High hemoglobin count

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Causes

By Mayo Clinic staff

High hemoglobin count may occur because:

  • Red blood cell production increases to compensate for low blood oxygen levels due to poor heart or lung function
  • Your kidneys release too much of a protein (erythropoietin, or EPO) that enhances red blood cell production
  • You've taken drugs that stimulate red blood cell production
  • A bone marrow dysfunction results in an increased production of red blood cells
  • Red blood cell production increases to compensate for a limited oxygen supply in higher altitudes

Specific disorders or other factors that may cause high hemoglobin count include:

  • Anabolic steroids, which stimulate red blood cell production
  • Congenital heart disease
  • COPD
  • Dehydration
  • Emphysema
  • EPO doping — injections of erythropoietin (EPO) to enhance athletic performance
  • Heart failure
  • Kidney cancer
  • Living at a high altitude, where there's less oxygen in the air
  • Other types of heart disease
  • Other types of lung disease
  • Polycythemia vera
  • Pulmonary fibrosis
  • Smoking, which may result in low blood oxygen levels

Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

MY00112

Aug. 28, 2008

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