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911DOC
911DOC, Board Certified Dr.
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Experience:  Emergency Medicine Physician
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My mom just blood work done and her platelets cam e back at

Resolved Question:

My mom just blood work done and her platelets cam e back at 113. She had a week ago 124. She drinks a baby aspirin a day. The dr said to stop it. They have done other studies as to having any disorder in blood and they said. She also drinks furosem ide of 40 mg together with her other bp pills. She is also diabetic drinks metformin 500 mg 2 times a day...he is referring her to a hematologist.. please advise
Submitted: 1 year ago.
Category: Medical
Expert:  911DOC replied 1 year ago.

911DOC :

Welcome, My answers are for educational purposes only. Remember please, that we do not get paid if you do not click 'accept' / give positive ratings!

911DOC :

I think a hematologist evaluation is reaonable, though I do not think that this isolated platelet count of 113 is, by itself, worrisome.

911DOC :

It seems that this is being done out of an abuncance of caution, trying to make sure there is no underlying marrow or blood disorder.

911DOC :

If this is the only lab abnormality she has then I think the hematologist will likely give her a clean bill of health.

911DOC :

Standing by.

Customer:

do u think is low to the point of suffrring any stroke or nlood clotting issuessnd also having to be put in hospital and also do u think it can be caused by aspirin

911DOC :

can you stand by one minute for me to gather some info?

911DOC :

no,

911DOC :

this is not dangerously low. having low platelets, and her counts are not dangrously low

911DOC :

makes it LESS likely that clots will form.

911DOC :

as to your question about medicine.... give me one minute.

Customer:

ok

911DOC :

she is on aspirin, lasix (furosemide), metofrmin, and blood pressure pills.

911DOC :

do you know what her blood pressure medicines are?

911DOC :

and yes, aspirin could cause mildly low platelets by itself.

911DOC :

standing by

Customer:

yes propraponol 160 furosemide 40 mg and kozaar 100 akopodipine 10

911DOC :

OKAY

911DOC :

stand by for me to check on those drugs, though as I mentioned. aspririn alone could be the cause.

911DOC :

stand by

911DOC :

metformin will not cause this

911DOC :

propranolol will not cause this

911DOC :

furoseminde can cause low platelet count

911DOC :

Cozaar will not cause this

911DOC :

amlodipine will not cause this

911DOC :

so, in summary, your mom has slightly low platelets (thrombocytopenia)

911DOC :

this alone should be fully checked by the hematologist, but there is every reason to suspect that this may be medication related.

911DOC :

do you have any other questions for me about this?

911DOC :

standing by

Customer:

thank u will see what hematllogist will thank u for everything

911DOC :

Thank you so much for your question. It was a pleasure talking with you. Should you need my assistance in the future simply start your question with ‘for 911doc only’.


Positive feedback is always appreciated.


Be Well


911Doc

911DOC, Board Certified Dr.
Category: Medical
Satisfied Customers: 5086
Experience: Emergency Medicine Physician
911DOC and other Medical Specialists are ready to help you
Customer: replied 1 year ago.

she had blod work done that day and it was 134 and then last weeknhry did it again and it was at 124. she has stop the aspirin.

Expert:  911DOC replied 1 year ago.

These small variations in counts are par for the course especially with platelets. This is nothing to be concerned about. They will follow her counts over time. Trends are much more important than numbers in this case. She had a good upward trend, and now an inconsequential mild downward tick. The hematologist, I'm sure, will be very thorough and, very likely, tell you that her slightly low platelets are probably due to medication.

Best

 

911DOC, Board Certified Dr.
Category: Medical
Satisfied Customers: 5086
Experience: Emergency Medicine Physician
911DOC and other Medical Specialists are ready to help you
Customer: replied 1 year ago.

hello how low does her blood platelets have to be for her to have internal bleeding.... just concerned.

Expert:  911DOC replied 1 year ago.
Very good question. As a general rule if someone had a platelet count of 25,000 or thereabouts (it's a debated question) one would worry about spontaneous bleeding and would consider a platelet transfusion. She is FAR from that.

Best
Customer: replied 1 year ago.

but in numbers how much would it be 50 60


70 or what soory for asking so many ???

Expert:  911DOC replied 1 year ago.
25.

Sorry, the platelet count is typically given in thousands... 124 is 124,000. So she is well within the safe range.

Best
911DOC, Board Certified Dr.
Category: Medical
Satisfied Customers: 5086
Experience: Emergency Medicine Physician
911DOC and other Medical Specialists are ready to help you

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