Polycythemia Vera: Causes, Symptoms, and Complications of Elevated RBC and Platelets
What are the symptoms of polycythemia vera. How is polycythemia vera diagnosed. What causes polycythemia vera. Who is at risk for developing polycythemia vera. What are the potential complications of untreated polycythemia vera. How is polycythemia vera treated. Can polycythemia vera be prevented.
Understanding Polycythemia Vera: A Rare Blood Cancer
Polycythemia vera (PV) is a rare form of blood cancer that affects the body’s ability to produce blood cells. This condition primarily impacts the production of red blood cells, leading to an overabundance that can cause serious health complications. While relatively uncommon, understanding the nature of this disease is crucial for early detection and proper management.
PV is characterized by the overproduction of red blood cells in the bone marrow. This excess leads to a thickening of the blood, which can slow its flow through the body and potentially cause life-threatening issues such as blood clots. The condition typically develops slowly, often going unnoticed for years before diagnosis.

Key Characteristics of Polycythemia Vera
- Classified as a myeloproliferative neoplasm
- Causes overproduction of red blood cells
- Can also affect white blood cell and platelet production
- Develops slowly over time
- Often discovered incidentally during routine blood tests
Is polycythemia vera a common condition. PV is considered a rare disease, affecting approximately 1 in 100,000 people. Its rarity can make diagnosis challenging, especially in the early stages when symptoms may be mild or absent.
Recognizing the Symptoms of Polycythemia Vera
The symptoms of polycythemia vera can vary significantly from person to person. Many individuals with PV may not experience noticeable symptoms, especially in the early stages of the disease. However, as the condition progresses, several signs and symptoms may become apparent.
Common Symptoms of Polycythemia Vera
- Itchiness, particularly after warm baths or showers
- Headaches and dizziness
- Fatigue and weakness
- Blurred vision
- Numbness or tingling in extremities
- Abdominal discomfort due to an enlarged spleen
- Unusual bleeding, such as nosebleeds or bleeding gums
- Joint pain, often in the big toe
- Shortness of breath, especially when lying down
Why does polycythemia vera cause itching. The itching associated with PV, known as pruritus, is believed to be caused by the release of histamine and other inflammatory chemicals from the excess red blood cells and other blood components. This symptom is often exacerbated by warm temperatures, which cause blood vessels to dilate and increase blood flow to the skin.

When should you seek medical attention for potential polycythemia vera symptoms. It’s important to consult a healthcare provider if you experience persistent symptoms such as unexplained fatigue, itching after bathing, or frequent headaches. Early diagnosis and treatment can help prevent complications and improve overall prognosis.
The Underlying Causes of Polycythemia Vera
Polycythemia vera is primarily caused by a genetic mutation that affects blood cell production. This mutation occurs in the bone marrow stem cells, leading to an overproduction of blood cells, particularly red blood cells. While the exact trigger for this mutation remains unknown, researchers have identified specific genetic factors associated with the development of PV.
The JAK2 Gene Mutation
The most common genetic mutation associated with polycythemia vera involves the Janus kinase 2 (JAK2) gene. This gene plays a crucial role in the production of blood cells. In approximately 95% of PV cases, a specific mutation known as JAK2 V617F is present.

How does the JAK2 mutation lead to polycythemia vera. The JAK2 mutation causes the bone marrow to become hypersensitive to erythropoietin, the hormone that stimulates red blood cell production. This hypersensitivity results in an overproduction of red blood cells, even when erythropoietin levels are normal or low.
While the JAK2 mutation is strongly associated with PV, it’s important to note that not everyone with this mutation will develop the condition. Other genetic and environmental factors likely contribute to the development of polycythemia vera.
Risk Factors and Demographics of Polycythemia Vera
Understanding the risk factors associated with polycythemia vera can help identify individuals who may be more susceptible to developing this condition. While PV can occur at any age, certain demographic factors have been observed to influence its prevalence.
Age and Gender Distribution
- Most commonly diagnosed in adults aged 50-75
- Can occur in younger individuals, though less frequently
- Slightly more common in men than women
- Women tend to be diagnosed at younger ages compared to men
Are there any known environmental risk factors for polycythemia vera. While the primary cause of PV is genetic, some studies suggest that exposure to certain chemicals or radiation may increase the risk of developing myeloproliferative neoplasms, including PV. However, more research is needed to establish definitive environmental risk factors.

