What to do if the average hemoglobin concentration is too high

High average hemoglobin concentration can be intervened through adjusting diet, supplementing water, screening diseases, medication treatment, regular follow-up, and other methods. The abnormality of this indicator may be related to factors such as dehydration, myeloproliferative diseases, abnormal cardiopulmonary function, smoking, and altitude sickness.

1. Adjust diet

Reduce the intake of high iron foods such as animal organs and red meat, and moderately increase vegetables and fruits rich in vitamin C such as broccoli and spinach. Vitamin C helps promote iron metabolism. Avoid consuming iron rich foods and strong tea and coffee at the same time, as these drinks can inhibit iron absorption. Long term high-speed rail diet groups can schedule 1-2 vegetarian days per week.

2. Supplement Water

Dehydration can lead to blood concentration and cause pseudo elevation. Daily water intake should reach 2000-3000 milliliters, and electrolyte water should be replenished in a timely manner after exercise. Observing the color of urine is a simple method to determine the degree of dehydration, with light yellow being the ideal state. Elderly people and high-temperature workers need to set up drinking water reminders.

3. Disease screening

Patients with polycythemia vera may experience symptoms such as skin flushing and headache, and require JAK2 gene testing. Chronic obstructive pulmonary disease can lead to compensatory erythrocytosis, accompanied by coughing and difficulty breathing. Long term smokers are advised to undergo comprehensive lung function tests, and high-altitude residents should monitor their blood oxygen saturation.

4. Drug therapy

For polycythemia vera, medication such as hydroxyurea tablets and interferon alpha-2b injection can be used according to medical advice. Secondary erythrocytosis requires treatment of the primary disease, such as the use of salmeterol and fluticasone powder inhaler in patients with chronic lung disease. During the use of anticoagulant drugs, regular monitoring of coagulation function is necessary to prevent thrombosis.

5. Regular follow-up

For those who first discover abnormalities, their blood routine should be rechecked one month later to rule out detection errors. Confirmed patients need to have their iron metabolism indicators and erythropoietin levels checked every 3-6 months. Avoid vigorous exercise 24 hours before blood collection, fasting time should not exceed 12 hours, and women should avoid their menstrual cycle.

It is necessary to maintain moderate aerobic exercise such as brisk walking and swimming in daily life to avoid anaerobic exercise exacerbating blood viscosity. People living in high-altitude areas can use humidifiers to prevent dryness, and pay attention to keeping their limbs warm in winter. Quit smoking and limit alcohol consumption, ensure 7-8 hours of sleep per day, and adjust the dosage of aspirin enteric coated tablets and other medications according to medical advice for long-term use. Seek medical attention promptly when experiencing symptoms of hypercoagulability such as dizziness and blurred vision.