Brief Answer:
Upload lab results

Detailed Answer:
Hello and welcome

I appreciate your concern

High hb and hct can be related to polycythemia rural vera though the levels need to be specifically known along with jak 2 mutation studies via pcr and other investigations including erythropoetin.

kindly upload a scanned copy of the lab results to comment further.

let me know if you have any query

wishing you best of health

Thanks

Dr M.S Khalil.

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Brief Answer:
Explained

Detailed Answer:
Hello again.

The high hb and hematocrit can normally occur due to dehydration and can also be due to a condition called polycythemia which can be primary or secondary.
Secondary causes include chronic hypoxia like chronic lung conditions like COPD
And tumors secreting EPO.
Primary is due to increased red cell production by bone marrow
If monocytes are too high it can be due to chronic inflammatory disease like inflammatory bowl disease, parasitic or viral infection
Collagen vascular disease eg lupus, vasculitis or rheumatoid arthritis bacterial infection in the heart and certain types of leukemias. So there is a wide differential and one can't point to a specific diagnosis based on one time test only.
Clinical co relation is needed for these tests. Jak 2 mutation by pcr and/or Bone marrow examintaion if indicated can be advised if the counts persistently abnormal.


Hope it helps
Thanks.

wishing you best of health

Please consult your doctor before taking any further course of action

Dr M.S Khalil

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