It’s important to note that having one or more risk factors does not guarantee that an individual will develop polycythemia vera. Conversely, the absence of known risk factors does not preclude the possibility of developing the condition.
Complications Associated with Untreated Polycythemia Vera
If left untreated, polycythemia vera can lead to several serious complications. The increased blood thickness and abnormal blood cell production associated with PV can affect various organs and systems throughout the body.
Potential Complications of Polycythemia Vera
- Blood Clots: The most significant risk associated with PV is the formation of blood clots. These clots can occur in arteries or veins and may lead to life-threatening conditions such as stroke, heart attack, or pulmonary embolism.
- Enlarged Spleen (Splenomegaly): The spleen plays a crucial role in filtering blood and fighting infections. In PV, the increased workload on the spleen due to excess blood cells can cause it to enlarge, potentially leading to abdominal discomfort and a feeling of fullness.
- Gout: The overproduction of blood cells in PV can lead to elevated uric acid levels, increasing the risk of gout, a painful form of arthritis often affecting the big toe.
- Peptic Ulcers: Some individuals with PV may develop ulcers in the stomach, small intestine, or esophagus due to reduced blood flow to these areas.
- Progression to Other Blood Disorders: In rare cases, PV can evolve into more serious blood disorders, such as myelofibrosis (scarring of the bone marrow) or acute leukemia.
How does polycythemia vera increase the risk of blood clots. The excess red blood cells in PV cause the blood to become thicker and flow more slowly through blood vessels. This sluggish flow, combined with potential abnormalities in platelets, creates an environment conducive to clot formation. Additionally, the increased blood volume can put extra stress on blood vessel walls, further contributing to clot risk.

Diagnosis and Evaluation of Polycythemia Vera
Diagnosing polycythemia vera often involves a combination of clinical evaluation, blood tests, and genetic analysis. Due to its slow progression and sometimes vague symptoms, PV is frequently discovered incidentally during routine blood work.
Diagnostic Criteria for Polycythemia Vera
The World Health Organization (WHO) has established specific criteria for diagnosing PV, which include:
- Elevated hemoglobin levels (above 16.5 g/dL in men or 16.0 g/dL in women)
- Presence of the JAK2 V617F mutation or other functionally similar mutations
- Bone marrow biopsy showing hypercellularity and increased erythropoiesis
- Subnormal serum erythropoietin levels
What tests are used to diagnose polycythemia vera. The diagnostic process typically includes:
- Complete Blood Count (CBC): This test measures the levels of red blood cells, white blood cells, and platelets in the blood.
- Genetic Testing: Analysis for the JAK2 V617F mutation and other relevant genetic markers.
- Erythropoietin Level Test: To check for abnormally low levels of this hormone.
- Bone Marrow Biopsy: This procedure involves taking a small sample of bone marrow to examine the blood cell production process.
- Oxygen Saturation Test: To rule out secondary polycythemia caused by low blood oxygen levels.
Why is a bone marrow biopsy important in diagnosing polycythemia vera. A bone marrow biopsy provides detailed information about the structure and function of the bone marrow. In PV, it typically shows increased cellularity and proliferation of all three blood cell lines (red cells, white cells, and platelets). This test is crucial for differentiating PV from other myeloproliferative disorders and confirming the diagnosis.

Treatment Approaches for Polycythemia Vera
The management of polycythemia vera focuses on reducing the risk of complications and controlling symptoms. Treatment strategies are tailored to each patient’s individual needs and risk factors. While there is no cure for PV, proper treatment can significantly improve quality of life and longevity.
Common Treatment Modalities for Polycythemia Vera
- Phlebotomy: This procedure involves removing blood from the body to reduce the number of red blood cells. It’s often the first-line treatment for many PV patients.
- Low-Dose Aspirin: Used to reduce the risk of blood clots and improve circulation.
- Hydroxyurea: A chemotherapy drug that can help reduce blood cell production.
- Interferon Alpha: This medication can help regulate blood cell production and is sometimes used in younger patients or during pregnancy.
- JAK2 Inhibitors: Drugs like ruxolitinib that target the underlying genetic mutation in PV.
- Antihistamines: To manage itching associated with PV.
