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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes high bilirubin and RBCs in the blood?

i have a 25 year old son, about 5' 8", 165 lbs with hypertension and obstructed sleep apnea. he recently (over the last mth) has been having blood work done for repeated high bilirubin and found out yesterday that he also has an elevated red blood cell count. what could be possible causes for these two things?
Tue, 5 Aug 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your clinical history and query, my opinion is as follows:
1. Obstructive sleep apnoea can lead to hypoxia symptoms, making the body to produce more RBC. This has resulted in present increase.
2. Type of bilirubin needs to be identified. If it is more of indirect, hemolytic anemia needs to be evaluated. It it is direct, hepatic and obstructive jaundice needs to be ruled out.

Hope it helps.
Any further queries, happy to help again.
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