A high RBC (red blood cell) count, especially two months postpartum, could be due to several reasons:
1. Postpartum Recovery: In the immediate postpartum period, it’s common for women to have an increased RBC count due to physiological changes during pregnancy and delivery.
2. Dehydration: If there’s mild dehydration postpartum, it can lead to hemoconcentration, resulting in a higher concentration of red blood cells in the blood.
3. Hemoconcentration: This can occur due to a decrease in plasma volume compared to red blood cell mass, which can happen in the postpartum period.
4. Medications: Certain medications, such as erythropoietin-stimulating agents (used for anemia or in certain medical conditions), can increase RBC counts
Very rare cause :polycythemia vera
Next Steps
Consult for evaluation/discussion