How often is phlebotomy required in the treatment of polycythemia vera. The frequency of phlebotomy sessions varies depending on the individual’s response to treatment and their hematocrit levels. Initially, patients may require weekly phlebotomies until their blood counts stabilize. After that, maintenance phlebotomies might be needed every few months or as determined by regular blood tests.

Are there any lifestyle modifications that can help manage polycythemia vera. While lifestyle changes cannot cure PV, certain modifications can help manage symptoms and reduce complication risks:
- Staying hydrated to help maintain proper blood flow
- Avoiding extreme temperatures, especially heat, which can exacerbate itching
- Regular exercise to improve circulation
- Quitting smoking to reduce cardiovascular risks
- Maintaining a healthy weight to minimize additional cardiovascular strain
The management of polycythemia vera is an ongoing process that requires regular monitoring and adjustment of treatment strategies. Patients with PV should work closely with their healthcare team to develop a comprehensive care plan that addresses both the physical and emotional aspects of living with a chronic blood disorder.
Living with Polycythemia Vera: Long-Term Outlook and Quality of Life
While polycythemia vera is a chronic condition, advancements in treatment and management strategies have significantly improved the long-term outlook for patients. With proper care, many individuals with PV can lead fulfilling lives and effectively manage their symptoms.
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Prognosis and Life Expectancy
The prognosis for patients with polycythemia vera has improved considerably over the years. With appropriate treatment and regular monitoring, many patients can expect a near-normal life expectancy. However, the individual prognosis can vary based on factors such as age at diagnosis, response to treatment, and the presence of complications.
What factors influence the prognosis of polycythemia vera. Several factors can affect the long-term outlook for PV patients:
- Age at diagnosis
- Presence of cardiovascular risk factors
- Development of thrombotic events
- Response to treatment
- Progression to myelofibrosis or acute leukemia
How does polycythemia vera impact daily life. Living with PV often requires ongoing medical management and lifestyle adjustments. Patients may need to:
- Attend regular medical appointments for blood tests and check-ups
- Adhere to prescribed medication regimens
- Undergo periodic phlebotomy sessions
- Manage symptoms such as fatigue and itching
- Be vigilant about potential complications, particularly blood clots
Despite these challenges, many individuals with PV maintain a good quality of life. Support from healthcare providers, family, and support groups can play a crucial role in coping with the physical and emotional aspects of living with a chronic blood disorder.

Psychological Impact and Coping Strategies
Living with a chronic condition like polycythemia vera can have psychological effects on patients. Some individuals may experience anxiety, depression, or concerns about their long-term health. Developing effective coping strategies is essential for maintaining mental well-being.
What resources are available for patients coping with polycythemia vera. Several resources can help PV patients manage the emotional aspects of their condition:
- Patient support groups and online communities
- Counseling or therapy services
- Educational materials from reputable health organizations
- Stress reduction techniques such as meditation or yoga
- Open communication with healthcare providers about emotional concerns
Engaging with these resources can help patients feel more empowered in managing their condition and improve their overall quality of life. It’s important for individuals with PV to remember that they are not alone in their journey and that support is available to help them navigate the challenges of living with a chronic blood disorder.

As research into polycythemia vera continues, new treatments and management strategies are being developed. Patients are encouraged to stay informed about advancements in PV care and discuss any new options with their healthcare team. With ongoing medical care and a proactive approach to health management, many individuals with polycythemia vera can lead active, fulfilling lives while effectively managing their condition.
Polycythemia vera – Symptoms & causes
Overview
Polycythemia vera (pol-e-sy-THEE-me-uh VEER-uh) is a type of blood cancer. It causes your bone marrow to make too many red blood cells. These excess cells thicken your blood, slowing its flow, which may cause serious problems, such as blood clots.
Polycythemia vera is rare. It usually develops slowly, and you might have it for years without knowing. Often the condition is found during a blood test done for another reason.
Without treatment, polycythemia vera can be life-threatening. But proper medical care can help ease signs, symptoms and complications of this disease.
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Symptoms
Many people with polycythemia vera don’t have noticeable signs or symptoms. Some people might develop vague symptoms such as headache, dizziness, fatigue and blurred vision.
More-specific symptoms of polycythemia vera include:
- Itchiness, especially after a warm bath or shower
- Numbness, tingling, burning, or weakness in your hands, feet, arms or legs
- A feeling of fullness soon after eating and bloating or pain in your left upper abdomen due to an enlarged spleen
- Unusual bleeding, such as a nosebleed or bleeding gums
- Painful swelling of one joint, often the big toe
- Shortness of breath and difficulty breathing when lying down
When to see a doctor
Make an appointment with your doctor if you have signs or symptoms of polycythemia vera.
