Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
187 Doctors are Online

ITP, tapering steroids, losing bone density, Pregnancy for ITP patients possible? - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
User :   I have to spken to You that dat regfarding ITP
User :   are you the same Dr.
Doctor :   yes , I remember
Doctor :   for your mother , am i correct
User :   Yes
Doctor :   please tell me
User :   Maam i have visted hospital on thursday
Doctor :   ok
User :   There a Dr had asked my mom to stop predisone medicnes
Doctor :   ok
User :   she told not to stp immediately but ater a month by reducng 5 mg eveery week
User :   and has given another medicine
Doctor :   ok
User :   as prednisone may cause her bones week and can cause diabetes
User :   she told to take that new medicine for 6 tablet daily
Doctor :   ok
Doctor :   may i know the name of the new medicine ?
User :   the red spots are still there on her body...
User :   it starts with T
Doctor :   do you have the name with you?
User :   but is very cheap..white little mdicine
User :   no will let u know tmrw
User :   is it fine?
Doctor :   ok
Doctor :   sure
Doctor :   for now let me give you some points
Doctor :   prednisolone is a steroid
User :   ok
Doctor :   generally when one is put on steroids , over a long time , we expect side effects like weight gain , low immunity
Doctor :   and bone softness, bones become brittle and lose the density
Doctor :   this is called osteoporosis
Doctor :   hence if we feel a person may develop this change, the doctor will stop prednisolone
Doctor :   steroids like prednisolone will need a slow tapering
Doctor :   tapering means bringing down the dose day by day , week by week slowly and then stopping it
Doctor :   this is done to avoid the side effects due to sudden withdrawal of the drug
User :   ok
Doctor :   hence the doctor has done the right job , in slowly stopping the dru
Doctor :   do not worry about the red spots
Doctor :   if it were significant , the doctor would have done some tests
Doctor :   regarding the new medicine , you could get back to me or any other doctor tomorrow
Doctor :   I will guide you further
User :   Ya sure will give you the name of new mdicine tmrw but would i be directly connected to you on chat
Doctor :   are you with me ?
Doctor :   yes , if i do not get to pick your chat , you could ask the doctor to direct it to me
Doctor :   you may be asked to log out and log in again to connect to me
Doctor :   if I am not available , other doctors will surely help you
User :   Ok...
User :   One more thing Dr. i met with a girl in that hospital
Doctor :   ok
User :   who is also patient of ITP...
Doctor :   ok
User :   she had also been bleeding in novemeber and then got married in Dec
Doctor :   ok
User :   after marriage she got periods in jan
Doctor :   ok
User :   but since last 3 mnths dhe is not getting periods..
User :   she also checked ..she is not preganant
Doctor :   ok
User :   Can an ITP patient face problem in being pregnant
Doctor :   as such ITP will not cause problem in getting pregnant , but if she is n steroids , it can cause irregularities in her menses cycle , which may delay conception
Doctor :   also she may face problems during delivery
Doctor :   but with good care and prevention , labor can be normal and can have a healthy child
User :   Dr,there told her that as they had gvn her medicines to stop bleeding that is why she didnt had periods...
User :   and given her tests to do....
Doctor :   ok , that is possible
Doctor :   treatment varies form every patient depending on the platelet count
User :   after the tests they will give her guidance wat to be done..
User :   she was crying there of tension that would be able to concieve
User :   so thought of asking you..
Doctor :   ok
Doctor :   ask her not to worry
Doctor :   as she has been given medicines by a doctor and on seeing her conditions
User :   thanks
User :   i'll tell her that with propr medicines and care she cann get pregnant...
Doctor :   ok, that will be a good gesture
User :   thanks again Dr.
User :   will see u tmrw with medicines name for my mom
Doctor :   thank you
Doctor :   thanks for consulting me
User :   Bye :)
Doctor :   sure , you can get in touch tomo
Doctor :   take care
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor