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ITP, tapering steroids, losing bone density, Pregnancy for ITP patients possible? - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 552 Questions
Doctor :   Hi
User :   I have to spken to You that dat regfarding ITP
User :   are you the same Dr.
Doctor :   yes , I remember
Doctor :   for your mother , am i correct
User :   Yes
Doctor :   please tell me
User :   Maam i have visted hospital on thursday
Doctor :   ok
User :   There a Dr had asked my mom to stop predisone medicnes
Doctor :   ok
User :   she told not to stp immediately but ater a month by reducng 5 mg eveery week
User :   and has given another medicine
Doctor :   ok
User :   as prednisone may cause her bones week and can cause diabetes
User :   she told to take that new medicine for 6 tablet daily
Doctor :   ok
Doctor :   may i know the name of the new medicine ?
User :   the red spots are still there on her body...
User :   it starts with T
Doctor :   do you have the name with you?
User :   but is very cheap..white little mdicine
User :   no will let u know tmrw
User :   is it fine?
Doctor :   ok
Doctor :   sure
Doctor :   for now let me give you some points
Doctor :   prednisolone is a steroid
User :   ok
Doctor :   generally when one is put on steroids , over a long time , we expect side effects like weight gain , low immunity
Doctor :   and bone softness, bones become brittle and lose the density
Doctor :   this is called osteoporosis
Doctor :   hence if we feel a person may develop this change, the doctor will stop prednisolone
Doctor :   steroids like prednisolone will need a slow tapering
Doctor :   tapering means bringing down the dose day by day , week by week slowly and then stopping it
Doctor :   this is done to avoid the side effects due to sudden withdrawal of the drug
User :   ok
Doctor :   hence the doctor has done the right job , in slowly stopping the dru
Doctor :   do not worry about the red spots
Doctor :   if it were significant , the doctor would have done some tests
Doctor :   regarding the new medicine , you could get back to me or any other doctor tomorrow
Doctor :   I will guide you further
User :   Ya sure will give you the name of new mdicine tmrw but would i be directly connected to you on chat
Doctor :   are you with me ?
Doctor :   yes , if i do not get to pick your chat , you could ask the doctor to direct it to me
Doctor :   you may be asked to log out and log in again to connect to me
Doctor :   if I am not available , other doctors will surely help you
User :   Ok...
User :   One more thing Dr. i met with a girl in that hospital
Doctor :   ok
User :   who is also patient of ITP...
Doctor :   ok
User :   she had also been bleeding in novemeber and then got married in Dec
Doctor :   ok
User :   after marriage she got periods in jan
Doctor :   ok
User :   but since last 3 mnths dhe is not getting periods..
User :   she also checked ..she is not preganant
Doctor :   ok
User :   Can an ITP patient face problem in being pregnant
Doctor :   as such ITP will not cause problem in getting pregnant , but if she is n steroids , it can cause irregularities in her menses cycle , which may delay conception
Doctor :   also she may face problems during delivery
Doctor :   but with good care and prevention , labor can be normal and can have a healthy child
User :   Dr,there told her that as they had gvn her medicines to stop bleeding that is why she didnt had periods...
User :   and given her tests to do....
Doctor :   ok , that is possible
Doctor :   treatment varies form every patient depending on the platelet count
User :   after the tests they will give her guidance wat to be done..
User :   she was crying there of tension that would be able to concieve
User :   so thought of asking you..
Doctor :   ok
Doctor :   ask her not to worry
Doctor :   as she has been given medicines by a doctor and on seeing her conditions
User :   thanks
User :   i'll tell her that with propr medicines and care she cann get pregnant...
Doctor :   ok, that will be a good gesture
User :   thanks again Dr.
User :   will see u tmrw with medicines name for my mom
Doctor :   thank you
Doctor :   thanks for consulting me
User :   Bye :)
Doctor :   sure , you can get in touch tomo
Doctor :   take care
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