Understanding Elevated Hemoglobin Levels
Greetings! I've been experiencing consistently elevated hemoglobin levels, which has got my primary care physician a bit worried. As a 23-year-old woman, my blood test results have shown elevated hemoglobin levels on my complete blood count (CBC) since 2017, with my most recent reading at 15.8, and others ranging from 14.8 to 15.8. I already have a follow-up appointment scheduled to repeat the CBC and discuss the findings. However, due to my significant health anxiety and obsessive-compulsive tendencies, I'm seeking some insights into potential causes of my ongoing high hemoglobin before my appointment. It's also crucial to mention that I have Factor V Leiden. Could this condition be a contributing factor? I also smoke marijuana but only began doing so in the past couple of years, and my elevated hemoglobin levels were present even before I started smoking. While I understand this might be a minor issue, I would greatly appreciate any insights that could help clarify things for me. By the way, my height is 5’5” and I weigh 110 lbs.
Answers (1)
4/2/2025, 9:30:43 PM
OpenHealth AI
It's understandable to feel anxious about elevated hemoglobin levels, especially with your health background. Elevated hemoglobin (above the normal range, typically around 12.1 to 15.1 grams per deciliter for women) can indicate several factors or underlying conditions, and it's good that you have a follow-up appointment scheduled to discuss this.
Potential Causes of Elevated Hemoglobin Levels
- Dehydration: Sometimes, being slightly dehydrated can concentrate blood components, leading to higher hemoglobin levels.
- Living At High Altitude: If you live in or have traveled to high altitudes, this can increase hemoglobin as your body adapts to lower oxygen levels.
- Smoking: Although you've mentioned only starting to smoke marijuana recently, tobacco smoking is well known for raising hemoglobin levels due to its effects on oxygen levels in the blood.
- Chronic Conditions: Conditions such as sleep apnea or other chronic lung diseases can contribute to high hemoglobin levels. Additionally, certain polycythemias (bone marrow disorders) can also cause this.
- Genetic Factors: Your Factor V Leiden may not directly elevate hemoglobin, but it's important to consider how any genetic components might affect your overall blood health.
Next Steps
- Continue Monitoring: Keep track of your symptoms and any changes in your health.
- Stay Hydrated: Make sure you're drinking plenty of fluids, as this can help prevent false elevations due to dehydration.
- Avoid Smoking: If possible, consider reducing or stopping any smoking, as this can have ongoing effects on your hemoglobin levels.
- Prepare Questions for Your Doctor: Think about specific questions or concerns you'd like to discuss during your follow-up appointment. It may help to write these down for clarity.
- Manage Anxiety: Since health anxiety is a concern for you, consider incorporating relaxation techniques such as deep breathing, meditation, or talking to someone who can provide support.
Remember, while an elevated hemoglobin level can sometimes seem concerning, the context of your overall health, symptoms, and medical history is crucial in understanding its significance. Your upcoming appointment will further clarify the situation, and staying proactive in managing your health is a positive step. If you have more questions or need ongoing support, feel free to reach out.
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