POLYCYTHEMIA

Polycythemia means that the body produces too many red blood cells. Excessive amounts of red blood cells can cause you to feel weak and tired. You may experience headaches and develop high blood pressure because the blood becomes stickier than normal. There is an increased tendency for blood clots to form, and this can lead to thrombosis in any organ of the body.

Polycythemia is diagnosed by the finding of a very high hemoglobin on a blood count. In addition, the white blood cells and platelets may be increased. Sometimes special tests to verify that the body is making too much blood (red cell volume), are done to confirm the diagnosis.

Treatment usually consists of removing some of the excess blood (phlebotomy) every few weeks. This treatment must continue for life. Because of the increased blood volume, the increased blood pressure, and excessive stickiness of the blood there is a risk of strokes and damage to the heart and kidneys. If you have polycythemia, you should be treated periodically by your physician or hematologist experienced in dealing with this disease. Most older people with this disorder can be kept healthy for many years with treatment.

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