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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 21331
Experience:  MD
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My platelets are low. all other blood results are normal. only

Customer Question

My platelets are low. all other blood results are normal. only meds I'm on are toprol 50mg and hydrochlorithiazide 25 mg. I have arthritis. the dr. took me off all my arthritic meds and after a month I still have low platelets 83 now but has been 35. I've been off supplemnts now for over a month. What are the causes of my low platelets??
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.

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 :

Aspirin and any blood thinning medication is the common cause.
ITP or autoimmune disorder is the another possible cause.
Enlarged spleen also can cause low platelet count.

Customer:

I'm not taking aspirin. what tests should be done or is this a wait and see type thing?

Mysticdoc :

ok

Mysticdoc :

that is a good question.

Mysticdoc :

Autoimmune disorder like ITP is another possibility.

Mysticdoc :

THis is caused by the antibodies against the platelets produced by the body.

Mysticdoc :

This can be diagnosed by the blood tests 9 anti platelet antibodies).

Mysticdoc :

And also a bone marrow evaluation can be done to check for thecause.

Mysticdoc :

You should see a specialist called hematologist for further evaluation.

Mysticdoc :

There are medications to treat this condition --so nothing to worry about

Customer:

You didn't answer my question about, should we wait and see what happens and how long should I wait to see if my platelets come up to a normal range?

Mysticdoc :

your platelet count should be above 50k

Mysticdoc :

Now you can wait for a month to see if the count comes back to your baseline or 'normal' level.

Mysticdoc :

Usually it does

Mysticdoc :

But sometimes it may not.

Mysticdoc :

And further work up as above will be necessary.

Mysticdoc :

Hence, repeat your platelet count after a month.

Mysticdoc :

If this is still not normal, you should see a hematologist.

Customer:

I have already waited 1 month. My platelets went from 95 to 83 during that time and I was off supplements and any meds that would cause platelets to drop. I need to wait another month?

Mysticdoc :

The platelet count can vary between 80 to 100 ranges

Mysticdoc :

However, waiting for a month for a repeat test will not change anything.

Mysticdoc :

However, if you want to consult with a hematologist now, that will be fine also.

Mysticdoc :

Probably hematologist will also wait for a month to see if your count normalizes or not 9 if medication related effect).

Customer:

Thank you.

Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 21331
Experience: MD
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