Low Platelet Count

Low platelet count, otherwise called thrombocytopenia, can result in easy bruising, prolonged bleeding, tiny red or purple dots on the skin (petechiae), bleeding from the nose or gums, blood in urine or stools, spleen enlargement, and tiredness. This condition can be inherited, or it can be due to viral infections, leukemia, anemia, alcoholism, chemotherapy, pregnancy, and medications.

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I have low platelet count after having COVID infection. Kindly help.

Query: Hi doctor, I had a long COVID (omicron) infection for 25 days three months ago. Later, when I was traveling, I got myself checked for precaution, and my CBC report showed my platelets counted as 89,000. So I consulted a doctor, and he prescribed me 15 days course of multivitamins with iron (currentl...  Read Full »

Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. Following is my opinion on your asked question. I suggest you have thrombocytopenia post covid. If your doctor cannot find any cause of thrombocytopenia, low platelets might be due to an immunological reason. In COVID, antibodies can form against platelets by disturbin...  Read Full »

Even after taking medications for irritable bowel syndrome, my abdomen is still paining. Why?

Query: Hello doctor, I have had a continuous dull pain on the right side of my abdomen since yesterday. I had this same pain episode three months ago for the first time, now I am getting it for the third time, and it is pretty severe now. The CBC, ultrasound of the stomach, and LFT were clear when taken. I...  Read Full »

Dr. Arpit Varshney

Answer: Hi, Welcome to icliniq.com. I understand your concern. The pain on the right side of the abdomen is more suggestive of colic pain due to stones rather than the pain of IBS (Irritable bowel syndrome). Sometimes, stones are easily missed on ultrasound. so I would suggest you get an X-ray KUB (Kidne...  Read Full »

Did COVID-19 infection reduce my blood platelet count?

Query: Hi doctor,I have been an immune thrombocytopenia patient for the last seven years. Last month, I was diagnosed COVID positive, and recently I had a CBC, and my platelet count was reflecting as 82000 per μl, earlier it was 163000 per μl for over six months. No bleeding or blood clots in the body we...  Read Full »

Dr. Parth R Goswami

Answer: Hello,Welcome to icliniq.com.I understand your concern. Your platelets count is low, and the reason is immune thrombocytopenia (ITP), in which antibodies act against the patient's platelet. Your platelet count is less due to ITP and not due to past COVID infection. I suggest you continue the immunos...  Read Full »

I have been suffering from symptoms of low platelet count for nine months. What should I do?

Query: Hello doctor,My platelets counts have been low for nine months now. Sometimes it increases but again becomes low. I am feeling weakness and dizziness. I am eating kiwi, pomegranate, and other fruits to get the level up, but nothing seems to be working. The primary care that the doctor suggested is t...  Read Full »

Dr. Arpit Varshney

Answer: Hello,Welcome to icliniq.com.I have read your concern in detail and will surely help you out. There can be many causes of low platelet count. It would be best if you get a detailed evaluation for the same. Increased spleen size can cause low platelet; you need an ultrasound to find this cause. Apart...  Read Full »

My platelets count is decreasing. And I am having fever from last 6 days with continuous headache.

Query: Hi Doctor, I am having fever since last 6 days with continuous headache. I am taking Paracetamol on regular intervals, but my fever temperature is not decreasing from 100 degree, sometimes it reaches to 103 degree as well. Because of the fever my appetite is also reducing day by day. I got it checke...  Read Full »

Dr. Rajesh Gulati

Answer: Hi, Welcome to icliniq.com.Platelet count decreases in many other infections also, not only in dengue. If your fever temperature is not getting down with Paracetamol, then it means you had taken a very low dosage and many times it is not able to lower the temperature. You can take tablet Diclomol t...  Read Full »

Please suggest a treatment plan based on my father's blood report.

Query: Hi doctor, I would like to get a consultation regarding my father. His blood report showed hemoglobin (optical/impedance) 12.4 g%, platelet count (optical/impedance) 93 10^3/cubic mm, WBC count (optical/impedance) 3.6 10^3/cubic mm, packed cell volume (calculated) 36%, serum vitamin B 12 472 ng/L. ...  Read Full »

Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. There are mild anemia, low white blood cell count, and low platelet count. All counts are considered adequate clinically, as they are near normal. It could be early features of megaloblastic anemia. As vitamin B12 levels ar...  Read Full »

What is the reason for fever during the recovery phase of dengue?

Query: Hello doctor, I have a 5 year old son, who is 16.5 kg. He is suffering from dengue since one week, and his platelets count dropped to 62,000. The platelet count increased to 83,000, but the next day, he got a fever of 99.9 F. Why is he getting fever during the recovery phase of dengue? Please advice...  Read Full »

Dr. Babu Lal Meena

Answer: Hi, Welcome to icliniq.com. The cause of fever could be low-grade SIRS (systemic inflammatory response syndrome) in the recovery phase of dengue. Usually, fever lasts for 7 to 8 days, and the platelet starts to rise after day five. There are other causes as well, for example, co-infect...  Read Full »

Please give your feedback regarding my preventive health screening reports.

Query: Hello doctor, I am a 32 year old male. I recently went for a preventive health screening. I need your valuable feedback regarding my reports.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). The only discrepancy seen is that the platelet count is borderline, although not totally abnormal. Rest of your reports are normal including chloride which is given in bold letters. Now...  Read Full »

My 8-year-old son is diagnosed with a low platelet count. What to do?

Query: Hello doctor, My 8 year old son was diagnosed with a possible bone marrow failure during monitoring for low platelets when he was three years old. His biopsy showed areas of 20 % cellularity. Last year his counts were WBC 13.8, RBC 4.83, hemoglobin 13.5 g/dL, hematocrit 39.3, MCV 81.3, MCH 27.9, MC...  Read Full »

Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. You had mentioned the history of bone marrow failure at three years of age, but the cause and workup done at that time are not mentioned here. Temporary viral infection like parvovirus can lead to temporary bone marrow suppression. In a child, if platelet count remains l...  Read Full »

What to do if platelet count drops even after doing apheresis in a COVID patient?

Query: Hi doctor, My uncle got cured of COVID recently. There was a drop in platelets during his recovery, and apheresis was performed on him, by which the platelet count increased from 3000 to 51000 in four days. But now again it dropped to 12000. Can I know the reason? How much time will it take to cure?...  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I can understand your concern. As mentioned in the query, after COVID, there has been a drop in platelet count. The reason for this could be: 1) ITP (idiopathic thrombocytopenic purpura) is due to immune-mediated destruct...  Read Full »

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