Last Updated on November 20, 2025 by Ugurkan Demir

At Liv Hospital, we know the dangers of polycythaemia. It’s when your body makes too many red blood cells, making your blood thick. This can lead to serious problems like blood clots, heart attacks, and strokes. Our team is here to help you with this condition.
Erythrocytosis is another name for this issue. It can quietly harm your health. Knowing the signs and risks is key to catching it early and treating it right. We’re all about top-notch healthcare and support for our patients from around the world.

It’s important to know about polycythaemia and erythrocytosis. These conditions mean too many red blood cells, which can be dangerous. We’ll look at what happens when there are too many red blood cells, how it affects blood flow, and the different kinds of erythrocytosis.
When there are more red blood cells, blood gets thicker and harder to move. This can cut down on blood flow and oxygen to organs and tissues. People might feel headaches, dizziness, or even get blood clots.
Blood thickening happens because more red blood cells make blood sticky. This can block blood flow in vessels. It can cause thrombosis and damage to organs because they don’t get enough oxygen.
Blood getting thicker can harm the body in many ways. It makes blood vessels harder to push through, so the heart has to work harder. This can strain the heart and might even cause heart failure or stroke.
| Effects of Blood Thickening | Description |
| Reduced Blood Flow | Thicker blood flows less efficiently, potentially leading to organ damage. |
| Increased Risk of Blood Clots | Thick blood is more prone to clotting, which can cause thrombosis. |
| Cardiovascular Strain | The heart works harder to pump thicker blood, potentially leading to heart failure. |
Erythrocytosis can be split into types based on its causes. Primary erythrocytosis, or polycythaemia vera, is a rare blood cancer. It’s caused by a genetic mutation in the JAK2 gene that makes red blood cells grow too much.
Secondary erythrocytosis happens because of outside factors. This can be due to heart or lung diseases, or living at high altitudes.
Knowing the type of erythrocytosis is key to finding the right treatment.

Exploring the causes of erythrocytosis shows a mix of primary, secondary, and idiopathic factors. Knowing these causes is key to diagnosing and treating the condition well.
Primary polycythaemia vera is a rare blood cancer that causes too many red blood cells. It happens when the bone marrow makes too many red blood cells because of a genetic mutation, often in the JAK2 gene. Polycythaemia vera leads to too many red blood cells, white blood cells, and platelets. We will look into this condition more.
Secondary erythrocytosis is caused by many factors that increase red blood cell production. Chronic low oxygen levels, often from heart or lung diseases, can make more erythropoietin. This hormone helps make red blood cells. Other causes include tumors that make erythropoietin, certain kidney diseases, and high altitudes.
Idiopathic erythrocytosis is when the cause is unknown. This is when no cause is found after a detailed check. Idiopathic erythrocytosis is hard to treat because the cause is not known.
Knowing why a patient has too many red blood cells is vital for the right treatment. We will keep exploring symptoms and risks in the next sections.
Knowing the signs of too many red blood cells is key to getting help fast. When the body makes too many red blood cells, it can cause health problems. These problems can affect how you live and feel every day.
People with too many red blood cells often get headaches and dizziness. This happens because the blood gets thicker. This makes it harder for blood to reach the brain, causing these symptoms.
Many with too many red blood cells itch a lot after warm showers. This itch is often because of histamine released from the extra blood cells.
Even with more red blood cells, the body might not get enough oxygen. This can make you feel fatigued and weak. This can really change your life.
Shortness of breath is another common sign. The thick blood has trouble moving through the lungs. This makes it hard to breathe and get oxygen.
