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Why are my red blood cells high?

Published in Red Blood Cells 2 mins read

Your red blood cell (RBC) count might be elevated due to various underlying reasons, ranging from lifestyle factors to certain medical conditions. Let's explore some potential causes:

A high red blood cell count (also known as polycythemia) indicates that there are more red blood cells in your blood than normal. While this can sometimes be a normal variation, it often points to an underlying issue that needs investigation.

Possible Causes of High Red Blood Cell Count

Here's a breakdown of the potential reasons for an elevated RBC count:

  • Lifestyle Factors:

    • Smoking: Smoking is a known contributor to elevated RBC counts.
  • Medical Conditions:

    • Congenital Heart Disease: Heart defects present from birth can lead to higher RBC production.
    • Kidney Disease: Certain kidney diseases can affect the production of erythropoietin, a hormone that stimulates RBC production.
    • Internal Bleeding: Although seemingly counterintuitive, chronic internal bleeding can sometimes trigger the body to produce more red blood cells.
    • Malnutrition: While less common, severe malnutrition can paradoxically lead to a higher RBC count in some cases.
  • Other Factors:

    • Living at high altitudes can cause a naturally higher RBC count due to lower oxygen levels.
    • Dehydration can falsely elevate RBC counts.
    • Certain medications can also increase RBC production.

What to do Next

If you have a high RBC count, it's important to consult with your doctor to determine the underlying cause. They may order further tests to investigate and recommend appropriate treatment.

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