High Red Blood Cell Count of 544: What to Do and Where to Seek Help? - Cardiology

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If your son's red blood cell (RBC) count is reported at 544 (in thousands per microliter), it is slightly above the normal range for adolescents, which typically falls between 4.0 to 5.5 million cells per microliter. A high RBC count can indicate various conditions, including dehydration, smoking, living at high altitudes, or more serious conditions like polycythemia vera or other underlying health issues.
First and foremost, it is essential to confirm the results with a repeat blood test. Sometimes, laboratory errors can occur, or transient factors such as dehydration can lead to elevated counts. If the repeat test confirms the high RBC count, the next step is to consult a healthcare professional for further evaluation.

In your case, since you are located in Tainan, you should consider visiting a hospital or clinic that has a hematology department or a general internal medicine department. These specialists are equipped to handle blood-related issues and can provide a thorough assessment of your son's condition.
When you visit the doctor, be prepared to discuss any symptoms your son may be experiencing, such as fatigue, headaches, dizziness, or any other unusual signs. The doctor may recommend additional tests, such as a complete blood count (CBC), erythropoietin levels, or tests to assess for dehydration or other underlying conditions.
In terms of management, treatment will depend on the underlying cause of the elevated RBC count. If it is due to dehydration, increasing fluid intake may resolve the issue. If a more serious condition is identified, such as polycythemia vera, treatment options may include therapeutic phlebotomy (removing blood from the body) or medications to manage the condition.

It's also important to monitor other blood parameters, such as hemoglobin and hematocrit levels, as these can provide additional insights into your son's overall health. For instance, if hemoglobin levels are elevated alongside RBC counts, it may indicate a more significant issue that requires intervention.

In summary, the first step is to repeat the blood test to confirm the results. Following that, seek consultation from a hematologist or an internal medicine specialist in Tainan. They will guide you through the necessary evaluations and potential treatments based on the findings. Remember, early intervention can often lead to better outcomes, so addressing this promptly is crucial.