Can anyone help me understanding my CBC report?

[FawadLashari]

Hi I have pain in my legs when I walk alot like I have the feeling that my lower legs bones are tender to touch. So I have this problem for a year now and I have had multiple tests. But my tests are fine. But one this is making me anxious is that I have more RBC than needed which I found out in last report. In first report I was anaemic then in second report my rbc were fine but in third report my rbc were 6.09 instead of 4.0 to 5.5. but still my doctors are not concerned about it. Since I got that test when I was fasting what why I hadn't enough water in my blood? Any advice is appreciated.

[CHIN_C]

It depends, but the fluctuations in your labs suggest that it is more spurious than real. You can discuss with your doctor if you should retest or leave it alone. However, do not get distracted too much by this single lab test. It is important that you and your doctor refocus to try to solve the problem of why you are having leg pain and tenderness.

[FawadLashari]

The first report was done 2 years ago when I was anemic followed by second report after 6-7 months after the first report. In second report my rbc and wbc both were okay. Then this third one which was done 2 months ago in this my both rbc and wbc were slightly elevated. The report is also on my profile have a look and let me know what you think.

[CHIN_C]

There are many causes of high red blood cell count:
https://www.mayoclinic.org/symptoms/high-red-blood-cell-count/basics/causes/sym-20050858

According to the article, dehydration can result in increased red blood cell concentration.

[FawadLashari]

Thank you very much. So I shouldn't worry since I was tested while fasting right? Or should I get tested again?