Q. There is a drastic decrease in my platelet count in the last five months. Why?

Answered by Dr. Parth R Goswami and medically reviewed by iCliniq medical review team.

 

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Hi doctor,

My hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4 lakhs in the last five months. The only symptom I have is occasional skin itching.


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Dr. Parth R Goswami
M.B.B.S., M.D
Hematology, Pathology

Hi,

Welcome to icliniq.com.

  • As your platelet count decreased over four months duration, chronic infection and drug history have to be ruled out first.
  • If they are not causative then a detailed investigation plan should be decided according to the examinations as follows:
  1. ESR (erythrocyte sedimentation rate) or CRP (C-reactive protein).
  2. Blood culture.
  3. Alcohol history.
  4. Peripheral smear examination.
  5. Renal profiles as uremia might lead decreased platelet count.
  • According to the cause, further specific treatment will be given. Hence, first consult your physician for examination and get your liver and spleen examined by the doctor. Then, get a proper workup planned according to the need. Take care.

For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist

 
 
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