instruction: hello doctor I am 40 and male do not smoke four years back hemoglobin was 18 rec normal hematocrit 50 normal now hemoglobin was 18 value was up to 17 rec normal 78 value up to and hematocrit at 50 platelets were 26 the doctor thinks I just run high but nervous would the counts be much higher all other values are normal should I worry about anything like polycythemia
output: hello your hemoglobin level and red blood cells count are slight high the hematocrit level is within limit so you can have secondary polycythemia case drink lots of water at least 3 liter per day I suggest you investigate with serum ego estimation ekg and chest ray investigation for further work up your physical examination also should be done if all reports and physical evaluation is within limit then you may need not worry about that