Recently Answered Questions
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Query: Hello doctor, My daughter had a complete blood count, which was normal except for platelet. She is asthmatic and has got a chest infection now, and she is receiving antibiotics. She has her period now. Two days ago, the platelet was 14. When she was a child, the case was confirmed as ITP, but she wa... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Rule out other causes of thrombocytopenia, like uremia, malaria, and dengue. I suggest you take a peripheral smear examination report and Ig M dengue testing. If no specific cause is found, ITP (idiopathic thromboc... Read Full »
What is the reason behind low platelets?
Query: Hello doctor, My platelets are usually on lower side ranging from 100000 to 120000 since last one month with no physical symptoms. All other tests are all right like LFT, TFT, and abdominal ultrasound, vitamin B12 is 206 while the iron is 90, urine is also clear. What can be the reason behind low p... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. There are many causes of low platelet. Low platelet is known as thrombocytopenia. The causes include different types of hemolytic anemia, viral infection, dengue, ITP, uremia, kidney disease, etc. So I suggest you investigate as follow for primary workup: CBC to check f... 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. 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 »
What foods can help cure 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 sh... Read Full »
Does a cirrhosis patient require medicines to increase platelet count and Hb?
Query: Hello doctor, I am a liver cirrhosis patient. My platelet count is 72,000 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. But, he is not giving any... 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 »
How to improve my daughter's low platelet count?
Query: Hi doctor, My 12 year old daughter was fatigued and had blue blotches over her body. The doctor locally ordered blood tests, and the results showed low platelet count of 50000. They administered Cortisone of 30 mg a day for two weeks, and the count went up to 100000. The doctor reduced Cortisone to... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Your child is having low platelet count and blue blotch over the body. The skin discoloration can be from low platelet as thrombocytopenia can lead mucosal bleeding. If it seems cyanotic patches on examination then cardiac, respiratory and vascular causes need to be ... Read Full »
There is a drastic decrease in my platelet count in the last five months. Why?
Query: 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. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: 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: ESR (erythrocyte sedimen... Read Full »
Can hypothyroidism cause a decrease in platelet counts?
Query: Hi doctor, I had my TSH 7.59 mIU/L before one month. Now my TSH is 5.9 mIU/L. But my platelet count was reduced to 127,000 per microliter of blood. About two weeks ago, I got RPOC after abortion. Now again I have done a CBC. This time also, I had my platelet count 127,000 per microliter of blood and... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have reviewed your query and hypothyroidism is not related to low platelet count. Giant platelets are present when there is destruction in platelets. Temporary viral infection, dengue, malaria, uremia, splenomegaly, bacterial infection are some of the causes... Read Full »
My 9 month old son is suffering from low platelet count. Please help.
Query: Hi doctor, My son is 9 months old. He had a high fever and low platelet count (70 k). We admitted him immediately and done blood platelet transfusion (100 ml). The next day, the platelets went down to 16 k. He was discharged from the hospital when it came up to 95 k. Now after a week, the count wen... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through the query (attachment removed to protect patient identity). Your son's latest report shows neutrophilia. It is suggestive of bacterial infection. Further workup can be done in the form of CRP (C- reactive protein) estimation, blood culture, and flow cy... Read Full »
How to manage microcytic hypochromic anemia with thrombocytopenia?
Query: Hi doctor, My partner was admitted to the hospital for low platelet count, and she was asymptomatic. They did a blood transfusion and gave corticosteroids. There was no improvement on 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 in cell counter. So infective etiology has to be ruled out first. If there is no sign of any infection, then ultrasonography abdomen has... Read Full »