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Polycythemia (high hemoglobin/hematocrit) Could be primary polycythemia vera (a bone marrow disorder) Or secondary polycythemia due to chronic hypoxia (smoking, lung disease, sleep apnea, living at high altitude). Can cause thick blood → high risk of clot, stroke, heart attack. 2. Severe Hypertension (BP 196 mmHg) Dangerous level, increases risk of stroke, brain hemorrhage, kidney damage, heart failure. Needs urgent medical control. 3. Fever may be incidental, or could indicate an infection on top of this. --- ✅ Immediate Steps This is a medical emergency. He should go to the hospital immediately (preferably ER). Needs urgent BP control with antihypertensives (under supervision). If confirmed polycythemia vera, treatment may include: Phlebotomy (blood removal) to reduce hemoglobin/hematocrit. Hydroxyurea or other cytoreductive therapy (in primary cases). Aspirin (low dose) may be advised to reduce clot risk. --- 🔬 Required Tests CBC with hematocrit Arterial oxygen saturation, chest X-ray (to rule out lung-related secondary cause) Erythropoietin (EPO) level JAK2 mutation test (confirms polycythemia vera) Renal & liver function tests Sleep study (if suspected sleep apnea) --- 🚨 Red Flags Severe headache, dizziness Blurred vision Chest pain, shortness of breath Weakness, numbness (stroke signs) If any of these occur → rush to ER immediately. --- 👉 In summary: Hemoglobin 20.3 + BP 196 at age 25 is very serious. The patient must stop gym/exercise, avoid dehydration, avoid smoking/alcohol, and get urgent admission for evaluation + BP control + management of polycythemia.

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• High Hb (20.3) + high BP (196) → risk of clot/stroke. • Needs urgent hospital care: likely phlebotomy + antihypertensives + further tests.

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You need phlebotomy  under MD physician.  In simple  words blood  do action so hb decrease  n till than physician start medicine after preliminary test.

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Please consult a physician physically.

Do a phlebotomy for 3 to 4 blood units. If u r smoking stop smoking and visit a physician for proper evaluation

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Fiber meal Do connect and consult

Hello, A hemoglobin of 20.3 g/dL and blood pressure of 196 mmHg are both significantly high and need urgent attention. Please seek immediate medical care, ideally at a hospital, as very high hemoglobin and blood pressure can be dangerous and require proper evaluation and treatment. Do not wait or self-medicate—bring your test reports with you.

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