The following table summarizes the 13 key symptoms associated with too many red blood cells disorder:
| Symptom | Description |
| Headaches | Frequent headaches due to thickened blood reducing blood flow to the brain. |
| Dizziness | Dizziness resulting from reduced blood flow to the brain. |
| Intense Itching | Itching sensation, specially after warm showers, due to histamine release. |
| Fatigue | Feeling tired due to inefficient oxygen delivery to tissues. |
| Shortness of Breath | Difficulty breathing due to impaired oxygen exchange in the lungs. |
| Joint Pain | Pain in the joints due to increased red blood cell count. |
| Blurred Vision | Vision problems caused by thickened blood affecting the eyes. |
| Numbness or Tingling | Numbness or tingling sensations in hands and feet. |
| Enlarged Spleen | An enlarged spleen due to the increased workload. |
| Redness of the Skin | Visible redness or flushing of the skin. |
| Weakness | General feeling of weakness. |
| Sleep Disturbances | Difficulty sleeping due to discomfort or other symptoms. |
| Gout | Joint pain caused by elevated uric acid levels. |
Knowing these symptoms can help you get medical help early. This can stop serious problems from happening because of too many red blood cells.
Elevated erythrocytes can lead to serious health problems if not treated. An increase in red blood cells can cause blood to thicken and circulation to slow down. This is known as polycythaemia or erythrocytosis.
One major risk is the formation of blood clots. These clots can block blood flow in blood vessels. This can cause serious issues like deep vein thrombosis (DVT) or pulmonary embolism (PE).
“The risk of thrombosis is significantly higher in individuals with polycythaemia vera, a condition characterized by the excessive production of red blood cells,” as noted by medical professionals.
Thick blood can cause many problems. It clots more easily, leading to blockages in vital organs. This can also cause heart attacks and strokes as the heart struggles to pump the blood.
Slowed circulation is another issue with thick blood. It can lead to tissues and organs not getting enough oxygen. This can cause fatigue, dizziness, and shortness of breath. In severe cases, it can even cause organ failure.
Thick blood and slow circulation can damage organs over time. Organs like the kidneys and liver need oxygen-rich blood to work right. Prolonged strain can lead to organ dysfunction and failure.
It’s important to understand these risks to manage elevated erythrocytes well. Recognizing these complications helps individuals work with their healthcare providers. This way, they can prevent serious health issues.
To find out why someone has too many red blood cells, we need to look closely. We use several tests to figure out why this is happening.
A complete blood count (CBC) is key in finding out about high red blood cell counts. It checks the numbers of red, white blood cells, and platelets. This test helps us see if there are any problems with blood cells.
Hematocrit levels show how much of the blood is made up of red blood cells. If this number is high, it might mean there are too many red blood cells. This is often seen in polycythemia vera. Knowing these levels helps us diagnose and keep an eye on the condition.
A bone marrow examination looks at the bone marrow to see how it’s working. It helps us find out why someone might have too many red blood cells. This could be due to polycythemia vera or other bone marrow issues.
Genetic testing for JAK2 mutations is very important, mainly for polycythemia vera. The JAK2 mutation is a genetic change often seen in this condition. We test for this mutation to confirm the diagnosis.
Diagnosing high red blood cell count involves these tests together. By looking at the results, we can find the cause and plan the best treatment.
Knowing when to see a doctor is key for managing high red blood cell count. People with polycythaemia or erythrocytosis should watch for symptoms that need quick care and those they can keep an eye on.
Some symptoms mean you need to see a doctor right away. Look out for severe headaches, dizziness, and shortness of breath. If you get any of these, don’t wait to get help.
Other signs to watch for include chest pain, confusion, or trouble speaking. Spotting these early can stop serious problems.
If your red blood cell count is a bit high, keep an eye on it. You’ll need periodic blood tests and to watch for symptoms. Doctors can tell you how often to test and what symptoms to look out for.
Telling normal symptoms from ones that worry you is important. While some symptoms like mild fatigue might be okay, others like severe itching after warm showers or significant fatigue need a doctor’s check. Knowing your symptoms well helps you decide when to get help.
Keeping a symptom journal is a good idea. It helps you track your symptoms and talk to your doctor about your care.
Erythrocytosis treatment aims to lower red blood cell count and fix the cause. The main goal is to prevent complications from too many red blood cells.
Therapeutic phlebotomy, or venesection, is a key treatment for erythrocytosis. It involves removing blood to lower red blood cell count. This makes the blood thinner and reduces clot risk.
