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Erythopoietin 4.19
Hg-17.5, Rbc- 5.95 and epo level- 4.19, pcv-50.8. Is there any concern? I don't smoke but the hg level has been increasing.
Answers (23)
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Hello,
For ePrescription please pay and consult or contact me at WhatsApp at +91959508739nine .
Thanks.
Dr Praful Mahamuni,
MBBS .
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It's within normal range, what is your complaints
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Though above parameters are only mildly raised :
1) Did you recently visit any high altitude area (mountainous areas like Ladakh/ Himalayas/ etc)
2) Any family history of similar altered parameters
3) Were these tests done: Renal function test, Pulmonary function test, 2D echo (cardiac), Ultrasound abdomen
4) Spo2 & BP need to be checked.
Once these can be answered, we can reach a diagnosis. First think of something basic. If all of above are either normal or negative, or show an increasing trend over weeks, then PV (Polycythemia Vera) can be diagnosed with simple tests and treated if symptomatic.
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Share details of your problem, then I can help you.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Your Hb level is not unusually high. Such reports are often seen.
Please get your Complete Blood Picture (showing size the RBCs and other parameters) and consult a General Physician with the reports.
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Elevated hemoglobin can be caused by:
• Dehydration
• Chronic lung or heart conditions
• Living at high altitude
• Polycythemia vera (a bone marrow condition)
• Rarely, tumors producing excess erythropoietin
The EPO level at 4.19 mIU/mL is within normal limits, which makes a secondary EPO-driven cause less likely.
Next Steps
1. Repeat CBC and EPO after 2–4 weeks with good hydration.
2. Get arterial oxygen saturation (SpO₂) and possibly a chest X-ray to rule out chronic hypoxia.
3. If hemoglobin continues to rise, consult a hematologist for testing like JAK2 mutation (to rule out polycythemia vera).
4. Consider abdominal ultrasound if symptoms point toward kidney/liver mass.
Health Tips
• Stay well hydrated before testing to avoid falsely elevated values.
• Avoid self-medication or iron supplements unless prescribed.
• Keep a record of all past CBC values to track trends.
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Need few more details
Kindly connect.
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Need to know about your symptoms.
Ur blood profile could be due to dehydration
Altitude or chronic smoking.
Next Steps
get checked by doctor to rule out primary polycythemia
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Do PBS for polycythemia. Avoid dehydration. Take adequate fluid. Avoid smoking.
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I can definitely help you over this being a general physician
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anand Prakash Pandey
General Physician
8 yrs exp
Delhi
Get a peripheral smear and HPLC test done
Next Steps
consult
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Dr. Gaurij Hood
General Physician
16 yrs exp
Valsad
Looks like Polycythemia Vera.Pls connect for further discussion and solution.
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Dr. Yuvraj Arora Monga
General Physician
28 yrs exp
Delhi
Dear Practo User.
Thanks for sending across your query.
We can help you in this concern but first we need to evaluate your concern in details so we can proceed further.
Next Steps
For further details you can consult with me in Dr. Monga medi clinic or consult me directly by taking a consultation on Practo.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Polycythemia.
Needs to be evaluated.
Get peripheral smear done
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Dr. Mithravinda Rajana
General Physician
8 yrs exp
Kolkata
Check for JAK 2 mutation.
And ultrasound abdomen to rule out splenomegaly.
This will give us a better idea regarding further course of action.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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