What is the reason for high average hemoglobin

Elevated average hemoglobin may be caused by long-term smoking, high-altitude living, chronic hypoxic diseases, polycythemia vera, severe dehydration, and other reasons. Intervention can be achieved through oxygen therapy, intravenous fluid replacement, bloodletting therapy, bone marrow suppression drugs, and other methods.

1. Long term smoking

Carbon monoxide in tobacco can combine with hemoglobin to form carboxyhemoglobin, leading to compensatory production of more hemoglobin in the body. This type of situation needs to be improved by quitting smoking, which can be assisted by nicotine patches. It is also recommended to regularly monitor blood routine indicators.

2. Living at high altitudes

The low oxygen environment at high altitudes can stimulate the secretion of erythropoietin by the kidneys, promoting the hyperfunction of bone marrow hematopoiesis. It is recommended to move to plain areas or continue low flow oxygen therapy. Using an oxygen concentrator to maintain blood oxygen saturation above 90% can effectively alleviate symptoms.

3. Chronic hypoxic diseases

Chronic obstructive pulmonary disease, congenital heart disease, etc. can lead to long-term tissue hypoxia and secondary red blood cell count. Targeted treatment is needed for the primary disease, such as using budesonide formoterol powder inhalation to control inflammation in patients with chronic obstructive pulmonary disease, and performing ventricular septal defect repair surgery in patients with congenital heart disease.

4. Polycythemia vera [SEP]: Abnormal bone marrow proliferation leads to an increase in hemoglobin autonomy, which may be accompanied by symptoms such as headache and skin itching. The treatment requires the use of hydroxyurea tablets to suppress bone marrow hematopoiesis, or the rapid reduction of hemoglobin concentration through therapeutic red blood cell apheresis, and if necessary, combined with interferon alpha-2b injection to regulate hematopoietic function. Severe dehydration, diarrhea, burns, and other causes of blood concentration can lead to a relative increase in hemoglobin levels. It is necessary to supplement compound sodium chloride injection in a timely manner to correct dehydration. Diarrhea patients can cooperate with montmorillonite powder to protect the intestinal mucosa. Burn patients need to undergo wound debridement and fluid replacement treatment.

It is necessary to maintain a daily water intake of 2000 milliliters to avoid excessive exercise that can worsen blood viscosity. It is recommended to have a blood routine check every 3 months to observe the trend of hemoglobin changes. When experiencing symptoms of high blood viscosity such as dizziness and blurred vision, immediate medical attention should be sought for a blood rheology examination. Residents in high-altitude areas can consume moderate amounts of foods such as hawthorn and black fungus that have the effect of promoting blood circulation and removing blood stasis, but patients with polycythemia vera should limit their intake of high-speed rail foods.