In patients with polycythemia vera, what non-pharmacologic method is recommended to manage their symptoms?

In patients with polycythemia vera, increased hydration is a recommended non-pharmacologic method for managing symptoms. This condition is characterized by elevated levels of red blood cells, which can lead to increased blood viscosity. Staying well-hydrated helps to maintain optimal blood volume and may reduce blood viscosity, thereby mitigating complications such as thrombosis. Adequate hydration can also alleviate symptoms associated with polycythemia vera, such as headaches and dizziness.

Other non-pharmacologic options, while they might provide some benefits, do not directly address the primary issues associated with polycythemia vera in the same way. Intensive aerobic exercise may not be advisable for all patients due to the risk of exacerbating symptoms, especially if they are experiencing fatigue or other related issues. A high protein diet does not directly influence blood viscosity or the red blood cell count. Frequent hot baths may provide temporary relief or comfort, but they do not have a significant effect on the condition itself and could potentially exacerbate symptoms like itching, commonly associated with polycythemia vera.