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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Polycythemia Vera

diagnosed with hep c 2013 by pcp. numerous blood tests show elavated iron levels. several phlabotomies over last year. 2 blood test, last 6 monthes, and 1 phlabotomy blood stopped flowing(less than half a pint then stopped) todays blood test they barely filled one tube. ? recent endoscopy showed sliding hietal hernia, ulcer, and a couple, what looked like bustedblood vessels? thru web search found polycythemia vera which i have nearly every symptom. my pcp is on maternity leave til sept. what should i do?
Fri, 5 Sep 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
A history of elevated iron levels and recurrent phlebotomises suggest presence of polycythemia vera.
However, complete hemogram, peripheral blood film examination, iron studies, bone marrow examination and genetic studies are required to confirm the diagnosis of polycythemia vera.
Polycythemia vera has to be differentiated from secondary polycythemia since the treatment for both the conditions is entirely different.
The ulcers formed in the gastric mucosa may be a complication of polycythemia.

Thanks and take care
Dr Shailja P Wahal
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Suggest Treatment For Polycythemia Vera

Hello and welcome to HCM, A history of elevated iron levels and recurrent phlebotomises suggest presence of polycythemia vera. However, complete hemogram, peripheral blood film examination, iron studies, bone marrow examination and genetic studies are required to confirm the diagnosis of polycythemia vera. Polycythemia vera has to be differentiated from secondary polycythemia since the treatment for both the conditions is entirely different. The ulcers formed in the gastric mucosa may be a complication of polycythemia. Thanks and take care Dr Shailja P Wahal