HomeAnswersInternal Medicineplatelet countI have mild body pain and headache with a slight decrease in platelet count. What could be the reason?

Can a decreased platelet count be the reason for body pain and headache?

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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 August 26, 2022
Reviewed AtDecember 26, 2023

Patient's Query

Hi doctor,

I recently underwent a CBC test, and I have attached the reports for your reference. The results were normal, the platelet count showed 132,000 per microliter, and other parameters were also normal. However, I have a mild headache and body pain. What could be the reason?

Please help me.

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

The report shows that all parameters are normal. However,

1. There is a mild decrease in the platelet count from the lower limit range (attachment removed to protect the patient's identity).

2. MCV (mean corpuscular volume) is high, which means there is macrocytic RBC (red blood cells).

3. There is no anemia as Hb (hemoglobin) and RBC count (slightly low) are within the normal range.

Also, I suggest you to undergo the below-mentioned tests for more details,

1. Kindly check your vitamin B12 or folic acid levels, as vitamin B12 or folic acid deficiency can cause macrocytic RBC, and later on, anemia may result.

2. Also, do a peripheral blood smear examination to check the size of RBC and any platelet clumping (causing mild low platelet count).

For the above symptoms, I suggest you to take Paracetamol (analgesic and antipyretic) 500 mg twice daily for three days and maintain adequate hydration.

Consult with a specialist, talk to them and take the medications with their consent.

In addition, I have a question, did you have a viral infection recently?

Kindly follow up with the answer.

Take care.

Patient's Query

Hi doctor,

Thank you for your reply.

What should I do next? Is anemia dangerous, or is it a normal entity?

Please give me your opinion.

Hi,

Welcome back to icliniq.com.

I suggest you to check the levels of vitamin B12 and folic acid as deficiency of these vitamins can cause an increase in the size of RBC (red blood cells).

In addition, I have a few answers to your questions.

1. Your MCV (mean corpuscular volume) is 105.1 fL, which implies that the size of the RBC is increased due to a deficiency of these vitamins.

2. At present, you do not have anemia, but you should check the levels of the vitamins as mentioned earlier for a better diagnosis.

Please follow up with the reports.

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

Dr. Basuki Nath Bhagat
Dr. Basuki Nath Bhagat

Family Physician

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