Q. What can cause high platelet and low Hb?

Answered by
Dr. Prakash H Muddegowda
and medically reviewed by iCliniq medical review team.
Published on Jun 06, 2018 and last reviewed on: Oct 25, 2019

Hi doctor,

My platelet count is going higher and hemoglobin is getting low. I feel sick. My report showed platelet count 5,85,000 and Hb 10.6. What could be the reason?

Dr. Prakash H Muddegowda

Geriatrics Hematology Pathology
#

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.

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

Thank you doctor,

I am suffering from fever, breathing problems, body ache, dizziness and weakness.

Dr. Prakash H Muddegowda

Geriatrics Hematology Pathology
#

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

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