What is Secondary Erythrocytosis?

Secondary Polycythemia
Too many erythrocytes(RBC's)
Secondary erythrocytosis is a rare disorder that causes an over-production of red blood cells. When too many red blood cells are being produced, the blood becomes thick, hindering its passage through the smaller blood vessels.


Causes

The function of a red blood cell is to deliver oxygen to the body tissues. Smoking interferes with this process, therefore it is a common cause of secondary erythrocytosis.

Others include:

  • Carbon monoxide poisoning
  • Chronic heart or lung disease
  • High altitude
  • Cysts of the kidneys
  • Brain, liver or uterine tumours

Symptoms

The symptoms of secondary erythrocytosis include the following:

  • Weakness
  • Headache
  • Fatigue
  • Lightheadedness
  • Shortness of breath
  • Visual disturbances
  • Pruritis (itching)
  • Pain in the chest or leg muscles
  • Ruddy complexion
  • Confusion
  • Ringing in the ears (tinnitus)
  • Burning of the hands or feet

It is advisable to consult a doctor as soon as possible if the above symptoms are experienced frequently as it is important to get diagnosed early.

Diagnosis

The doctor must first determine if the erythrocytosis is "primary" or "secondary".

Measuring oxygen levels in the blood with a blood test known as arterial blood gases (ABG's), can help doctors formulate a diagnose of secondary erythrocytosis. Other blood tests include measurement of erythropoietin and red blood cell mass levels.

Additional diagnostic tests may include:

  • Chest X-Ray
  • Electrocardiogram
  • Imaging studies to determine enlargement of the spleen or liver

Treatment & Prevention

Treatment for secondary erythrocytosis should control or eliminate the underlying condition. No medications are available.

The following can be done:

  • Provide oxygen supplementation to patients with chronic obstructive pulmonary disease.
  • Recommend weight loss in patients with obesity and hypoventilation
  • Recommend smoking cessation for patients with carboxyhemoglobin
  • Surgically correct arteriovenous shunts

Proper treatment can prevent or delay symptoms and complications of secondary erythrocytosis.

It is possible to prevent is by avoiding things that deprive your body of oxygen for long periods. For example, you can avoid mountain climbing, living at a high altitude, or smoking. 
Following a healthy lifestyle to lower your risk of heart and lung diseases will also help to prevent it. 

7-Day Diet Plan



Day
Breakfast
Lunch
Dinner
Rationale behind plan
1
200ml green tea
1 lotus seed pau
1 banana
Skinless chicken rice with cucumber
Lavender Tea

Brown Rice, broccoli with black bean-garlic sauce

1 tablespoon of raisins
Honeybush Tea
According to our researched website, these people are required to drink at least 2 cups of herbal Tea and those are: Lavender Tea and green tea. They are also required to take food rich in protein such as: beans and broccoli. Moreover, these people are required to consume antioxidant foods such as: banana, raisins.
2
1 Scrambled egg
using Olive oil
1 cup of fresh apple juice
2 chapati with tomato curry
4 Ounces Fresh Pineapple
Roseship Tea
2 steamed ostracean
with stir- fried red cabbage
250 ml of Cranberry Tea
1 cup of steamed peanuts
According to our researched website, these people are required to drink at least 2 cups of herbal Tea and those are: Roseship Tea
and Cranberry tea. They are also required to take food rich in protein such as: egg and peanuts. Moreover, these people are required to consume antioxidant foods such as: apples and red cabbage
3
Soya milk with 2 plain pancakes
1 medium sized apple
1 bowl of steamed chickpeas
300ml fresh orange  juice
I bowl of Plain white rice with Stirr fried beans and onions
white radish stewed pork rids soup
1 cup of cooked brown rice
Pumpkin Curry
Raspberry Leaves Tea
1 medium sized guava
1 cup Anise Tea
According to our researched website, these people are required to drink at least 2 cups of herbal Tea and those are: Anise Tea
and Raspberry Leaves tea. They are also required to take food rich in protein such as: Beans and chickpeas. Moreover, these people are required to consume antioxidant foods such as: apples, onions and guava.
4
250 ml of fresh blueberry juice with 1 red bean pau
1 medium sized pear
250 ml Chrysanthemum Tea with Plain Rice and Tofu Sambal and stir fired lady’s finger
7 strawberries (1 serving)
1 Cup Tossed Salad Mix
I medium sized Steamed cold fish with fired rice
Green Tea
According to our researched website, these people are required to drink at least 2 cups of herbal Tea and those are: Chrysanthemum Tea and Green Tea . They are also required to take food rich in protein such as: Soya and cold fish. Moreover, these people are required to consume antioxidant foods such as: blueberry, pear and strawberries
5
1 orange
250ml of Olive Leaf Tea
1 lotus seed Pau
1 cup of low fat yogurt
250ml of tumeric tea
1 plate of fried rice
with baked hallibut as in this website (http://www.bassonhook.com/fishforfood/halibutrecipes.html)
250ml of chrysanthemum tea
1 plate of bee hoon stir fried with olive oil and mixed vegetables.
1 small plate of stir fried pepper lentils
According to our researched website, these people are required to drink at least 2 cups of herbal Tea and those are: chrysanthemum tea and tumeric tea.
They are also required to take food rich in protein such as: yogurt and lentils.


