Q. What can cause high platelet and low Hb?

Hi,

Welcome to icliniq.com.

Based on your query, my opinion is as follows:

• Mild bleeding or ongoing inflammation could be a cause. Any blood in stools or tarry stools or if there is any fever, then it requires evaluation.

• You need to check ESR (erythrocyte sedimentation rate) and C-reactive protein levels.

• If everything normal, then a condition called as essential thrombocytosis requires evaluation.

• Improve your nutrition and hemoglobin through diet. If no bleeding, then repeat your platelet count after a month. If you have any reports please send.

Revert back with the reports to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist

Hi,

Welcome back to icliniq.com.

Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows:

• I can appreciate increased platelet count, mildly increased eosinophils and low hemoglobin. Red cell indices appear to be normocytic and hypochromic.

• At present, for fever, which appears to be viral, I suggest Paracetamol 500 mg 8 hourly till fever is present. Also, need to maintain a protein-rich regular diet along with adequate hydration for at least 6 to 8 liters of water per day.

• If any cold, then get steam inhalation, salt water gargling along with Cetirizine tablet twice daily.

• For improvement in hemoglobin, iron-rich diet along with Ferrous fumarate supplements will be helpful. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

• Not to worry about platelets now. Once the infection clears and then repeat your test after a month.

For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist