Thrombocytopenia is a condition having a low platelet count in the blood. It can occur due to a bone marrow disorder or problems in the immune system. It can also occur due to a side effect of certain medications. There is the appearance of small red dots on the skin, bleeding gums, nose bleeding, bruising, blood with vomiting, and headaches. It is managed by transfusion of blood or platelets, plasma exchange, medications, and surgery.

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What is the normal platelet count and what is thrombocytopenia?

Query: Hi doctor, My platelet count is low for the past month, between 115000 to 130000 platelets per mcL, which I found during my regular body check-up. I do have any previous issues related to this. Please guide me.  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to Your counts are clinically insignificant. Low platelet count is also called thrombocytopenia. In grade 1 thrombocytopenia, platelet count ranges between 75000 to 150000 platelets per mcL. No action is needed. Just follow-up is enough. In grade 2 thrombocytopenia, plat...  Read Full »

Is it necessary for recovered COVID-19 patients to get the COVID vaccines?

Query: Hi doctor, I was diagnosed with aplastic anemia a few years back, and I underwent ATG treatment. I was on Cyclosporine for three years with slow tapering. Partial remission. At present Hb -11, WBC-5.3k, platelets-48k. I could not consult a regular doctor because of COVID-19. Can I take the COVID va...  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to If you had COVID-19 infection previously for once, you can get vaccinated after three months of convalescence with only one dose of vaccine. No second dose is needed. If you had COVID-19 infection twice previously, no vaccine is needed. If you did not have COVID-19 in...  Read Full »

Why did my platelet count fall after a week of fever?

Query: Hi doctor, I am 57 years old. I have a persistent low-grade fever for a week. At the end of the week, I did not have a fever. We did a blood test and it showed me a low platelet count of 127 thousand/microliter. Before six months, I did a blood test and it showed me a platelet count of 166 thousand...  Read Full »

Dr. Geetha Priyadarsini Kamminana

Answer: Hi, Welcome to It is good to hear that your fever has got subsided. Low platelet count is referred to as thrombocytopenia. Your count is 1,27,000 /mm3 and it falls under mild range (normal range: 1,00,000/mm3 to 1,50,000/mm3). It can occur due to multiple reasons. It can occur due to ...  Read Full »

Is bone marrow transplantation the right choice of treatment for anemia and leukopenia?

Query: Hello doctor, My uncle’s child has some blood-related problems as his hemoglobin is only 5 points. He was admitted to the hospital and did his bone marrow biopsy. The report is not good. His RBC has severe anemia microcytic type, and WBC has leucopenia, and platelets have thrombocytopenia. Th...  Read Full »

Dr. Satyajit Jalinder Pawar

Answer: Hello, Welcome to I just went through the reports (attachment removed to protect patient identity) you have provided. I could only find one report of peripheral blood smear. Based on the history provided and CBC (complete blood count), there is a possibility of Aplastic anemia. The trea...  Read Full »

Is low platelet count a symptom of dengue?

Query: Hi doctor, My father has nagging dry cough for about one month. Our physician has doubted it as allergic bronchitis and the x-ray also justifies the same. As per today, his platelet count is 125000. Is there anything to worry? Or is this a sign of dengue? Myself and my brother have just recovered f...  Read Full »

Dr. Anshuman Srivastava

Answer: Hi, Welcome to For dengue, the first and the foremost thing to be present is fever. Dengue is not diagnosed only on the basis of platelet count. Also, mild thrombocytopenia (low platelet) is common in older adults. All you have to check is the trend of platelet count ...  Read Full »

Is steroid infusion the correct line of treatment for low platelets in a stable 3-year-old kid?

Query: Hello doctor, My nephew is 3 years old. He got blood spots on his body so when we did CBC we found his Platelets were only 5000. Doctors decided to give him steroids as he was stable. After 48 hours it came down to 4500. But clinically he is stable. So what should we do now? He is in ICU right now ...  Read Full »

Dr. Parth R Goswami

Answer: Hello, Welcome to the I have seen the attached report (attachment removed to protect patient identity). The platelets count is very low. So he is having severe thrombocytopenia. The dengue is negative. So in such case it could be an acute immune thrombocytopenic purpura. He is on r...  Read Full »

I have low platelet levels. Please help.

Query: Hello doctor, Male, 55, 170 cm, 60 kg, non-smoker, non-alcoholic ,vegetarian. Day before yesterday nose and ear bleeding was there in the early morning. Done blood test and found platelets count 24000 only. The doctor suggested to take rest for 4 days.  Read Full »

Dr. Parth R Goswami

Answer: Hi, Welcome to Following is my opinion for your case. Your platelet count is low and suggestive of severe thrombocytopenia (attachment removed to protect patient identity). The bleeding could be due to that. The reactive large platelet also seen in smear. So platelet destruction mi...  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. Parth R Goswami

Answer: Hi, Welcome to 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 h...  Read Full »

Is there anything of concern in my husband's blood test?

Query: Hello doctor, My husband is 27 years old. He had blood tests before nine months and the report is as follows: WBC 5800, RBC 5400, Hb 16.6, HCT 47, lymphocyte 46.8%, neutrophils 39.2%, monocytes 8.1%, eosinophils 5.3, platelet 186000, basophils 0.6%, ALT 0.8 and LIC 0.2. Again, he had a blood test la...  Read Full »

Dr. Naresh Kumar Monigari

Answer: Hello, Welcome to I had gone through all the details posted. For sore throat, I suggest Listerine mouthwash gargles twice daily and combination of Montelukast and Fexofenidine once daily in the morning for three days. Also avoid cool water, cool drinks, alcohol and smoking if he has a ...  Read Full »

I have a runny stomach and black stools after the flu. Why?

Query: Hello doctor, I had the flu for two days. That included a fever, sore throat, and runny nose with a dry cough. The flu went away and now I just have a cough, but I have developed a rash behind my ears and a runny stomach in which my stool is black.  Read Full »

Dr. Saravan Pramod Settipalli

Answer: Hello, Welcome to It seems like a hemorrhagic fever such as dengue in which the patient presents with a bleeding manifestation of melena (black-colored stools), bleeding gums, any hemorrhagic rashes, or hematuria, etc. Black-colored stools indicate that blood is leaking from somewhere...  Read Full »

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