High Hemoglobin Levels

[chau1353]

I am 37 yrs & was under severe stress for about last 6 months (which is now over) of late during my medical examination in Feb'12 my hemoglobin was around 12,  In month of May'12 it was recorded 16 & now 16.4. During all these months I had developed high uric acid which read as 8.9 for which I have been recommended Furic 40, 1 tab daily (which has reduced pain in my finger joints). Also since March'12  , I have BP reading 150/90 apart from this I feel warmth in different parts of body & uneasiness in  the limbs.

I request your expert advice on the following: -
1. What is the normal level of haemoglobin one should have and what is the maximum level? - If my haemoglobin level is more than the normal level, how can I control it?
2. What is the implication of high level of haemoglobin? What is the reason for higher level of haemoglobin ?
3. Is there any risk if the haemoglobin level is more than the normal level?
4. How can I reduce my hemoglobin levels.

Kindly advise on the treatment.

[Muthu4720]

Good morning Dr, I am 39 years old, I am smoking for 16 year's, I know it's bad for health, my hemoglobin level was normal a year ago, but now I took a blood routine test for my fewer. It shows 20.8 , doctor said it's not normal and he suggested to take a complete blood test in different lab, it came to 19 now, he told me to quit smoking, and he suggested me a different doctor, I tried 4 days without smoking, I failed , please suggest me what to do.  

[Dr. Kokil Mathur]

Hi!
Many people feel faint on giving blood. This is usually a vaso-vagal reaction and results in dizziness. However, since you have a very high hemoglobin, you need to rule out the following conditions as well: polycythemia vera, heart failure (subclinical as you are probably otherwise fit), congenital heart disease, cor pulmonale, lung fibrosis, asthma etc.  
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your PCP to run tests and examination to clinch a diagnosis. You may also need to consult a cardiologist or a hematologist. Take care!

[abhi774]

hi doctor

can u tell me what should i do?
my age is 18 and i wet for blood donation
when my hemoglobin was checked it was 18.3
i dont smoke,i just eat more non-veg
and when i started giving my blood i stated feeling fainting
i only gave around 100ml
can u advice me what to do?
my e-mail address
abhimanyu.***@****
please suggest me something

[chau1353]

Hi Doctor,

Can you suggest some good doctor in delhi.

[chau1353]

Thanks Doctor. Even at 16.4 i feel the warmness of body (seems heat emitting out of my body) creates uneasiness & heavy sweating. I have been taking lots of water too. but still. However  just to update you since i was under stress hence was on multivitamin & some homeopathic medicine also.

[Dr. Kokil Mathur]

Hi!
Normal values of hemoglobin in adults is 12 to 18 grams per deciliter (may vary from lab to lab). Hemoglobin levels increase in severe dehydration, polycythemia vera, heart failure, Congenital heart disease, cor pulmonale, smoking, lung fibrosis etc. A value hovering around 16 could be the normal value in your case. Please talk to your doctor. Take care!