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Hemoglobin and BP is increase
I was having fever for last 3 or 4 days so I went to the doctor, he did all the tests and my haemoglobin was 20.3 and BP was 196, sir please guide me.
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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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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.
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✅ 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.
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🔬 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)
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🚨 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.
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👉 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 can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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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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if you would like to know more details about this problem, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine
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Please consult a physician physically.
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Do a phlebotomy for 3 to 4 blood units. If u r smoking stop smoking and visit a physician for proper evaluation
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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. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
Hello,
A hemoglobin of 20.3â¯g/dL and blood pressure of 196â¯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-medicateâbring your test reports with you.
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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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