The number of blood removal sessions varies based on the condition’s severity and the patient’s health. Regular checks are key to see if treatment is working and to adjust it if needed.
For those with polycythaemia vera, a blood cancer, meds are vital. Hydroxyurea is often used to cut down red blood cell production. Other drugs like interferon alpha and ruxolitinib help manage symptoms and slow disease growth.
It’s important to stick to the medication plan to manage polycythaemia vera well and avoid complications.
In secondary erythrocytosis, treating the cause is key. This might mean fixing issues like chronic hypoxia or tumors that lead to high red blood cell counts. We work with patients to find and treat the cause of their erythrocytosis.
By tackling the cause, we can create a treatment plan that not only lowers red blood cell count but also boosts overall health.
Managing too many red blood cells needs a full plan. This includes making lifestyle changes and keeping an eye on health. With the right steps, people can lower risks and live better.
Making lifestyle changes is key in managing too many red blood cells. Staying active is good, but too much exercise can cause dehydration. It’s also important to avoid smoking and limit alcohol to prevent worsening the condition.
Adding stress-reducing activities like meditation or yoga is helpful. Keeping a healthy weight and eating well also boosts overall health.
Drinking enough water is vital for those with too many red blood cells. It makes the blood thinner and lowers risks. Aim for eight glasses of water a day. Also, check if your urine is pale yellow to see if you’re drinking enough.
Keeping an eye on red blood cell counts and other health markers is key. Work with your doctor to set up a schedule for blood tests and check-ups. This helps manage the condition well.
| Monitoring Parameter | Frequency | Purpose |
| Red Blood Cell Count | Every 3-6 months | To assess the need for therapeutic phlebotomy |
| Blood Pressure | At every check-up | To monitor cardiovascular health |
| Liver and Spleen Size | Annually | To check for enlargement |
Dealing with too many red blood cells can be tough, both physically and emotionally. Look for support from groups, forums, and counseling. Talking to others who get it can offer emotional support and useful tips.
By following these long-term management tips, people with too many red blood cells can live full and meaningful lives. They can also reduce the risks linked to the condition.
Understanding too many red blood cells disorder is key to better health. We’ve covered its causes, symptoms, and risks. Now, we see that a full approach is needed for good management.
Good management means medical care, lifestyle changes, and watching health closely. Working with doctors, people can make plans that fit their needs. This might include blood removal, medicines, and healthy living tips.
It’s vital to keep checking in and adjusting plans as needed. By being proactive, people with this disorder can live better lives. They can also lower the chance of serious problems.
Polycythaemia or erythrocytosis is when the bone marrow makes too many red blood cells. This makes the blood thick and can cause health problems.
An increase in red blood cells makes the blood thicker. This can cause blood clots and damage to organs.
Symptoms include headaches, dizziness, and itching after warm showers. You might also feel tired, weak, and have trouble breathing because of the thick blood.
Primary polycythaemia vera is a rare blood cancer. It causes the bone marrow to make too many red blood cells.
Secondary causes include chronic low oxygen levels and tumors. These can also lead to an increase in red blood cell production.
Doctors use a complete blood count (CBC) to check the number of red blood cells. They also look at hematocrit levels, do a bone marrow exam, and test for JAK2 mutations.
High levels of erythrocytes can lead to serious health issues. These include blood clots, reduced circulation, and damage to organs.
Therapeutic phlebotomy, or venesection, is a treatment. It involves removing blood to lower the red blood cell count and ease symptoms.
People with erythrocytosis can manage it by staying hydrated and monitoring their red blood cell count. They can also use support resources and join communities.
If you have severe headaches, dizziness, or shortness of breath, seek medical help right away.
Erythrocytosis blood disorder is when the body makes too many red blood cells. This can make the blood thick and lead to health problems.
Drinking enough water is key. It helps thin the blood, reducing the risk of blood clots and other complications.
Subscribe to our e-newsletter to stay informed about the latest innovations in the world of health and exclusive offers!