Hi, Several factors can contribute to a low platelet count, or thrombocytopenia, in individuals with a history of alcoholism. Chronic alcohol use can damage the bone marrow, where platelets are produced, leading to decreased platelet production. Alcoholism can also lead to nutritional deficiencies, particularly in vitamin B12 and folate, which are important for the production of healthy blood cells, including platelets. In addition, medications can also contribute to a low platelet count. In some cases, blood pressure and acid reflux medications have been associated with thrombocytopenia. Bedbug infestations are not known to directly cause a low platelet count. However, if you have been bitten by bedbugs, this can cause itching and scratching can lead to small cuts or abrasions on the skin. If your platelet count is low, this could result in prolonged bleeding or difficulty with clotting at these sites. It is important to note that a platelet count of 61,000 is considered very low, and individuals with this level of thrombocytopenia may be at increased risk of bleeding, particularly if they are injured or have surgery. If you are experiencing any symptoms of bleeding, such as easy bruising or prolonged bleeding from cuts, you should seek medical attention immediately. Your healthcare provider may recommend additional testing to determine the cause of your low platelet count, such as a bone marrow biopsy or blood tests to evaluate for nutritional deficiencies. Treatment options may include medications to stimulate platelet production, transfusions of platelets, or addressing underlying medical conditions, such as alcoholism or nutritional deficiencies. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician