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Blood test showed Thrombocytopenia. What can be done? - Online Doctor Chats

Date : 03-Jun-2013
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1227 Questions
Doctor:How can I help you?
User:Hi... This is XXXXXXX from XXXXXXX
User:health care magic had conducted a a blood test camp here at our office
Doctor:Yes, XXXXXXX .. Proceed with your query.
User:My platelet count was very low - 0000
User:I re-tested after some days and now my reading is at 0000
Doctor:Perhaps the reports initially was a false reading.
User:is it a cause for worry as its at the min of normal range
Doctor:This can occur due to biases with the technique or the examiner.
Doctor:To help you understand this better, may I know when did you get the blood tested and when was it repeated?
User:The initial report was dated 29/07/2012 - it said Thrombocytopenia confirmed on the smear
User:The next report was dated 25/08/2012
Doctor:Let me explain.
Doctor:Platelet counts and other blood counts are affected by multiple reasons.
Doctor:since the blood smear also confirmed low platelets, it is unlikely that they were biased.
Doctor:In most probabilities, perhaps the reason for low platelets in the initial report could have been an infection.
Doctor:Now you need not worry as the platelets have normalized.
Doctor:In such cases of infection as the platelet count rises above 0000, we consider them cured/recovering.
Doctor:So you need not worry now.
User:My SGOT is at 51 & SGPT at 97 - latest there something ?
Doctor:May I know if you consume alcohol?
User:2-3 times a month...moderate qty
Doctor:Let me explain.
Doctor:The enzymes (SGOT and SGPT) are indicators of liver function.
Doctor:As the SGPT value is more than SGOT, the most likely cause is an infection.
Doctor:Perhaps the infection you had earlier had also affected the liver.
Doctor:But your values are not significantly high to raise alarm.
Doctor:In brief, you mostly had an infection (viral) that affected your platelets and liver and most probably you are in recovering stages.
Doctor:I would suggest you to reduce alcohol consumption and repeat the Liver function test after 3-6 months.
Doctor:Have you followed?
User:yes..... but the infection that you are speaking about did not incite any rise in body temperature,fever etc. as such i am a little confused
Doctor:Viral infection can present with subtle symptoms which may last for few days.
Doctor:Yes, it is definitely surprising that you did not have many symptoms.
Doctor:Having said that, I would not press the panic button yet.
Doctor:Mainly as your platelet count has increased and the liver enzymes are not sufficiently very high.
Doctor:You may repeat the test again - complete blood count, ESR and the liver function test say about a month or two later and we can decide the next steps of action from there.
User:do i need to follow some specific diet or follow some kind of routine to normalize my biochemistry ?
Doctor:Avoid alcohol as much as possible.
Doctor:Do not take any unnecessary medication including pain killer.
Doctor:Apart from this, there are no other dietary restriction.
Doctor:Please check your weight and if they are no in ideal terms, you would need to control that too.
Doctor:Have you followed?
User:Thanks a Lot Doc
Doctor:Do you have any other query?
User:no.. That would be all...... Thanks again and have a great day ahead
Doctor:Thanks for consulting me.
Doctor:Bye for now.
Doctor:I wish you the same.
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