Causes
Polycythemia vera occurs when a mutation in a gene causes a problem with blood cell production. Normally, your body regulates the number of each of the three types of blood cells you have — red blood cells, white blood cells and platelets. But in polycythemia vera, your bone marrow makes too many of some of these blood cells.
The cause of the gene mutation in polycythemia vera is unknown, but it’s generally not inherited from your parents.
Risk factors
Polycythemia vera can occur at any age, but it’s more common in adults between 50 and 75. Men are more likely to get polycythemia vera, but women tend to get the disease at younger ages.
Complications
Possible complications of polycythemia vera include:
- Blood clots. Increased blood thickness and decreased blood flow, as well as abnormalities in your platelets, raise your risk of blood clots. Blood clots can cause a stroke, a heart attack, or a blockage in an artery in your lungs or a vein deep within a leg muscle or in the abdomen.

- Enlarged spleen. Your spleen helps your body fight infection and filter unwanted material, such as old or damaged blood cells. The increased number of blood cells caused by polycythemia vera makes your spleen work harder than normal, which causes it to enlarge.
- Problems due to high levels of red blood cells. Too many red blood cells can lead to a number of other complications, including open sores on the inside lining of your stomach, upper small intestine or esophagus (peptic ulcers) and inflammation in your joints (gout).
- Other blood disorders. In rare cases, polycythemia vera can lead to other blood diseases, including a progressive disorder in which bone marrow is replaced with scar tissue, a condition in which stem cells don’t mature or function properly, or cancer of the blood and bone marrow (acute leukemia).
Polycythemia vera – Symptoms & causes
Overview
Polycythemia vera (pol-e-sy-THEE-me-uh VEER-uh) is a type of blood cancer.
It causes your bone marrow to make too many red blood cells. These excess cells thicken your blood, slowing its flow, which may cause serious problems, such as blood clots.
Polycythemia vera is rare. It usually develops slowly, and you might have it for years without knowing. Often the condition is found during a blood test done for another reason.
Without treatment, polycythemia vera can be life-threatening. But proper medical care can help ease signs, symptoms and complications of this disease.
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Symptoms
Many people with polycythemia vera don’t have noticeable signs or symptoms. Some people might develop vague symptoms such as headache, dizziness, fatigue and blurred vision.
More-specific symptoms of polycythemia vera include:
- Itchiness, especially after a warm bath or shower
- Numbness, tingling, burning, or weakness in your hands, feet, arms or legs
- A feeling of fullness soon after eating and bloating or pain in your left upper abdomen due to an enlarged spleen
- Unusual bleeding, such as a nosebleed or bleeding gums
- Painful swelling of one joint, often the big toe
- Shortness of breath and difficulty breathing when lying down
When to see a doctor
Make an appointment with your doctor if you have signs or symptoms of polycythemia vera.
Causes
Polycythemia vera occurs when a mutation in a gene causes a problem with blood cell production. Normally, your body regulates the number of each of the three types of blood cells you have — red blood cells, white blood cells and platelets. But in polycythemia vera, your bone marrow makes too many of some of these blood cells.
The cause of the gene mutation in polycythemia vera is unknown, but it’s generally not inherited from your parents.
Risk factors
Polycythemia vera can occur at any age, but it’s more common in adults between 50 and 75. Men are more likely to get polycythemia vera, but women tend to get the disease at younger ages.
Complications
Possible complications of polycythemia vera include:
- Blood clots. Increased blood thickness and decreased blood flow, as well as abnormalities in your platelets, raise your risk of blood clots. Blood clots can cause a stroke, a heart attack, or a blockage in an artery in your lungs or a vein deep within a leg muscle or in the abdomen.

- Enlarged spleen. Your spleen helps your body fight infection and filter unwanted material, such as old or damaged blood cells. The increased number of blood cells caused by polycythemia vera makes your spleen work harder than normal, which causes it to enlarge.
- Problems due to high levels of red blood cells. Too many red blood cells can lead to a number of other complications, including open sores on the inside lining of your stomach, upper small intestine or esophagus (peptic ulcers) and inflammation in your joints (gout).
