View Full Version : High Hemoglobin and Hemacrtocrit along with Low T

05-16-2014, 07:34 AM
My husband was diagnosed with low T about 6 months ago. His was severely low for his age. It was 196, they started him on T shots every two weeks. A blood test came back with high Hemoglobin and Hematocrit so they stopped the testosterone treatment. It has been two months and now he is having blurred vision, trouble breathing, numbness in his feet, feeling dizzy. He went to ER and again they said his Hemoglobin and Hematocrit was high. I think 23 and 54 were his numbers. He is visiting out of state so they told him to see him primary when he gets back. He is not in high altitudes in either place. His grandmother (paternal) and Uncle on his fathers side both have polycythemia Vera but they say this is not genetic? the doctor at the ER did say they heard something in his lungs so to have a chest xray when he gets back to Virginia.

05-16-2014, 08:12 AM
There are many reasons for high hemoglobin and hematocrit, and this does need checked out thoroughly. When blood counts are high, the blood thickens, and clots more easily, increasing the risk for heart attack and stroke. One very common reason is sleep apnea, which lowers oxygen during night and stimulates red cell production. Iron storage disease (hemochromatosis) can also cause high Hb and Hct, and is often hereditary, and can affect testosterone production. Polycythemia vera is a possibility too, as is chronic carbon monoxide poisoning, and COPD (emphysema). He should be checked for ALL of these things until a cause is found. Treatment is aimed at lowering blood counts by removing a unit of blood periodically, staying well hydrated, taking aspirin daily to prevent clots and of course, treating the underlying cause, such as low oxygen levels or sleep apnea.