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Treatment for ITP and blood clots - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
User :   Hi. I was diagnosed with ITP about 11 years. I am just back from holiday in Turkey where after a day or two my left leg was covered in black bruises and I had a red rash on my lower legs and feet, I also had a red dot in one eye. It all went away after about a week and I feel fine but was just wondering if I should maybe go and have my blood checked,
Doctor :   Hi
Doctor :   IAM .Dr XXXXXX
Doctor :   Let me read your post
Doctor :   Yeah a blood test would help
Doctor :   to know the platelet count status
Doctor :   Did you strain your body a lot?
Doctor :   A platelet count below 20,000 is generally an indication for treatment
Doctor :   Patients with a count between 20,000 and 50,000 are usually evaluated on a case-by-case basis, and, with rare exceptions, there is usually no need to treat patients with a count above 50,000
Doctor :   Hospitalization may be recommended in cases of very low counts, and is highly advisable if the patient presents with significant internal or mucocutaneous bleeding.
User :   Thanks I just thought that as the bruising and rash were gone that it was maybe ok again. I didn`t srain my body. Can the hot weather cause me to bruise as I always have it on holiday but it was just a lot worse this year.
Doctor :   Yes it can
Doctor :   But ITP is a disease caused by immunity dysfunction
Doctor :   of our own body
Doctor :   recognizing platelets as an invader and fighting it
User :   How did it just clear up by itself
Doctor :   Treatment usually is initiated with intravenous corticosteroids, such as methylprednisolone or prednisone.
Doctor :   The spots are internal bleed in the skin
Doctor :   it gets cleared by the enzymes in our body
Doctor :   that breaks the blood particles down
Doctor :   Symptoms of ITP include the development of bruises (purpura) and petechiae, especially on the extremities, bleeding from the nostrils, bleeding at the gums, and menorrhagia, any of which may occur if the platelet count is below 20,000 per mm3. A very low count (
Doctor :   A platelet infusion may be administered in an emergency bleeding situation in an attempt to quickly raise the count. After the platelet count has increased to a safe level, an orally administered steroid, such as prednisone (1รข??2 mg/kg per day), is usually prescribed
User :   But as I don`t have these symptoms anymore do you think I should still get blood test done.
Doctor :   Yes
Doctor :   you should
Doctor :   Because bleeding can occur any where in the body
Doctor :   if the counts are very low
Doctor :   as i have said
Doctor :   and a test would be very help ful
Doctor :   Many adults have only mild decrease in counts. In fact, quite a few people have no bleeding symptoms. They are only diagnosed with ITP when their blood is checked for another reason and a low blood platelet count is found. Mild cases of ITP may not require treatment, just regular monitoring of the platelet levels.
Doctor :   In ITP, you should avoid medicines that increase risks for bleeding, such as warfarin (a medicine often used to treat an abnormal heart rhythm called atrial fibrillation) and over-the-counter drugs like aspirin and ibuprofen (some brands: Advil, Motrin). You should also limit alcohol because it can decrease the ability of your blood to clot.
Doctor :   Did you get what i said?
Doctor :   Is there anything else i can help you with?
Doctor :   WWW.WWWW.WW User :   Thank for your help
Doctor :   Thanks for consulting bye for now..
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