This drop in paltelet count feom 1.57 to 48000 is considered as significant drop. Don't give him papaya juice. Your doctor is right. It will create gastritis. Give him tab pantoprazole 40 mg od Syp oxetacaine 2 tsf tds Tab pcm 500 mg bid/sos Tab doxycycline 100 mg bid No painkillers Ideally arrange 4 units of platelet. And be prepared for transfusion if the count drop further. Watch for any signs of bleed like a rash/blood in irine/black stools.

Below 20k platelets is a concern.... It ll increase gradually... Check his platelets two days later...

First he needs evaluation of f liver function tests and renal functions.and may need hospitalisation

See, if there any multiple red patches ok body or high grade fever, he needs to be admitted. Any other meds started?

Hello... I can treat the condition... Don't get tensed... Did u give papaya juice to him earlier in the past? Need more history.... Consult me online for further management... 28000 is not so dangerous but u need to consider it important... Don't worry consult me now

See platelet count is low. If platelet count will become lower that 20000 then he needs some platelet transfusions. Give him adequate amount of fluid.