diagnose secondary polycythemia have showed john hopkins usa but i live in lahore so need a doctor here. i need to know my iron levels are very low because my condition keeps making red blood cells but when my levels or iron are sooo low how is my body making the red blood cells?

Posted by: k****f m, 43 years

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    Dr. Ghulam Sughra

    General Physician - 6 years experience

    13 Nov, 2017

    Polycythemia is an increased number of red blood cells in the blood. In polycythemia, the levels of hemoglobin , hematocrit , or the red blood cell count may be elevated when measured in the complete blood count (CBC), as compared to normal.
    Secondary polycythemia is usually due to increased erythropoietin production either in response to chronic hypoxia low blood oxygen level or from an erythropoietin secreting tumor.So treatment is possible by treating underlying cause.
    The problem in polycythemia is your red blood cell increase in size so less iron percentage is there.
    As you have known case of polycythemia so kindly send us your investigation reports so that we can guide you further.am referring you some specialists in lahore as well whom you can consult and for further information you need to call us on myzindagi.
    In order to obtain further advice please call at 042 35852314. or download the app to make FREE Video Consultation. Android:http://bit.ly/2nGJDs2 iOS: http://apple.co/2oGjdeE All these services are free of cost.
    Regards.

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    Dr. Ghulam Sughra

    General Physician - 6 years experience

    13 Nov, 2017

    You can consult with one of these specialists for more guidance.

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    Dr. Zulfiqar Ali Memon

    Hematologist, 12 years experience

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    Dr. Abid Sohail Taj

    Hematologist

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    Dr. Amber Atif Khan

    Hematologist

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      kashif monnoo

      ok thanx

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    Dr. Noreen Waseem

    General Physician - 10 years experience

    13 Nov, 2017

    Secondary polycythemia also referred secondary erythrocytosis is a condition in which the number of red blood cells is increased as a result of an underlying condition Secondary polycythemia most often develops as a response to chronic hypoxemia (an abnormally low concentration of oxygen in the blood.), which triggers increased production of erythropoietin by the kidneys. Erythropoietin is a hormone produced by the kidney that leads to the formation of red blood cells in the bone marrow. The most common causes of secondary polycythemia include obstructive sleep apnea, obesity, hypertension hypoventilation syndrome, and chronic obstructive pulmonary disease (COPD). Other causes include testosterone replacement therapy and heavy cigarette smoking. Erythropoietin-secreting tumors such as hepatocellular carcinoma, renal cell carcinoma, adrenal adenoma can also be the cause in some cases.
    In polycythemia, there is high hematocrit (the ratio of the volume of red blood cells to the total volume of blood) along with a high RBC count and high hemoglobin.
    In my opinion, you probably have a microcytic polycythemia in which there is a high RBC count combined with a low mean volume leading to iron deficiency. I would advise you consult a hematologist for your complete evaluation, diagnosis and treatment. I am referring you some good consultants in Lahore. In order to obtain further advice please call at 042 35852314. or download the app to make FREE Video Consultation. Andriod:http://bit.ly/2nGJDs2 iOS: http://apple.co/2oGjdeE All these services are free of cost.

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    Dr. Mona Aziz

    Hematologist

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    Dr. Akhtar Sohail Chughtai

    Hematologist, 42 years experience

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