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Will sexual intercourse affect platelet count? Which foods will increase platelet count?

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Pulmonologist
Practicing since : 2003
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Dear Sir,

I am XXXXXXX 30 yrs. I am diagnosed with ITP when i was 3yrs old. Then i got second in my age of 15 yrs and 17yrs and 22yrs after 9 years i got again and now 15 days before.
When i got low platelet count i was treating with wysolone tab for that short period. But this time i was admitted in hospital taking platelet tranfussion.
Now iam taking wysolone 60mg and now tapered to 40Mg at present. My platelet count is now gradulay increased, Now it is in 1lakhs 50 thousand.

My questions are:

1) I am recently married. My doubts is sexual intercourse will affect the platelet count. In future. Is there any limitaions and restriction i have to follow.
2) what are foods will increase the platelets count.
3) At present i have insomnia. My doctor suggest me cap benadryl but is not helpful.

Kindly clear sir.

Thanks & Regards,
XXXXXXX
Posted Sat, 14 Apr 2012 in Blood Disorders
 
 
Answered by Dr. Gyanshankar Mishra 2 hours later
Hi XXXXXXX.

Thanks for posting your query.

After going through your history, I would like to comment the following:

1. You are a diagnosed case of ITP since 3 years of age and are currently on prednisolone (short course) and calcium which is a conventional treatment of your condition.

2. Sexual intercourse will not affect your platelet count. If however your platelet counts are low at times then the risk of local bruises following intercourse are increased.

3. Coming to dietary suggestions in ITP:
A. Here is a short list of the foods to avoid:
Avoid all greasy foods
Avoid margarine and mayonnaise
Avoid all fried foods
Avoid all types of fast foods
Avoid too much protein
Avoid high sugar content foods and refined starches
Avoid alcoholic beverages which can damage bone marrow. Reduce the amount of blueberries, red/purple grape products, garlic, onions, ginger, ginseng, and tomatoes. These foods can interfere with blood clotting.
Avoid canned and frozen foods and leftovers. The nutritional value of food deteriorates with time. A wide variety of food assures your body gets the variety of nutrients it needs.

B. Foods that will help increase platelets:
Fresh fruits and vegetables.
Wild salmon, flax seed oil, cod liver oil (all contain omega 3 fatty acids)
Diet XXXXXXX in vitamin B12 and folic acid such as spirulina, milk, pulses, amaranth, drumstick leaves may be helpfull in platelet production.

However remember no formal scientific study has been reported on diet and platelet counts till date.

4. Regarding the insomnia, it seems to be a side effect of short term wysolone.
For this you first need to follow sleep hygiene habits- going to bed on time, no drinking caffeine or tea at bed time, using your sleeping bed exclusively for sleeping and not for other purposes like watching tv or reading and so on. Most importantly you need to be relaxed and stress free. If inspite of these habits you are having insomnia then you may take a sedative anxiolytic medication under prescription from your physician.

I hope I have answered your query. I will be glad to answer any follow up queries.
Please accept my answer if you have no follow up queries.

Take care.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Above answer was peer-reviewed by
 
Follow-up: Will sexual intercourse affect platelet count? Which foods will increase platelet count? 20 hours later
Dear sir,

Thanks for your answers.

Iam attaching my todays blood report for your opinion. My platelets counts now 150thou/cmm. Four days befor when i take same 150thou/cmm. Which is the safest count. My doctor told me when it maintain above 50thou/cmm not to worrie.

In future after tapper and stoping the prednisone how to be maintain safer counts.

Thanks in advance
Regards,
XXXXXXX
 
 
Answered by Dr. Gyanshankar Mishra 3 hours later
Hi,

Thanks for the follow up.

After going through your follow up history , I would like to comment the following:

1. Adults with platelet counts >50,000/mm3 seldom require treatment. Treatment is indicated for adults with counts < 50,000/mm3 with significant mucous membrane bleeding. Treatment also is indicated for those adults with risk factors for bleeding (eg, hypertension, peptic ulcer disease, vigorous lifestyle) and in patients with a platelet count < 20,000-30,000/mm3. Thus as correctly mentioned by your physician any count above 0000/mm3 should not worry you.

2. You need to regularly follow-up with your physician in order to assess for a potentially reduced platelet count.Also because of the increased risk of bleeding, you should avoid aspirin products.

3. Follow a healthy life style. Do not neglect any physical symptom if it develops especially easy bruisability, gum bleeding. Do monitor your BP regularly.

I hope I have answered your query. I will be glad to answer any follow up queries.
Please accept my answer if you have no follow up queries.

Take care.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Above answer was peer-reviewed by
 
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