$Unique_ID{BRK00672} $Pretitle{} $Title{Is Bloodletting The Only Solution for Polycythemia?} $Subject{polycythemia vera red blood cells hemoglobin cell bleeding bone marrow fatigue concentration headache drowsiness forgetfulness dizziness phlebotomy bloodletting headaches dizzy} $Volume{D-7} $Log{ Red Blood Cells*0002103.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Is Bloodletting The Only Solution for Polycythemia? ------------------------------------------------------------------------------ QUESTION: Fifteen years ago, my husband was hospitalized and was diagnosed as polycythemia, no cure. Since that time, he has had to have one unit of blood withdrawn four times yearly. They say bloodletting is the only solution to his problem. I would appreciate another opinion. ------------------------------------------------------------------------------ ANSWER: Polycythemia vera is a disease in which all of the elements of the bone marrow grow at a more rapid rate than normal and in which we see an increase in the mass of the red blood cells and hemoglobin. The average age at onset is about sixty years, and the disease is seen more in males than females. About seven million individuals suffer from polycythemia vera. Complaints of these patients include fatigue, difficulty in concentration, headache, drowsiness and forgetfulness, and even dizziness. About half of them suffer from itchy skin, particularly after a hot bath. Most patients' skin color is normal, but when the physician examines the vessels at the back of the eye, the veins are dark red, full and betray the presence of a high level of red cells. In general, the spleen is also palpable on physical examination. In spite of all of this, however, some patients suffer from no symptoms at all. All the textbooks stress that phlebotomy (bloodletting) is part of the management of every patient. This relatively simple procedure keeps most patients symptom-free and maintains the levels of hemoglobin, as well as the number of red cells within normal limits. It is only when the condition cannot be controlled with occasional blood removals that other drugs are used in conjunction with phlebotomy. Most of these medications are still under study and are difficult to administer, as they must be individualized for each patient. I am sure that the physicians who are responsible for your husband's care are aware of all of the latest developments in the therapy of polycythemia, and that they will use medications as necessary and when necessary, since their prime consideration is for your husband's comfort and welfare. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.