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Suffering from iIdiopathic thrombocytopenic purpura - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
Doctor :   Hi
Doctor :   please proceed with your query.
User :   Hello
User :   My mother is suffering from ITP
User :   idiopathic thrombocytopenic purpura (ITP)
Doctor :   ok
User :   can you help me the query related to this disease?
Doctor :   yes , please proceed .
User :   She is sufferning from this problem since lst 3 years
Doctor :   ok
User :   i want to know is there any permanant solution to cure this?
Doctor :   OK
User :   As whenever the platelets count come down..bleeding starts from her gums and red spots appear all over the body.
Doctor :   yes , ITP presents like this
User :   we take her KEM hospital when she faces this problem and they give medicines realted tp prednisolene..then she fees fine
User :   then again we have to follow same procedure in few mnths again
Doctor :   ok
User :   i want permanent cure..
User :   can it be operated or medicated
Doctor :   let me tell you that ITP has two forms
Doctor :   one being the acute and other being chronic
Doctor :   this is a platelet disorder
Doctor :   your mother has had episodes for more than 3 yrs
Doctor :   hence she falls under chronic ITP category
Doctor :   many a times if it is mild then it does not need any treatment
Doctor :   but , if it gets very severe and frequent
Doctor :   there are ways of treating it
User :   ok
Doctor :   the best being monitoring the platelet counts and giving steroids
Doctor :   this is through medications
Doctor :   and the last resort will be surgery
Doctor :   spleenectomy
Doctor :   but that has specific indications and not done in all patients
Doctor :   if ITP is getting controlled with prednisolone then we do not recommend other methods
User :   when does this spleenectomy comes in picture?
User :   Yes.she fees beeter with the prednisolone medicine
User :   but after few mnths gain bleeding we have to again follow same ...
User :   cant it be prevented?
User :   so that the bleeding never starts?
Doctor :   yes , ITP will follow , it is known to recur and we have to again re treat i with steroids only
Doctor :   we cannot prevent it , as it is a part of her body mechanism , we can only avoid complications
User :   then when does spleenectomy operation is done?
Doctor :   generally if the patient shows no improvement when on steroids like prednisolone , then doctors consider spleenectomy
Doctor :   but removing the spleen can also be risky as the immnunity will come down if one does so
Doctor :   even if this fails , there are other medicines to treat it
Doctor :   which includes drugs used in chemotherapy
Doctor :   it depends on the platelet count and the way she responds to her treatment
Doctor :   are you with me ?
User :   Is ITP a serios disease? how does it occurs ?
Doctor :   ITP can be of two types
Doctor :   as i mentioned it can be acute and chronic
Doctor :   but both may be presenting in two ways
Doctor :   some people will have mild and many have severe ones
Doctor :   ITP is related to the immune pathology in our body
Doctor :   normally when our body produces platelets , they sustain and perform their function
Doctor :   but in ITP the body forms antibodies , for the platelets produced by itself
Doctor :   hence the body will kill its own plateletes without knowing that they should not be killed
Doctor :   when the platelet count falls , the person gets problems like bleeding and spots in the body , infection , etc which are taken care of by platelets
Doctor :   in this person the platelet count will become very low
Doctor :   the lower the counts , the severe is the ITP
Doctor :   did you follow my words?
User :   Yes.
User :   Is it Genetic?
User :   As my mom was very much healthy since so many years..suddenly 3 years before we came to knwo abt ITP
Doctor :   no , it is not genetic
Doctor :   no , it is not genetic
User :   Is it Genetic? or Heditorary?
Doctor :   it comes under autoimmune disease category
User :   what do u mean by autoimmune ?
User : it can happen to anybody
Doctor :   auto immune means the body itself becomes immune to certain cells or any other substances which the body starts producing antibodies
Doctor :   and destroys cells which it is not meant to destroy
Doctor :   yes , any one can have it , in the sense if they have the auto immune problems in them
Doctor :   children pick up ITP after a viral infection
Doctor :   did you follow my suggestions ?
User :   Yes.i am clearly it contagious ?
Doctor :   no , it is not contagious
User :   As u said we cannt prevent it..but can any type of food can help us so that we dont face any severe consequnces
User :   or any food can kee my mom fit or healthy
Doctor :   no , there is not much restriction in any food which has been documented to prevent an ITP
User :   Oh so restrictions but can you recommend food which should be consumed
User :   to keep her heathy
Doctor :   let her have good green leafy vegetebles
Doctor :   that will help
User :   One more question
User :   My mom was fibne since almost 8 mnths..suddenly on friday bleeding started from gums
Doctor :   ok
User :   so we went to KEM hosp on saturday..then have given some medicine and told that OPD is on thursaddy so come on that day
Doctor :   ok
Doctor :   has her bleeding come down ?
User :   since 2 days there is bleeding but red spots has come on her body
User :   i am sorry there no bleeding since 2 days
User :   so can we wait na till thiursady or any thing might go serios?
Doctor :   yes , you can wait .
User :   so when is the case when ITP patient has to be immidiately medicated...
Doctor :   may i know the other medicines prescribed for her since her last visit ?
User :   as we cant be attended on all days in KEM
User :   I dnt re,member the name..but it was calcium kind of medicine wat she told
Doctor :   ok
User :   and prednisolne
Doctor :   you can continue the medicines and wait till her turn
User :   so thats wat my question was
Doctor :   ok
User :   when it gets more severe...i mean in ITP are there chaces for emergencies
User :   like has to be hospitalised...
User :   because red spots are increased on her face
Doctor :   yes , if there is severe bleeding from every where like from the urinary region , from gums , from intestines which come in stools and external bleeding from tissues then needs immediate treatment
Doctor :   as long as there is no bleeding , do not worry
User :   Laat question
Doctor :   yes
User :   what is the life og ITP patiennt..i mean death cases
Doctor :   the patient can lead a very normal life , if her platelet counts are normal , and the bleeding is controlled and responding well to steroids
Doctor :   it will not cause any major problems in such cases
Doctor :   I hope i answered all your questions ?
User :   Yes.
User :   U have
User :   I am very much satisfied and relief
Doctor :   do not worry
Doctor :   thank you for consulting me
User :   thanks...
Doctor :   take care of your dear mom
User :   yes i will
Doctor :   pleasure talking to you
User :   Bye
User :   same here
Doctor :   bYE FOR NOW
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