<s>[INST] good evening sir ... recently in normal routine check up , my wife was diagnosed with high RBC ~ 9 Lacs. I am staying in Banerghatta road ..pl let me know the hospital where we can consult you with all the reports. Request early appointment . Also complete address and contact no. as I am recently transferred to Bangalore. Thanks Sanjay Anand [/INST] Hi, Welcome to HCM In high RBC count> 9 Lacs. you need to consult a Hematologist. What is the Hemoglobin level and PCV. It could be primary or secondary which is related to some other disease like heart diseases,or Lung diseases,some endocrine disorders and few medicines. It would be prudent to visit a Hematologist in Bangalore. Investigate properly and depending on exact cause treatment can be planned. In primary form a Venesection and removal of blood intermettantly,other way is chemotherapy or radioactive Phosphorus. Hope this information helps you Take care Best of Luck </s>