How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. German Your Own Question

Dr. German
Dr. German, Doctor (MD)
Category: Health
Satisfied Customers: 3810
Experience:  MD
3310972
Type Your Health Question Here...
Dr. German is online now
A new question is answered every 9 seconds

Low platelets and pain in my side

Resolved Question:

I've been having a reoccurring pain in my side for the past several weeks, and my doctor can't figure out what it is. I just received the results of my blood test. My platelet count dropped from 158 to 128 K/uL in 3 months. I also had traced lysed blood cells in my POC blood urinalysis. All other blood tests were normal (no anemia - they checked for that once they found the low platelet count). Other symptoms: slightly decreased appetite (eating too much at once makes my side hurt more) and slightly increased thirst. Had an ultrasound done yesterday; the technician didn't see anything abnormal, but haven't received the official verdict on that from my doctor. Gender: Male, Age: 31. Past Medical History: mostly healthy; I take a multivitamin and Vitamin B (per doctor's recommendation after low levels a few years ago), but no other medications. Three months ago, I found out I had low HDL, so since then I've cut out most saturated fat, started eating more whole grains, nuts, and olive oil, and go on short runs 1-3 times per week to try to get some exercise.  What do you think might be causing my symptoms and lab results?  Is there a specialist I should see, since my primary doctor isn't sure what to do next?

Submitted: 1 year ago.
Category: Health
Expert:  Dr. German replied 1 year ago.
Welcome and thanks for your question , at your age , the possibility of this being a heart problem is really low . It is something that your doctor will need to investigate ,but it is not the first possibility .

If the pain gets worse after you eat , it is important to investigate if there could be a digestive issue like : gallbladder inflammation,gallbladder stones, pancreas inflammation, stomach or duodenal ulcers, esophageal lining irritation , esophagus spasm, gastritis ( stomach lining tissue inflammation) or gastroesophageal reflux ( in this condition,the stomach acid juices flow back from the esophagus into the stomach ).

Costochondritis ( in this condition ,the cartilage that connects the lower ribs to the breastbone become swollen or inflamed ) could be other possibility .



In case the pain radiates to your upper back , kidney stones could be involved.

To determine what is happening your doctor will need to perform additional tests including : an upper endoscopy ,an abdominal X-rays ,liver function tests , amylase and lipase levels and a chest x-rays .

With these tests and performing a complete physical examination ,he will be able to determine what is happening with you to give you an appropriate treatment.

But try to relax , there is no need to be extremely worried or stressed out . At your age , this is rarely something serious or dangerous.


If you feel the need to rate "Helped a little" (1) or "I expected more”(2) they count as negative rating , please stop and reply to me via the CONTINUE CONVERSATION button with whatever issue or clarification you may need. I will be happy to continue further and assist you until I am able to explain any concerns or doubts to your satisfaction.



Please be aware if you give any rating below 3 stars then I will not be compensated in any way for helping you today. Good luck to you and have a good day !



When we finish our conversation if you like the answer ,please click accept so I can get credit for my work.



Customer: replied 1 year ago.

My doctor said I should come back to have the blood and urine tests repeated in a month, in case the low platelet count was just "incidental". It just seems odd, because all of my blood counts were normal when I had my physical 3 months ago. The only thing that's changed since then is my diet (trying to eat healthier because of my low HDL).


 


Could an issue with the spleen cause these sorts of symptoms?

Expert:  Dr. German replied 1 year ago.

In most cases , this sudden low platelet count could be caused by an underlying simple viral infection , vitamin B12 or folic acid deficiency . It is important to eat meat ,eggs ,milk in moderation to have adequate levels of vitamin B 12 and folic acid . So right now , what you should do is eating properly , a diet low in fat but rich in vegetables and fruits avoid extreme diets and try to get a good multivitamin supplement .

 

 

If the platelet count is still low , your doctor will need to investigate other possibilities from having an enlarged spleen, an autoimmune disorder like an ITP ( in which the immune cells mistakenly attack and destroy your platelets ) or an underlying bacterial infection.

 

 

If you need any additional information I will be happy to continue further and assist you until you are completely satisfied .

 

 

 

Good luck to you and have a good day ! When we finish our conversation if you like the answer ,please click accept so I can get credit for my work.

Dr. German, Doctor (MD)
Category: Health
Satisfied Customers: 3810
Experience: MD
Dr. German and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery