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I Have Been Diagnosed With Essential Thrombocythemia . My Platelet

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Posted on Mon, 8 Oct 2018
Question: I have been diagnosed with Essential Thrombocythemia.
My platelet count has been consistently high since at least January. High being 600,000 for January and February; 700,000 March and April. In May the diagnosis was given and I was prescribed Plavix and then later Hydroxyurea (500mg/dy).
My symptoms included severe dizziness (to the point of not being able to navigate at all or even stand) and nausea sometime accompanied by diarrhea. These episodes were occurring daily and lasting 1-4 hours.
The plavix (along with chiropractic treatments) alleviated the symptoms but did not, of course, lower platelet count. Hydroxyurea was added.
The last blood test in early August showed my platelet count to be 570,000.

Please advise.
Thank you.
doctor
Answered by Dr. Dr. Esmeralda Sera (1 hour later)
Brief Answer:
Platelet count is lowering

Detailed Answer:
Hello and thank you for asking

In my opinion you should continue the same treatment. At the moment that your platelet count is lower means that this is the right treatment.

You have a chronic disease,that’s my opinion that you maybe will have symptoms ,but those symptoms will regress with time

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Esmeralda Sera (6 hours later)
Thank you.
The bone marrow biopsy showed no abnormalities other than the JAC-2 mutation that has been targeted as the cause of my high platelet count.
Is it possible that I will be able to discontinue the hydroxyurea over time?

In your opinion, was the dizziness caused by the high platelet count or something else?
doctor
Answered by Dr. Dr. Esmeralda Sera (14 minutes later)
Brief Answer:
Platelet count

Detailed Answer:
Hi

I think that you will continue the hydroxyurea for long period because the medication helps you

In my opinion the dizziness was caused cause of your high palatelet account
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Esmeralda Sera (4 days later)
I appreciate your attention to my condition. You did answer my question. I am still not able to understand the reasons for symptoms and if all are associated with this condition or if there is something more. Thank you.
doctor
Answered by Dr. Dr. Esmeralda Sera (3 hours later)
Brief Answer:
Thrombocytes

Detailed Answer:
thrombocytosis rarely causes symptoms. More often, signs and symptoms relate to the underlying condition. If symptoms of thrombocytosis do occur, they may include: the symptoms described by you before

Regards
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. Esmeralda Sera

Oncologist

Practicing since :1998

Answered : 1375 Questions

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I Have Been Diagnosed With Essential Thrombocythemia . My Platelet

Brief Answer: Platelet count is lowering Detailed Answer: Hello and thank you for asking In my opinion you should continue the same treatment. At the moment that your platelet count is lower means that this is the right treatment. You have a chronic disease,that’s my opinion that you maybe will have symptoms ,but those symptoms will regress with time Regards