated with the risk of cardiovascular disease. Giant platelets can also be occasionally seen. High ferritin and low hematocrit classically indicates ineffective red cell production which can be seen in a group of hematological condition known as myelodysplastic syndrome.
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