- Other blood disorders. In rare cases, polycythemia vera can lead to other blood diseases, including a progressive disorder in which bone marrow is replaced with scar tissue, a condition in which stem cells don’t mature or function properly, or cancer of the blood and bone marrow (acute leukemia).
The level of erythrocytes in the blood is increased – what problems can this indicate
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The diagnostician explained what disorders and diseases this may be associated with, and why, in order to bring the tests back to normal, you need to walk more in the fresh air and drink enough water.
July 5, 2022
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The results of the analyzes are deciphered by the doctor, he can draw the right conclusions about possible problems in your body based on all the indicators. But you always want to understand in advance how serious the situation is. Take, for example, erythrocytes. What do their high scores mean? And what do they influence?
– Red blood cells are oxygen-carrying cells, – explained Olga Malinovskaya, doctor of clinical laboratory diagnostics, head of the medical department of the KDL laboratory network. “In perfect condition, they are of medium size, sufficiently iron-rich, with the correct shape of a biconcave disc.
Usually, all erythrocyte parameters of interest to the doctor are indicated in the complete blood count. The most indicative is the number of red blood cells in 1 liter of blood. For example, in anemia, the amount is reduced along with the amount of hemoglobin. Another parameter is the average erythrocyte volume – MCV.
– It decreases with iron deficiency anemia, increases with anemia associated with a lack of vitamin B12 or folic acid, doctor Malinovskaya explains the changes in the parameters.
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Red blood cells deliver oxygen, which we inhale to all organs and tissues of the body, and take away carbon dioxide, which we then exhale. Red blood cells live in the body for about four months, then they are destroyed.
— The hematopoietic system maintains a constant number of red blood cells in the bloodstream, — said Olga Malinovskaya. — More often patients encounter with a decrease in the number of red blood cells – anemia, but there are diseases and conditions when the number of red blood cells increases.
Dehydration
This is the most common cause of slightly elevated red blood cells.
– If it’s hot outside, you came to donate blood on an empty stomach and haven’t drank water since the evening, then with a high probability you will get slightly elevated hemoglobin, erythrocyte and hematocrit values, the doctor explained.
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Difficult external conditions
Doctors observe an increase in erythrocytes in the blood of residents of high-mountainous regions and regions of the far north. And this is a normal story, people can have red blood cells and hemoglobin slightly above normal due to the adaptation of body systems to harsh external conditions.
Polycythemia
The condition is due to the fact that the cells of the bone marrow produce an excessive amount of red blood cells. Also, other cells will be increased in the analysis – platelets and leukocytes. Blood becomes thicker , viscous, there is a risk of blood clots that can clog blood vessels and disrupt blood supply.
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Increasing the amount of erythropoietin
This substance is synthesized in the kidneys and stimulates the production of red blood cells by bone marrow cells.
– The body increases the production of erythropoietin when it considers that the body lives in conditions of lack of oxygen in order to provide all organs and tissues with more oxygen, – explained diagnostician Olga Malinovskaya.
Frequently elevated red blood cells can be in heavy smokers , people with chronic obstructive pulmonary disease , with heart defects and those who live in unfavorable environmental conditions.
Kidney disease
Elevated red blood cells are common in people with kidney disease.
– The fact is that they have a violation of the blood supply – narrowing of the renal arteries, tumors or cysts that compress the vascular pedicle of the kidney, – Malinovskaya clarified.
Text author: Alena Bezmenova
causes of increase and decrease in values
Content
- 1 Norm of erythrocytes in the blood by age: causes and consequences of decrease and increase in levels
- 1.1 What are erythrocytes?
- 1.2 The norm of erythrocytes in the blood of an adult
- 1.3 The norm of erythrocytes in the blood of children
- 1.4 Causes of an increase in the level of erythrocytes in the blood
- 1.
5 Reasons for a decrease in the level of erythrocytes in the blood - 1.6 Symptoms of high red blood cells
- 1.7 Symptoms of low red blood cells
- 1.8 Diagnosis of high red blood cells
- 1.9 Treatment of high red blood cells
- 1.9.1 Basic principles of treatment
- 1.9.2 Diet for high red blood cell count
- 1.9.3 Regular medical monitoring
- 1.10 Treatment of low red blood cell count
- 1.10.1 Causes of low red blood cell count
- 1.10.2 Treatment of low red blood cells
- 1.11 Prevention of red blood cell changes
- 1.12 Q&A:
- 1.12.0.1 What are the norms cal values of erythrocytes in infants?
