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What can cause high platelets and low hemoglobin?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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 585,000 and an Hb of 10.6.

What could be the reason?

Kindly help.

Thank you.

Hi,

Welcome to icliniq.com.

Based on your query, my opinion is as follows:

  1. Mild bleeding or ongoing inflammation could be a cause. If there is any blood in the 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 there is no bleeding, then repeat your platelet count after a month. If you have any reports, please send them.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

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

Kindly help.

Thank you.

Hi,

Welcome back to icliniq.com.

Based on your query and the 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 every 8 hours till the fever is present. Also, you need to maintain a protein-rich, regular diet along with adequate hydration of at least 25 to 33 cups of water per day.
  3. If you have a cold, then get steam inhalation and 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, repeat your test after a month.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At June 6, 2018
Reviewed AtMay 26, 2026

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