Low Platelet Count

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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My father has fever and a low platelet count. Does viral fever cause low platelet count and when will he recover?

Query: Hello doctor, My father is 79 years old and has been diabetic for the past 30 years. Has 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 ...  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 daughter was diagnosed with ITP earlier, and her complete blood count is normal, except for the platelets. Does she need a platelet transfusion?

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 thrombocytop...  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 »

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 »

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 »

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 »

My 8-year-old son is diagnosed with a low platelet count. What to do?

Query: Hello doctor, My 8 year old son was diagnosed with a possible bone marrow failure during monitoring for low platelets when he was three years old. His biopsy showed areas of 20 % cellularity. Last year his counts were WBC 13.8, RBC 4.83, hemoglobin 13.5 g/dL, hematocrit 39.3, MCV 81.3, MCH 27.9, MC...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. You had mentioned the history of bone marrow failure at three years of age, but the cause and workup done at that time are not mentioned here. Temporary viral infection like parvovirus can lead to temporary bone marrow suppression. In a child, if platelet count remains l...  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 search...  Read Full »

Is there a connection between diabetes and low platelet count?

Query: Hi doctor, I have a low platelet count, but my hemoglobin level is normal. The platelet count was checked electronically. I had papaya extract medication for 12 days still the count remains the same. Please help me.  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. Your platelet count is low. It would be best if you ruled out the underlying cause for that. You can investigate with the following investigations for further workup. 1) Dengue NS 1 and IgM (immunoglobulin M) ELISA (enzyme-linked immunosorbent assay). 2) Urea, cre...  Read Full »

What could be the cause of a high lymphocyte count?

Query: Hello doctor, My 2.4 years old son has platelet count 193, WBC 6.8, Hb 11.4, RBC 4.28; however, neutrophils 16%, lymphocytes 73%, monocytes 08, SGPT 100, SGOT 77, creatinine 0.17. He is doing fine and active. However, lower weight gain was 1.7 kg, and the current weight is 9.25 kg. The monthly aver...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. Following is my opinion on your asked question. In the attached reports (attachment removed to protect patient identity), lymphocytes are high, and platelet count are borderline low with raised SGPT (serum glutamic pyruvic transaminase) . So, it is suggestive most pr...  Read Full »

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