- 1.12.0.2 What can cause a low red blood cell level?
- 1.12.0.3 What processes in the body lead to an increase in the number of red blood cells?
- 1.12.0.4 Can diet affect the level of red blood cells?
- 1.12.0.5 Why do athletes have an increased number of red blood cells?
- 1.
12.0.6 What complications can occur with prolonged high red blood cells?
- 1.13 Related videos:
Find out what red blood cell values are considered normal, how they change with age, and what low and high values can mean. Useful information for the health of your blood.
Blood not only nourishes the body, but also transports all the necessary elements. Erythrocytes are red blood cells that transport oxygen. They are the main component of the blood and their normal content is necessary for the normal functioning of the body. However, red blood cell count can change for various reasons, including the age of the individual.
Erythrocyte norms have their own characteristics for different age groups. In children, for example, the number of red blood cells depends on age, while in adults it may vary depending on gender. The need to know the normal level of red blood cells in the blood by age is important for the diagnosis and treatment of diseases associated with a violation of the content of blood cells.
In this article, we will look at the main causes of high and low red blood cell counts and provide information on how you can maintain a normal level.
What are red blood cells?
Red blood cells are blood cells that carry out the function of transporting oxygen from the lungs to the tissues of the body and carrying carbon dioxide back to the lungs for exhalation.
RBCs are oval or round discs without a nucleus. They contain hemoglobin, a protein compound with iron, which is responsible for the transfer of oxygen and carbon dioxide.
Typically, erythrocytes have a size of about 7-8 microns, and their number in 1 µl of blood is estimated by Kuhn’s method – erythrocyte index (EI), which can be normal, increased or decreased depending on the patient’s age and other factors.
The norm of red blood cells in the blood of an adult
Red blood cells are red blood cells that carry oxygen throughout the body. The normal number of red blood cells in an adult’s blood is 4.
0 to 5.5 million cells/µl in women and 4.5 to 6.0 million cells/µl in men.
A low red blood cell count can lead to anemia, which is characterized by fatigue, weakness, and pale skin. The reasons for a decrease in the level of red blood cells can be associated with a deficiency of iron, vitamin B12 and folic acid, as well as chronic diseases, including pathologies of the kidneys and thyroid gland.
Elevated red blood cells may indicate polycythemia, leading to nodular disease, tumors and vascular complications. An increase in the level of red blood cells may be associated with smoking, hypoxia and erythroprotein.
To confirm a change in the level of red blood cells in the blood, you must consult a doctor and undergo the necessary tests, such as blood tests for hemoglobin, iron, folic acid and vitamin B12.
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The norm of blood red blood cells in children
Erythrocytes – these are red blood cells that carry oxygen in the body .
In children, as in adults, the rate of red blood cells in the blood can vary depending on age and gender. In healthy children, normal values of red blood cells are usually higher than in adults.
Here are some examples of normal RBC values in children:
- Babies under 2 weeks old: 4.1-6.1 million/µl
- Babies 2 weeks to 1 month: 4.3-6.0 million/µl
- Children 1 month to 2 months: 4.0-5.5 million/mcL
- Children 2 to 6 months: 3.6-5.5 million/mcL
- Children 6 months to 1 year: 3.5- 5.5 ppm/µl
- Children 1 to 5 years old: 3.5-5.0 ppm/µl
- Children 5 to 12 years old: 4.0-5.0 ppm/µl
- Children 12 to 16 years: 4.5-5.5 million/mcL
An increased number of red blood cells in children may indicate conditions such as polycythemia and vitamin B12 deficiency. On the other hand, a reduced red blood cell count can mean anemia, which can be caused by causes such as lack of iron in the body or genetic diseases such as thrombocytopenia.
It is important to understand that red blood cell counts in children may vary depending on the laboratory and measurement methods used. Therefore, if your child is found to be abnormal, discuss the test results with your doctor for a more accurate diagnosis and treatment.
Causes of an increase in the level of red blood cells in the blood
Red blood cells are the main components of the blood that carry oxygen to the body. An excessive number of red blood cells in the blood is called polycythemia, which may indicate certain medical conditions.
- Hypoxia – oxygen starvation of the body – can lead to an increase in the level of red blood cells in the blood, as the body tries to compensate for the lack of oxygen.
