Q. What can cause high platelet and low Hb?

Answered by
Dr. Prakash H Muddegowda
and medically reviewed by iCliniq medical review team.
This is a premium question & answer 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?



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.



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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