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Polycythemia

  1. I did try to register with this site - for some reason it would not let me - so this message will end up as being from a Guest - Sorry about that.

    Basically I need some info on Polycythemia (message is a bit long) again apologies in advance.

    I have also posted part of this message to the Crohn's disease site - as part of my question is - could these two diseases be connected?

    In the first instance?

    How long could you have polycythemia without it being diagnosed? - also could it be missed being picked up from tests after a Heart Attack?

    Why am I asking? - it would seem - I have been suffering many symptoms of this disease for a while and due to other complications - it has not been diagnosed OR the symptoms I had - have been put down to other conditions - for instance one being Crohn's disease since 19 - in addition to the Crohn's I contracted the Helicobacter Pylori bug - I have had joint or bone pain for a long time (treatment has been steroid injections) - the joint and bone problem - was attributed to a side effect of the Crohn's, I have suffered High Blood Pressure for a long time - I have had the itching, sweating, headache & tiredness etc. (but this was put down to the menopause) then to cap it all - I had a Heart Attack last year at age 52 (which was termed a silent MI as it did not show up on an ECG) this again was attributed to a malfunction of the Liver which they said - had produced high cholesterol levels (my cholesterol level was 8.4) result I had two blocked arteries. one at 85% the other at 70%

    They performed angioplasty and fitted one stent to the 85% one - but said they could not stent the other as it would jeopardize the first stent?..

    Recently - I started to feel very tired again & was continually sweating - to such an extent I never got a continues nights sleep and it was very troublesome at work - I teach ICT - and you can imagine what it was like trying to work in a room full of PC's in summer - when one is continually sweating profusely.

    Basically I was lucky I suppose that I was working with an older lady - who on observing how I was perspiring - actually advised me to go get it checked out - as she pointed out - it was not normal and she did not believe it to be as a result of the Menopause - especially as I was taking HRT.

    So I decided a visit back to the doctors - was my only solution - on running a complete blood count - it was found I had raised Red Cell Count & White Cell Count Increased Platelets plus increased blood volume? - whilst there my doctor asked me if my spleen hurt? This she also checked but did not explain the reason for it.............she ordered a second blood test - again Cell Counts were High and I was told they were Abnormal. At that point she asked me to go for a third test? whereby at this point I asked Why? - to be told by the doctor - she thought I had Polycythemia? And said if the count was still raised at the third test she would refer me to a haematologist.

    When I enquired as to could my cell levels have been raised last year? (my blood was very thick - at the time of the M.I.) and could it have caused my Heart Attack? - my doctors reply was - funny you should ask that - your haemoglobin levels were raised last year?

    Needless to say - the third test also came back raised and I was given a definite diagnosis of Polycythemia - she has also referred me to a haematologist - (I am waiting for an appointment) - I did ask my doctor for an explanation etc. at which point she flipped through a book on blood complaints and muttered under her breath that she did not think it was kidney or liver related - but said nothing else other than putting me on sick....................I have been prescribed no medication by my doctor for this polycythemia.

    I did ask both the doctor and the Heart nurse at the practice should I continue to take Clopidergrel - (as I was told initially I should only take this for 12 months after the M.I.) - the reason for asking :-

    I may be wrong - yet if I am understanding some of the articles correctly Clopidergrel is used as one of the treatments - for Polycythemia?

    It really inspired me when the Heart nurse said she had never heard of Polycythemia - (but said she would check for me regards the clopidergrel) -

    The reply from my doctor was she would contact the specialist who treated me for the Heart Attack as she was unsure - regards stopping the clopidergrel.................so far my doctor has not come back to me regards either continuing or stopping the clopidergrel?

    The next message I got was via the receptionist - that the Heart nurse had spoken to some doctor (not the specialist who had treated the M.I. or my own doctor as I understood it from the receptionist)

    Whoever this doctor was that the heart nurse spoke to? - he said I could stop taking Clopidergrel - at this point I am somewhat wary regards the advise on stopping clopidergrel based on some unknown doctors advice (who possibly has no clue regards my health background) or who may not be a specialist who deals with polycythemia

    Perhaps I am being over cautious - BUT - I do not particularly want to stop taking a medication that is basically stopping my platelets sticking together - as I do not fancy either another Heart Attack or even the slightest possibility of the stent blocking.I was lucky last time regards the Heart Attack (I may not be as lucky again) - especially when it did not show up on the ECG - it was only discovered after the blood test showed raised Tronpin levels indicating I had, had an M.I. - (basically my daughter was told - if they did not perform angioplasty there and then - I would have a massive Heart Attack)

    Anyhow - The impression I have got from both my doctor and the practice heart nurse (is they have not a clue what they are doing regards polycythemia - and that they are out of their depth with this disease)

    One question you may be able to answer - WHY - if my doctor has now diagnosed this disease - was it not diagnosed earlier than now (especially at the time of the Heart Attack? - if my haemoglobin levels where raised?) - also what is my likely prognosis at this point - will they have left it too long to treat?

    Having checked out Polycythemia on the net - I am more confused than ever? Basically - (is it a type of blood cancer?)

    Incidentally when I had the Heart Attack last year - in A&E when they tried to draw my blood - it had the consistency of glue - and they had a great deal of difficulty getting a sample..................

    I am also wondering - WHY - my thick blood last year did not raise any suspicion - especially if the haemoglobin level was also raised? (if I have read the info correctly from the internet) - thick blood is a typical symptom of Polycythemia.

    I apologise for the length of this email - but could someone please advise

    To have been diagnosed with Crohn's disease in my teens (which was rare when I was first diagnosed) and now this - which from what I have also read seems to be rare (or am I mistaken regards it being a rare complaint)..............anyhow would seem that when they dealt the pack for me - I got the joker cards...................which is why I am a bit peeved at the moment...............yes I do realise there are people worse off than me - so perhaps I should not complain.

    To be able to get advice from someone who knows about this complaint would be most welcome...............because at the moment I am feeling very isolated regards the implications or possible outcome of this complaint.

    Many thanks..........Heather

  2. hi there, i was diagonosed with polychythemia 3 years ago now after a full blood count was taken for something else.

    i endured every test under the sun to get a primary or secondry diagnosis. there never used to be a way to diagnose which one it was, so i had blood volume tests, ultra sounds, ct scans and worst of all, bone marrow byopsy!

    now there is a test called jak 2 analysis which managed to diagnose me with a definate primary poly. I go for blood tests every 3 months now and if i need to get a venesection then fine but ive been needing them less and less.

    good luck

  3. Brueye.

    I was diagnosed with primary polycythemia in May this year. From reading papers I have discovered it is a very rare disease (1-2 persons per 100,000). It is quite possible that your GP had never seen a case before. There is a number of things that can cause 'thick blood' which are much more common than polycythemia, dehydration to name just one. There is an old saying if you hear hoofbeats think horses not zebra's. Your doctor would be looking for a much simpler explanation first.

    Now you have been referred to an expert in the field (haematologist), I am sure that he/she will be able to give you much more information, I have found mine extremely helpful and informative.

    Dont alarm yourself by thinking about 'blood cancer' life expectancy is not seriously reduced by polycythemia if it is treated correctly.

    Your haematologist will no doubt send off your blood for the JAK2 test to confirm that is is polycythemia.

    Good luck.

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