Hello and welcome to HCM,
Low platelet count
leads to bleeding on slight trauma.
platelets as low as 50,000 does not cause spontanaeous bleeding but bleeding on slight trauma.
The cause ofr fall in platelet numbers has to be sought out.
A bone marrow
biopsy along with peripheral blood examination will tell about the status of the bone marrow and most probable cause of low platelet counts.
Esophageal bleed occurs most commonly due to varices
or dilated veins in the stomach mucosa.
Rupture of these veins leads to blood loss and can be fatal in some cases.
You need to undergo endoscopy
to know the status of the esophagus
and to look for evidence of dilated veins.
If varices are present, appropriate management needs to be done.
various modalities are available for correction of the problem.
You need to connsult ahematologist for bone marrow biopsy and gastroenterologist for esophageal studies.
Thanks and take care
Dr Shailja P Wahal