- Physical stress, including mountain running or smoking, can increase the number of red blood cells.
- Hereditary factors, including a genetic positive reaction to altitude, may cause elevated red blood cells.
- Familiarity with Altai cuisine draws people to iron-rich fish, meat and shellfish, so elevated iron levels in the blood can also lead to an increase in red blood cells.

There are several other conditions that can cause high red blood cells and it is important to get the right treatment to prevent complications.
Causes of low red blood cell count
A low red blood cell level can be caused by several causes, including:
- Blood loss . Prolonged bleeding can lead to a decrease in the number of red blood cells in the blood.
- Iron deficiency . Lack of iron in the body can lead to the development of anemia, a condition characterized by low levels of hemoglobin in the blood.
- Bone marrow pathologies . Disorders in the bone marrow can lead to a decrease in the number of red blood cells, since this is the site of the formation of new blood cells.
- Vitamin deficiency . A lack of certain vitamins, such as vitamin B12 and folic acid, can lead to low levels of red blood cells.
- Genetic disorders .
Hereditary diseases such as thrombocytopenia and Diamond-Blackford syndrome can lead to low levels of red blood cells.
With a low level of red blood cells, symptoms may occur, such as weakness, fatigue, pallor of the skin and mucous membranes. It is necessary to consult a doctor to find out the cause and prescribe treatment.
Symptoms of high red blood cells
A high level of red blood cells, or polycythemia, can lead to a variety of symptoms and complications. One of the most common symptoms is headache, which usually occurs in the morning and may worsen with exercise or low oxygen pressure.
Other common symptoms are itching, stinging or burning of the skin, especially in water or heat, and red spots on the skin. Peripheral arteries can become constricted, which can lead to pain in the legs and arms, as well as discoloration of the skin and coldness of the extremities.
Elevated red blood cells can also lead to decreased appetite, nervousness and irritability, as well as a feeling of thirst and dry mouth.
In some cases, pallor of the skin and mucous membranes, as well as visual or hearing impairment, may develop.
It is important to note that some people with polycythemia may not experience any symptoms, especially in the earlier stages of the disease. Therefore, it is important to undergo regular examinations and monitor changes in the level of red blood cells in the blood.
Symptoms of low red blood cells
A decrease in the number of red blood cells, or anemia, can present with various symptoms, depending on the degree and cause of the deficiency.
One of the most common symptoms is constant fatigue and weakness that occurs with any physical activity or even at rest.
Paleness of the skin, mucous membranes and nails is also a common symptom, caused by a lack of oxygen transported by red blood cells.
More severe cases of anemia may also present with dyspnea, palpitations, dizziness, and loss of consciousness.
In addition, a lack of red blood cells can lead to changes in taste, visual distortion and even depressive states.
It is important to note that the symptoms of anemia can vary in degree and depend on many factors, including the cause, age and health of the patient.
Diagnosis of the level of erythrocytes in the blood
To determine the level of erythrocytes in the blood, it is necessary to pass a general blood test. The results of the analysis can be expressed in different units of measurement, depending on the laboratory where the analysis is performed.
It is important to remember that red blood cell levels can be elevated or reduced not only due to age, but also for other reasons, such as chronic diseases, nutritional deficiencies, or long-term medication. Therefore, if the level of erythrocytes differs from the norm, it is necessary to consult a doctor to find out the cause and prescribe treatment.
If the red blood cell count is low, additional diagnostics may be ordered, such as testing for iron deficiency anemia or aplastic anemia.
In some cases, a bone marrow exam may be ordered to determine the cause of the low red blood cell count.
- Iron deficiency anemia is a disease in which the body does not get enough iron. This causes a violation of the formation of hemoglobin and, as a result, a decrease in the level of red blood cells in the blood.
- Aplastic anemia is a disease in which the bone marrow does not produce enough blood-forming cells. This can be caused by both genetic factors and exposure to certain drugs or radiation.
In the case of elevated red blood cells, additional diagnostics can be performed, such as examination for obesity, obstructive sleep apnea or cardiovascular disease. In some cases, artificial circulation may be prescribed to reduce the number of red blood cells in the blood. 912 / l
Treatment of elevated red blood cells in the blood
Basic treatment principles
blood tests may indicate the presence of serious diseases, such as acute or chronic obstructive pulmonary disease , bronchial asthma, erythremia and others.
