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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
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Experience:  MD
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How is primary thrombocytosis diagnosed? I woke up yesterday

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How is primary thrombocytosis diagnosed? I woke up yesterday crying for no reason confused nauseated. I have elevated platelets and erythrocytes. Feel better today but still am having crying spells and a headache. What should I do? I was also recently started on crestor.

mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

mysticdoc :

The platelet count has to be above 600k besides other criteria to diagnose primary thrombocytosis.

mysticdoc :

Bone marrow aspiration is also required to establish the diagnosis.

mysticdoc :

Headaches can be a presenting symptom but this can be caused by other benign causes as well like tension headache.

Customer: My platelets are over 600 and I recently had a large swollen bruise on my ankle it was there over a month and now has gone. If I rest and be still i feel better Should I contact my doc?
mysticdoc :

That is concerning.

mysticdoc :

Yes you should contact your doctor.

mysticdoc :

You need see a hematologist for further evaluation.

Customer: I have a hematologist. But she is in another town my internal med doc is here. And I had a bone marrow done but it was 10 years ago. I will contact my internal med doc. Is the aspirin ok to take?
mysticdoc :

yes you can take aspirin to prevent stroke.

mysticdoc :

You should contact your internal med doc today.

mysticdoc :

Best wishes,

Customer: Thank you I will.
mysticdoc :

very welcome

mysticdoc :

Best wishes,


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Customer: replied 3 years ago.

goodmorning doc.


just wanted to let you know I followed your advice and saw my dr. who admitted me to the hospital and I am feeling better. Your answer was right on the money.....thank you and god bless

Glad to hear you are doing well.
This condition can become serious if not addressed in time.
I am sure you will do well in future.


Best wishes
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