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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Polycythaemia

My father had undergone surgery for TURP and Mesh Hernioplasty at your hospital (APOLLO)



I was having high Haemoglobin and after medical examination it was found that I am having Polycythemia to reduce the haemoglobin level Therapeutic bleeding was done for 5 times and after reaching the desire level of 15 % haemoglobin and 45 PCV the operation was carried out successfully, Everything went fine and I came back to Jamshedpur (Date of operation 20th dec 2010)



But on 7th of this month I found that I am not able to pass my urine as I use to pass the previous day, I visited my local urologist for the same , the doctor asked me to undergo certain test and after showing the report it was found that I was having stricture and it needs to be operated,



I have gone for Therapeutic bleeding twice in Jamshedpur as discussed with you over phone,



Currently I have to get my fitness done for the next operation

My current Haemoglobine is at 14.5% and my PCV is at 40.7%



But his Total Lucocyte Count is at 24100 which is above the normal adult range(4000-11000), the doctor has ask to take IV injection (meroyem 500) 3 time for 5 days and do all the test again ,



I would request u to kindly guide me on the same

Mon, 9 Mar 2015
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Hematologist 's  Response
Hi, dear
I have gone through your question. I can understand your concern.
You should go for operation for stricture. For pre operative fitness you should take antibiotics to control your total count. Consult your doctor and take a course of antibiotics to control your infection and total count. Then go for surgery.

Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.
Thanks for using health care magic.
Wish you a very good health.
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Suggest Treatment For Polycythaemia

Hi, dear I have gone through your question. I can understand your concern. You should go for operation for stricture. For pre operative fitness you should take antibiotics to control your total count. Consult your doctor and take a course of antibiotics to control your infection and total count. Then go for surgery. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you. Thanks for using health care magic. Wish you a very good health.