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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Fall In The Platelet Count?

Could you help please. I have had a blood test carried out this morning as a further continuing blood test plan which was required as the result of a sudden viral failure (caused by a reaction to antibiotics). This occurred seven weeks ago. My eGFR was 4 six weeks ago is now 33. Other values such as Creatine are approaching normal. My GP is impressed with my recovery and results in the main are trending towards the normal range and he has taken me off Dialysis. I have had repeated blood tests every 2 days during dialysis, and now weekly since 12-06-2017. However my platelet count is today 138 x 10^9 /L. (Normal range is 150-400). This was 160 on 12/06/2017 and 167 on 19-06-2017? Is this serious and what can I do to assist returning to the prior OK values? This is a rapid drop - maybe the lab test today are faulty? Possible solution is wait a week for the next test? Please advise.
Tue, 5 Sep 2017
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Hematologist 's  Response
Platelet count of 138000/cmm, is not at all a serious issue. It may be transient drop or could be a lab error as well. There is no need to take any active measures to increase it to more than 150000/cmm. It is best to repeat a platelet count after 1 week. But if you have any bleeding complaints don't wait for long. Get the platelet count done urgently.
Hope I have answered your question. If you have any further questions I will be happy to help.
With regards,
Dr. Girish Kamat

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What Causes A Fall In The Platelet Count?

Platelet count of 138000/cmm, is not at all a serious issue. It may be transient drop or could be a lab error as well. There is no need to take any active measures to increase it to more than 150000/cmm. It is best to repeat a platelet count after 1 week. But if you have any bleeding complaints don t wait for long. Get the platelet count done urgently. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat