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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Unexplained Bruises With Low Hemoglobin Levels?

My son had a liver transplant almost 7 years ago. He is immune-suppressed and is on aspirin and his hemoglobin and platelets are low, so he bruises very easy. However he has a bruise on his lower right side that has a knot underneath and I am wandering if this is something I should take him to the dr over?
Wed, 24 Sep 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Low hemoglobin levels suggest anemia.
A complete hemogram and peripheral blood smear examination has to be done to know the cause of anemia and thus its treatment.
Low platelet count occurs due to either decreased production in the bone marrow or increased destruction in the bone marrow and in peripheral blood.
Drugs are common cause of destruction of platelets on peripheral blood smear and your son has s history of intake of immuno-suppressants.
Since, there is increased bruisibility on the body, coagulation tests also need to be performed to know the status of coagulation factors.
Consult your hematologist for the problem, diagnosis and thus treatment of the condition.

Thanks and take care
Dr Shailja P Wahal
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What Causes Unexplained Bruises With Low Hemoglobin Levels?

Hello and welcome to HCM, Low hemoglobin levels suggest anemia. A complete hemogram and peripheral blood smear examination has to be done to know the cause of anemia and thus its treatment. Low platelet count occurs due to either decreased production in the bone marrow or increased destruction in the bone marrow and in peripheral blood. Drugs are common cause of destruction of platelets on peripheral blood smear and your son has s history of intake of immuno-suppressants. Since, there is increased bruisibility on the body, coagulation tests also need to be performed to know the status of coagulation factors. Consult your hematologist for the problem, diagnosis and thus treatment of the condition. Thanks and take care Dr Shailja P Wahal