Polychythemia

[Selvamok]

At Dec'2010, I have treated for Polycythemia when my PCV was 54 but as informed earlier, I am not having any Mutations and spleen, heart and lungs are normal.

I am taking asprin 75 mg only and no symptoms by god grace.

In between 2011 to till now, I going for venesection when my PCV cross 50. It may be once in year or twice. In this period most of the time my PCV returns from 50 to 45 or 46? why?

Some of the patients who came for other reason, their CBC report is showing PCV around 50 but not going for therapeutic phlebotomy. But PV patients going for therapeutic phlebotomy if PCV cross 45. why?

Please share your experience.

[Ebot]

It’s all about assessing and managing risk. The point about monitoring your haematocrit levels is to ensure that you are minimising your risk of compromising your prognosis by having some kind of thrombotic episode. So for someone with PV the cut off is usually 45. Presumably someone at sometime did the calculations! Around or above 45 and the risk is thought to be unacceptable and intervention necessary. For someone without PV the risks will be different, hence the number may be higher.

[Selvamok in reply to Ebot]

I gone for venesection 500 ml on 03-01-2019 when my PCV was 51.7. at that time my Hematologist said, My PCV will be reduced to 48.7. But I refused, every time it drops to 6 to 7 point. He is not accepting.

Today ( 16-02-2019) I have checked my CBC. HB 15.1, PCV 45.9, RBC 5.33.

Anybody experienced.