Polycythemia 13 year old ---- HELP!

Hi, I am the mom of a 13 year old with a very hight hemoglobin. It was 21 and now it is 17 with the blood letting. Anyone know of anyone who is youg witht his situation. We are in the beginning stages of figuring this out. My heom doc. has NEVER seen this. Any suggestions would be greatly appreciatred. He is a healthy kid. This was found at a regualer check up. His numbers have been creeping up through the years.