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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Can malaria elevate CPK value?
Query: Hi doctor, My father, who is 70 years old, was admitted in a hospital for severe weakness, high fever (105 degrees Fahrenheit), shivering and lack of appetite. Blood tests revealed that he had malaria (Vivax) and a platelet count of 44,000, which is below normal. But, there was no dengue or typhoid.... Read Full »
Answer: Hi,Welcome to icliniq.com.CPK enzyme (creatine phosphokinase) is specific to the heart. It gets elevated only in cardiac disease and not in malaria. However, a more specific test would be troponin enzyme levels. Also, age does not cause CPK enzymes to increase. Low platelet is due to malaria and not... Read Full »
Please suggest a treatment plan for platelet disorder.
Query: Hi doctor,My mother is suffering from platelet disorder from the last month. She had nearly about 58 units of platelet transfusion, but still, her platelet count is not up to the mark. What to do further? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Platelet count needs to be maintained around 200000, if there is no bleeding. As I am not sure about the platelet count and the cause of your mother, if this is maintained then it is adequate. Multiple platelet transfusi... Read Full »
Why has platelet count gone down after CABG?
Query: Hi doctor,My father underwent CABG for six months. Till then he was on Clopilet alone. His platelet would remain at 150000. After CABG, he has been put on Ecosprin and after that, his platelets remain at 110000 to 140000. Is that fine? He has no other complaints. Is there something we can do to impr... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on our query, my opinion is as follows: Platelet count at any time above 100000 per microliter of blood is always good. The minimum platelet count, most of us expect is 50000, below which mild risk of bleeding starts. Hence, 110000 to 140000 per microliter of ... Read Full »
How to manage microcytic hypochromic anemia with thrombocytopenia?
Query: Hi doctor,My partner was admitted to the hospital for a low platelet count, and she was asymptomatic. They did a blood transfusion and gave corticosteroids. There was no improvement in her platelet level. The doctor suggested me to consult a hematologist. On her recent reports, her platelet count wa... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). Her platelet count is low in the manual as well as on the cell counter. So infective etiology has to be ruled out first. If there is no sign of any infection, then ultrasonography abdom... Read Full »
Is it normal to have constantly reducing platelet count?
Query: Hello doctor, My weight is 127 lbs, height 5 feet 3 inches. I am a 43-year-old female. My platelet count five months back was 165, next month it was 140 and now it is 120. My liver function is normal and having thyroid. Currently, I am taking Eltroxin 50 mg. Please advise. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi,Welcome to icliniq.com.I have reviewed your reports (attachment removed to protect patient identity) and here is my advise. Your platelet count is constantly reducing according to provided history. Kindly mention if you are having any clinical infection history like dengue, malaria, etc. because ... Read Full »
I was diagnosed with aplastic anemia two months back, and I am not on medications. Will I need a bone marrow transplant?
Query: Hello doctor, I am a 20-year-old female. I was diagnosed with aplastic anemia about two months ago in a bone marrow biopsy. I felt something was wrong because I used to feel very tired quickly, my legs hurt, my heartbeats were irregular, and I would also get dizzy. So I went to a hematologist and go... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Thank you for your query. You are having moderate aplastic anemia. The underlying cause should be identified first. If no specific cause is found, then it can be considered idiopathic. I can suggest a few treatment options: Stem cell transplantation is a good opti... Read Full »
Can marrying sister's daughter lead to the offspring being very lean?
Query: Hello doctor, My friend's 2-year-old baby girl weighs 18.7 pounds and is getting fever daily at 4 'o' clock in the morning for the last one week. After using the medicine, fever fades off at 11 a.m. and there is sometimes vomiting too. Also please help us to get rid of this issue. My friend has marr... Read Full »
Answer: Hello, Welcome to icliniq.com. It is just a myth that your friend's child is lean because of marrying his sister's daughter. This is not true. Your child may not be gaining adequate weight for some other reason. Regarding fever, your child might be suffering probably from a viral infection like deng... Read Full »
What is the reason for my mother's low platelet count even after transfusion?
Query: Hello doctor, Three weeks ago, my mother was admitted to ER with critically low platelets and hemoglobin. Her hemoglobin has been above 7 g/dL for a week, but her platelet levels have not raised despite daily transfusions (even with HLA cross-matching). Two hours post-transfusion her platelet levels... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would be happy to help. Chemotherapy and radiotherapy can damage the bone marrow. However, it is temporary and the levels get back to normal after the completion of the cycles. Meanwhile, platelet and red cell infusions are indicated.... Read Full »
I am worried about the blood test report of my son. Please guide us.
Query: Hi doctor, This is regarding the treatment given to my son for viral fever. He is 8 years 3 months old. When we observed my son's fever, I gave him one teaspoon of P250 for three days. On the fourth day, I visited hospital due to continuous fever. As the blood report confirmed it as viral fever, he ... Read Full »
Answer: Hi,Welcome to icliniq.com.I went through your child's history as you have provided and also saw the blood test reports (attachment removed to protect patient identity).According to the details provided, your child's illness fits into a viral illness spectrum. I believe you are concerned about fallin... Read Full »
What can the cause of my generalized body pain, fever, and headache?
Query: Hi doctor, I am having a fever, headache, and generalized body pain since yesterday. I consulted a physician. He prescribed me medicines and advised me of a blood test. My blood test report is attached here for your reference. Still, headache and fever are high sometimes. Kindly give your opinion. Read Full »
Answer: Hello, Welcome to icliniq.com. I have checked your blood reports (attachments removed to protect patient identity). This is a dengue season. Though the fever and headache with body aches can often and most commonly indicate a viral etiology but a decreased platelet count of 1.39 is to indicate th... Read Full »