Moreover, these people are required to consume antioxidant foods such as:
orange juice and vegetables like mushroom in baked hallibut.
6
1 cup of soya bean milk
1 idiyappam (rice batter steam cooked)
with vegetable kurma (vegetable curry with grated coconut)
1 medium sized  bowl of cabbage and potato salad
1 bowl of plain rice with salmon curry
1 cup of banana milk shake
250 ml of Anise Tea

Black Fungus Chicken with Ginger recipe
1 cup of egg soup
1 handful of grapes
250 ml of Green Tea
According to our researched website, these people are required to drink at least 2 cups of herbal Tea and those are: Anise Tea and Green Tea
They are also required to take food rich in protein such as: soya bean milk and egg.


Moreover, these people are required to consume antioxidant foods such as:
grapes and banana milk shake.
7
1 bowl of tomato
and egg noodles
Peppermint Tea
7 prunes
1 cup of corn soup
5 blueberries
1 plate of rice with grilled eggplant and portobello
1 cup of roasted peanuts
cooked green beans
2 pieces of watermelon
1 bowl of millet porridge
250 ml of Roseship tea.
According to our researched website, these people are required to drink at least 2 cups of herbal Tea and those are: Peppermint tea, Roseship tea. They are also required to take food rich in protein such as: egg. peanuts
Moreover, these people are required to consume antioxidant foods such as: blueberries, tomato and prunes


Other than the rationale provided, we have also taken into account that thse people should avoid taking refined foods such as bread, pasta and especially white sugar.


Moreover, these people are require to consume more lean meat than red meat. Furthermore, we have also used healthy oils such as olive oil to make the food more suitable for these people. We have not prescribed any baked goods such as cookies and cakes, French fries and etc as these are also not suitable for these people and is best to be avoided. We have also ensure that none of this foods are or contain alcohol, caffeine or tobacco and these will be harmful for these people.


We have included at least 2 cups of herbal tea for every day's diet as is a safe way to strengthen and tone the body's systems.Moreover, we have avoided prescribing any food that is rich in iron as this might further promote the formation of hemoglobin and hence more red blood cells. Taking any food rich in iron needs to avoided by especially male of 40 to 60 years old as their body conditions does not require much iron compared to female of the similar age and lifestyle.


It is also advisable for these people to consume health supplements such as containing the antioxidant vitamins A, C, E, the B-complex vitamins, and trace minerals such as magnesium, calcium, zinc, and selenium. Moreover, consumption of Omega-3 fatty acids, such as fish oil, 1 - 2 capsules or 1 - 3 tablespoonfuls oil, 1 - 3 times daily, to help decrease inflammation and help with immunity. However, this should be avoided by people with gallbladder problems as is may increase bleeding. Probiotic supplement containing Lactobacillus acidophilus, 5 - 10 billion CFUs (colony forming units) a day, could also be consumed when needed for maintenance of gastrointestinal and immune health. However, all these health supplements can only be consumed after consultation with their doctors as some of these may not be suitable to the conditions of some of these people.


Furthermore, these people are highly advised to consume at least 5- 8 glasses of filtered water a day. To add on, we have a main dish such as rice so that we can provide these people with enough energy for the day. There is a good mix of vegetables, fruits and meat so as  to provide the person with a balanced diet which gives them other nutritional benefits as well.

If this diet plan was followed by secondary erythrocytosis patients, the condition can be prevented from worsening and may improve as well. If this diet plan was followed by people of a similar lifestyle in terms of age and gender, as a form of prevention from the disease, the person will become more healthy and will be less prone from getting secondary erythrocytosis.