Treatment should be aimed at eliminating the underlying disease and reducing the level of red blood cells in the blood.
With erythremia, treatment depends on the degree of development of the disease. In the initial stages, treatment with drugs that reduce the level of red blood cells in the blood is indicated. In more severe cases, plasmapheresis or blood transfusion may be required.
Respiratory diseases require complex treatment, including drug therapy, daily regimen, diet and maintaining an optimal level of oxygen in the blood.
Erythrocyte Diet
In case of elevated red blood cells, it is recommended to avoid foods that increase the level of iron in the blood: red meat, fried foods, chicken eggs, pomegranates and tomatoes. It is recommended to increase the consumption of foods rich in vitamins C and E, such as citrus fruits, strawberries, dried apricots, apricots and nuts, which help improve metabolic processes in the body and reduce the level of red blood cells.
Regular medical check-up
Regular medical check-up is an important part of the treatment of high red blood cells. With an increase in the level of erythrocytes in the blood, it is necessary to consult a doctor in a timely manner and conduct regular studies in order to evaluate the effectiveness of treatment and adjust the treatment course depending on changes in the level of erythrocytes.
Treatment for low red blood cells
Causes of low red blood cells
Low red blood cells can be caused by various causes, such as: impaired blood formation, impaired absorption of nutrients, blood loss, chronic diseases, genetic disorders.
Treatment for low red blood cells
Treatment for low red blood cells depends on the cause of the condition. To increase the number of red blood cells, preparations containing iron, vitamins and minerals are prescribed. In some cases, a blood transfusion may be required, in which the patient is transfused with donor blood.
To prevent a low level of red blood cells in the blood, take care of your health and proper nutrition. Regular consumption of foods rich in iron, vitamins and minerals will help maintain a normal level of red blood cells.
- Taking preparations containing iron, vitamins and minerals
- Blood transfusion
- Maintaining a healthy lifestyle and proper nutrition this state.
Foods rich in iron: Foods rich in vitamins and minerals:
meat chickpeas beets buckwheat 90 304
fruit vegetables nuts red pepper Prevention changes in the level of erythrocytes in the blood
One of the main methods for preventing an increase in the level of erythrocytes in the blood is to maintain a healthy lifestyle. It is necessary to monitor nutrition, drink enough water, lead an active lifestyle and avoid smoking and drinking alcohol.

It is also important to have regular medical examinations and blood tests, especially for people with an increased risk of developing erythrocytosis – these are people with diseases of the cardiovascular system, miners and high-altitude workers, people with kidney diseases and hormonal disorders.
In addition, with a low level of red blood cells, it is recommended to increase the intake of food containing iron, vitamin B12 and folic acid. It can be meat, fish, eggs, green vegetables, fruits and nuts. It is also necessary to avoid significant blood loss and avoid stressful situations that can cause a change in the level of red blood cells in the blood.
- Summary: maintain a healthy lifestyle, get regular medical check-ups and blood tests, eat foods rich in iron, vitamin B12 and folic acid, avoid significant blood loss and stressful situations.
Q&A:
What are normal RBC counts for babies?
In the blood of newborns and infants, the normal number of red blood cells is 3.
9 to 5.9 million per microliter.What can lead to a decrease in the level of erythrocytes in the blood?
A low red blood cell count can be caused by various causes such as iron deficiency, chronic disease, blood loss, anemia, and genetic disorders.
What processes in the body lead to an increase in the number of red blood cells?
Elevated red blood cell counts can be caused by both physiological processes, such as high-altitude hypoxia, and pathological conditions, such as polycythemia, hypoxia, kidney disease, leukemia, and other diseases.
Can diet affect the level of red blood cells?
Yes, diet can affect the level of red blood cells. Insufficient intake of iron, vitamin B12, or folic acid can lead to anemia and a low red blood cell count.
Why do athletes have an increased number of red blood cells?
In athletes, an increased number of red blood cells may be caused by the body’s adaptation to high stress, as well as an increase in the production of erythropoietin, a hormone that stimulates the production of red blood cells in the body.




5 Reasons for a decrease in the level of erythrocytes in the blood
12.0.6 What complications can occur with prolonged high red blood cells?
Hereditary diseases such as thrombocytopenia and Diamond-Blackford syndrome can lead to low levels of red blood cells.
9 to 5.9 million per microliter.