How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask JE Sramek MD Your Own Question

JE Sramek MD
JE Sramek MD, Doctor (MD)
Category: Health
Satisfied Customers: 207
Experience:  Specializing in Pathology, I excel at making test results and cancer understandable.
6851312
Type Your Health Question Here...
JE Sramek MD is online now
A new question is answered every 9 seconds

When you have a high red blood cell count what should be ...

Customer Question

When you have a high red blood cell count what should be the count 40-50-60-, where is safe and wjere is danagerous, is there anything besides blood draws to control or loweer count.   Thank you, Doug
Submitted: 6 years ago.
Category: Health
Expert:  Deanna, RN replied 6 years ago.

DearCustomer

Living at high altitudes causes an increase in RBC counts; this is your body's response to the decreased oxygen available at these heights. Normal RBCs for males is 4.7 to 6.1 million cells per microliter, but this varies from lab to lab, and again, high altitudes will affect these values.

You will have symptoms related to high RBCs such as disturbed vision, headache, and flushing, if you are symptomatic. If you are not, your physician may choose not to treat it. Drawing blood is only temporary, as your body is going to immediately start building new red blood cells to replace the ones you drew off, so I don't recommend it. It is usually only used in an emergency basis. There are drugs that can decrease your RBCs, and your physician will determine if you need them or not.

I hope this helps! Good luck!

Customer: replied 6 years ago.
Reply to Deanna, RN's Post: I don't know RBC # XXXXX just say I've got 40-50-60-70- Red blood count where is the danger point and what kind of medicene should I ask for from Doc.    Doug
Expert:  Deanna, RN replied 6 years ago.

I don't understand where the 40-50-60.... factors in. Never heard it expressed that way. I would suggest seeing your primary care physician about this. If you got these values from a walk-in type clinic, it may be that you don't even have a problem. See your physician and be tested there. He will know if additional tests are needed, and how to treat you.

 

Customer: replied 6 years ago.
There are # XXXXX to me by by Doc. at the VA Hospital and the people and the blood doner bank they can't take my blood if its over 60, and you still did't give me any medicines to ask for I know no more than when I started I'm not paying $9.00 for this.     Doug
Customer: replied 6 years ago.
Reply to Deanna, RN's Post: It might be the same question but it wasn't answered the first time, I will not pay $9 for this.    Doug
Customer: replied 6 years ago.
If you can't answer my question I better not see a charge on my card.
Expert:  Deanna, RN replied 6 years ago.

Although a high red blood cell count is not a specific disease, it may be a sign of an underlying problem. Causes can be high altitude, smoking related, right-sided heart failure, pulmonary fibrosis, polycythemia vera, kidney disease, and steroid use, to name a few. Treatment of a high red blood cell count is directed at the underlying cause. I cannot tell you how to treat it, because you do not know the cause.

I'm sorry if this wasn't the information that you desired, but the cause must be determined. You are not required to pay for any answer that you are dissatisfied with. Best of luck to you.

Expert:  Deanna, RN replied 6 years ago.
You are not charged until you click "Accept" to accept my answer.
Expert:  JE Sramek MD replied 6 years ago.
In patients with high red blood cell counts, there's no precise number above which is dangerous and below which is safe. The risk of "sludging" and clots increases as your blood concentration goes up. The goal of treatment is to get your hematocrit (a measure of hemoglobin concentration) below 45 (for men; 42 for women).
As far as treatment, frequent blood draws are used to rapidly reduce your blood counts, and with time will deplete your body's iron stores and limit your body's ability to over-produce red blood cells. So it is actually a long-term treatment option. A number of medications which suppress red cell production are also used. Hydroxyurea is the most commonly used. It's generic and relatively inexpensive. However, it does have side effects. Medications to prevent clots (blood thinners) are also helpful in preventing complications. I hope this answers your question. Please feel free to ask if you have further questions.
JE Sramek MD, Doctor (MD)
Category: Health
Satisfied Customers: 207
Experience: Specializing in Pathology, I excel at making test results and cancer understandable.
JE Sramek MD and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 

Related Health Questions