Recently Answered Questions
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My mother has dengue and a low platelet. Is it critical?
Query: Hello doctor, My mother is suffering from dengue fever. The platelet has reduced to 35*10^3 per microliter of blood. Is it critical? Her reports show sudden reduction in platelets from 100*10^3 per microliter of blood to 60*10^3 per microliter of blood then to 35*10^3 per microliter of blood. Please... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You have been diagnosed with dengue fever. Dengue fever's first phase is a febrile phase in which fever last for five to seven days and then a critical phase occurs in which plasma is expelled from circulation which lasts for one to two days. So, platelet decline in... Read Full »
What foods can help to manage gestational thrombocytopenia?
Query: Hello doctor, I am suffering from gestational thrombocytopenia. I have been trying to eat foods to help raise my count. However, there is so much conflicting information about what foods actually raise or decrease counts that I am really confused. I am wondering if food can help. If yes, I would lik... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Gestational thrombocytopenia is a diagnosis of exclusion. This means all other causes for thrombocytopenia should be ruled out especially the medical history should be taken regarding ITP (Idiopathic thrombocytopenic purpura). If the ITP history is positive then ITP ... Read Full »
Query: Hello doctor, My father is 79 years old and has been diabetic for the past 30 years. He had a bypass in the past and also a stroke. The day before yesterday, he developed a little discomfort, gas, or light pain in his abdomen and had a fever, which started at 99.5 degrees Fahrenheit and went up to 1... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. I reviewed your father's reports (attachments removed to protect the patient's identity). The NS1 (non-structural protein) and Ig M (immunoglobulin M) are negative for dengue. So dengue seems less likely, a common ... Read Full »
My wife is eight months pregnant and diagnosed with thrombocytopenia. Please help.
Query: Hi doctor, My wife is on routine ANC investigation and got to know she has Thrombocytopenia 38 thousand platelets. She is eight months pregnant. Then, on the physician's advice, the MP and dengue test was done. MP test negative. Dengue Antigen negative. IgM negative. IgG positive. When CBC was re... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Let me give you my opinion regarding your wife's condition. She is now stable, and no further management is needed if no active bleeding is present. Just take the prescribed syrup and drink lots of water. It is a case of dengue infection. In gestational thrombocytopenia, ... Read Full »
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. Goswami Parth Rajendragiri
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 »
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 »
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/μl, earlier it was 163000/μl for over six months. No bleeding or blood clots in the body were noti... Read Full »
Dr. Goswami Parth Rajendragiri
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 immun... Read Full »
I have liver cirrhosis, low platelets, and hemoglobin. Why?
Query: Hello doctor, I am a liver cirrhosis patient. My platelet count is 72*10^3 per microliter of blood and hemoglobin is 10. Everything else including protein and albumin are normal. The doctor is giving Ricovir 300, Pantosec 40, Udliv 150, Vitamin A to Z daily and Lasilactone 50 mg on alternate days. B... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In liver cirrhosis, chronic fibrosis occurs and such fibrotic tissue obstructs portal blood flow and so, because of portal hypertension splenomegaly can occur. An enlarged spleen traps platelet count and so your platelet count is low. With an improvement of cirrhosi... Read Full »
My 60-year-old father has anemia with low HB and platelet levels. How should we proceed?
Query: Hi doctor,My father has been suffering from low Hb levels. When he met with an accident, my brother and I gave blood to him for an operation. At that time, his HB level was normal. After that, his blood went down again, then he consulted with a hematologist's doctor, he prescribed some medicines for... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have reviewed your query and here is my advise. For low hemoglobin levels that is anemia underlying cause should be searched for. Usually iron tablet or syrup can be prescribed for anemia. But you are having low platelet count as well. So you need to investigate fu... Read Full »
I have aplastic anemia. Do 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 »