Handling Excess Red Blood Cells?
Sorry for asking, I just did the MCU and got a result in one of my dianogsa. The note on my red blood cell (RBC) table is 657 and the range is 450-550, for this condition, how to handle it? Thank you very much 🙏
Hello, thank you for the question to HealthReplies.com
First I want to confirm the results of the laboratory examination that you wrote down. What do you mean by "675" is your red blood cell / erythrocyte count is 6.75 million / microliter of blood? Is the range you mean the normal range of red blood cell counts (4.5-5.5 million / microliter of blood)? Besides the normal red blood cell count, are there any other abnormal laboratory results?
The condition where the number of red blood cells increases beyond normal is called erythrocytosis. Erythrocytosis can be relative or absolute. Erythrocytosis is relatively due to a decrease in blood plasma volume (for example due to severe dehydration), meaning that the number of red blood cells does not actually increase, but the blood looks more concentrated because the fluid element in the blood (blood plasma) decreases. Absolute erythrocytosis occurs because the number of red blood cells does indeed increase. In general, absolute erythrocytosis can be subdivided into primary erythrocytosis and secondary erythrocytosis. Primary erythrocytosis is caused by red blood cell production that is indeed excessive in the bone marrow (can be due to hereditary / familial erythrocytosis, can also be due to polycythemia vera disease), while secondary erythrocytosis is caused due to certain conditions, diseases, or even the consumption of certain drugs. The following are some of the causes of secondary erythrocytosis:
live in the highlands
diseases that cause chronic hypoxia such as valvular heart disease, chronic obstructive pulmonary disease
abuse of EPO (erythropoietin)
We recommend that you bring back the results of a complete laboratory examination to the doctor of internal medicine so that further evaluation can be done to find the cause.
So much information from me, hopefully enough answer