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How to treat high platelets and mild anisopoikilocytosis?

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Patient's Query

Hello doctor,

My wife has a high platelet count and is diagnosed with mild anisopoikilocytosis, predominantly normocytic with ovalocytes (RBC). Mild WBC leukocytosis is present, and platelets appear increased in the smear.

Kindly help.
Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

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Hello,

Welcome to icliniq.com.

The increased platelet count in your wife's case seems to be due to reactive thrombocytosis. The iron deficiency anemia can lead to reactive thrombocytosis, and so the platelet count can be high. You need to treat her anemia with ferrous ascorbate tablets or similar medication for a month. The high total count, along with high neutrophils and lymphocytes, needs to be treated by an empirical antibiotic course. Her diabetes is also not controlled well, and with medication, it needs to be controlled. After a week, repeat the CBC to check the total count.

I hope this helps.

Medically reviewed by Dr. Divya Banu M
Published At May 11, 2019
Reviewed At May 7, 2026

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

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Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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