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Dr. Andrew Rynne

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Suffer From Polycythemia. Having Thick Blood. Abdominal Stress, Bloating And Nausea. Are These Related?

i have polycythemia my hct is usually at 47.2 and higher. i get a copy of my weekly blood tests and my hct or my hgb has never been below norms always on thwe high end..three days ago my hgb was 13.2 and my hct was 32.7i had the symptoms of 'thick blood'but as you see test showed otherwise. i also have a non itchy skin rash that shows up on occasion with no pattern but limited to my torso and back the rash resembles welts. i am also experiencing abdominal distress gas bloating nausea (not coming from my stomach it lower except the nausea)can it all be related to my polycythemia
Thu, 23 May 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Polycythemia is charaterised by high hemoglobin (Hb) and hematocrit.
Itchy violaceous rashes are one of the manifestation of this disease.
Besides itchy rashes, thrombosis and hemorrhage are also seen in polycythemia.
Thrombosis can manifest as abdominal pain, cheast pain, pain in head, etc.

The abdominal symptoms that you have mentioned- nausea, bloating are features of indigestion and reflux.

You can take proton pump inhibitors (PPIs) to relive these symptoms.

For the management of polycythemia, phlebotomy is the mainstay of treatment.
You need to discuss the symptom of itchy rashes with your treating doctor. Furtehr management will be decided by the frequency and severity of the symptoms.

Thanks and take care
Dr Shailja P Wahal



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Suffer From Polycythemia. Having Thick Blood. Abdominal Stress, Bloating And Nausea. Are These Related?

Hello and welcome to HCM, Polycythemia is charaterised by high hemoglobin (Hb) and hematocrit. Itchy violaceous rashes are one of the manifestation of this disease. Besides itchy rashes, thrombosis and hemorrhage are also seen in polycythemia. Thrombosis can manifest as abdominal pain, cheast pain, pain in head, etc. The abdominal symptoms that you have mentioned- nausea, bloating are features of indigestion and reflux. You can take proton pump inhibitors (PPIs) to relive these symptoms. For the management of polycythemia, phlebotomy is the mainstay of treatment. You need to discuss the symptom of itchy rashes with your treating doctor. Furtehr management will be decided by the frequency and severity of the symptoms. Thanks and take care Dr Shailja P Wahal