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What can cause high platelet and low Hb?

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What can cause high platelet and low Hb?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At June 6, 2018
Reviewed AtJune 7, 2023

Patient's Query

Hi doctor,

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

Answered by Dr. Prakash. H. M.

Hi,

Welcome to icliniq.com.

Based on your query, my opinion is as follows:

  1. 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.
  2. You need to check ESR (erythrocyte sedimentation rate) and C-reactive protein levels.
  3. If everything is normal, then a condition called essential thrombocytosis requires evaluation.
  4. 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.

Patient's Query

Thank you doctor,

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

Answered by Dr. Prakash. H. M.

Hi,

Welcome back to icliniq.com.

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

  1. I can appreciate increased platelet count, mildly increased eosinophils, and low hemoglobin. Red cell indices appear to be normocytic and hypochromic.
  2. At present, for fever, which appears to be viral, I suggest Paracetamol 500 mg 8 hourly till the fever is present. Also, need to maintain a protein-rich regular diet along with adequate hydration for at least 25 to 33 cups of water per day.
  3. If any cold, then get steam inhalation, salt water gargling along with a Cetirizine tablet twice daily.
  4. For improvement in hemoglobin, an 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.
  5. Not to worry about platelets now. Once the infection clears and then repeat your test after a month.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prakash. H. M.
Dr. Prakash. H. M.

Hematology

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