HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Low Platelet Count

default
Posted on Tue, 5 Jan 2016
Question: Otherwise in basically good health, 68 yoa white male with platelet count of 120 = how serious ? possible causes / remedies ? All other standard cardio blood workup results within normal ranges with the exception of total cholesterol at 242(LDL @ 162 & UREA Nitrogen .Blood @ 27 H.) Bottom line, how substantially serious are these results?


Afterthought; VA Dr. did tell me that I "may" have some type of virus ????
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (3 hours later)
Brief Answer:
Here is an explanation of your lab values.

Detailed Answer:
Hello and welcome,

For most blood test values, their meaning or interpretation should be based on what else is going on, how they relate to other tests within that same blood draw, and how they compare with previous results for the same test.

Now lets look at each one:
Platelets 120: This is slightly low. Platelets can take a dip anytime there is some illness going on. This value is not at all concerning, and my recommendation would be just to have the test redrawn approximately 6 weeks after you are feeling better. They will likely have returned to normal. It would be concerning if there is a continuous downward trend or they were in the double (or single) digits. I do not expect that to happen if you are otherwise in generally good health.

Cholesterol: Both your total cholesterol and LDL cholesterol are high. My guess is that the total cholesterol is high because of the LDL elevation. Both are just at the bottom range of high so it is mild hypercholesterolemia. I would not advise a cholesterol lowering med for this but rather encourage dietary modifications and exercise. In particular, avoid simple carbs such as sugar and sugary foods and drinks, and foods with white flour. I imagine you are already doing this to some extent as you have mild Type 2 diabetes. Increase fruits and veggies - lots of veggies. Given the cardiovascular meds you are on, I take it that you have high blood pressure, so this is important for you.

BUN 27: This is high and would be concerning if you also had a significantly elevated creatinine level. BUN and Creatinine are signs of kidney function. But an elevated BUN alone, without an abnormal creatinine, is usually a sign of dehydration. Perhaps that happened because of the nausea you were having during the time you had the blood test. Again, I would just have it redrawn to make sure it is back to normal. The BUN will bounce back to normal immediately with appropriate hydration, so if you and your doctor are concerned, you can have it checked soon. Otherwise, you can get it rechecked when you have your platelets drawn.

Looking at all of this together, if I were your doctor, I would not be too concerned. I would advise making further lifestyle changes (diet and exercise) for the cholesterol, and recheck everything in a few months.

I hope this answers your question and that you are feeling better.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Bonnie Berger-Durnbaugh (2 hours later)
No further questions-thank you.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (3 hours later)
Brief Answer:
Your welcome!

Detailed Answer:
Hello again -

Our discussion can only be closed by you, so if you have no further questions, please go ahead and close it and feel welcome to rate me.

Best regards,
Bonnie Berger-Durnbaugh, MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Low Platelet Count

Brief Answer: Here is an explanation of your lab values. Detailed Answer: Hello and welcome, For most blood test values, their meaning or interpretation should be based on what else is going on, how they relate to other tests within that same blood draw, and how they compare with previous results for the same test. Now lets look at each one: Platelets 120: This is slightly low. Platelets can take a dip anytime there is some illness going on. This value is not at all concerning, and my recommendation would be just to have the test redrawn approximately 6 weeks after you are feeling better. They will likely have returned to normal. It would be concerning if there is a continuous downward trend or they were in the double (or single) digits. I do not expect that to happen if you are otherwise in generally good health. Cholesterol: Both your total cholesterol and LDL cholesterol are high. My guess is that the total cholesterol is high because of the LDL elevation. Both are just at the bottom range of high so it is mild hypercholesterolemia. I would not advise a cholesterol lowering med for this but rather encourage dietary modifications and exercise. In particular, avoid simple carbs such as sugar and sugary foods and drinks, and foods with white flour. I imagine you are already doing this to some extent as you have mild Type 2 diabetes. Increase fruits and veggies - lots of veggies. Given the cardiovascular meds you are on, I take it that you have high blood pressure, so this is important for you. BUN 27: This is high and would be concerning if you also had a significantly elevated creatinine level. BUN and Creatinine are signs of kidney function. But an elevated BUN alone, without an abnormal creatinine, is usually a sign of dehydration. Perhaps that happened because of the nausea you were having during the time you had the blood test. Again, I would just have it redrawn to make sure it is back to normal. The BUN will bounce back to normal immediately with appropriate hydration, so if you and your doctor are concerned, you can have it checked soon. Otherwise, you can get it rechecked when you have your platelets drawn. Looking at all of this together, if I were your doctor, I would not be too concerned. I would advise making further lifestyle changes (diet and exercise) for the cholesterol, and recheck everything in a few months. I hope this answers your question and that you are feeling better.