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Low Platelet count
Gender female Age 21 What could be the reason of low blood platelet and what should be done
B12 level - 390
Answers (27)
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As u didn't mention about clinical condition of the patients and based on lab report which show only mild fall in platelets doesn't sufficient for a physician to comment on management of patient, it may be mild viral infection that resolve spontaneously.
Next Steps
consult a physician
tell doctor about proper condition
Health Tips
if u have mild fever then keep yourself hydrated and take paracetamol if you are not allergic to it.
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Platelets count is marginally low, could be due to any viral infection.Nothing to be done at this time.your vitamin b 12 level is normal
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VitaminB 12 level is within the normal range.
Platelets Count 131,000 is only slightly below the normal Threshold and doesn't typically pose an immediate danger for Severe ,Spontaneou bleeding which usually happens when platelets Count drops below 50,000 or 20,000.
REASONS OF LOW PLATELETS.
1) Recent infections
2) Nutritional Deficiency
3) Medications
4) Lab Artifact
5) Blood Disorder
PRECAUTIONS= Watch For
1) Unexplained or easy Bruising
2) Frequent or Prolonged Nose bleeding
3) Bleeding Gum especially ofter Brushing your teeth
Next Steps
Most important
keep platelets Monitoring Count frequently.
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It can be due to
Recent viral infection
Menstruation (rare)
Nutritional deficiency, particularly B12 or folate deficiency; this could also fit with the borderline-high MCV and increased RDW.
Medications — some antibiotics, anticonvulsants and other drugs can lower platelets.
Next Steps
If asymptomatic and no bleeding/bruising:
Repeat CBC and peripheral smear in 2–4 weeks.
If MCV remains elevated, check B12, folate, TSH and LFT.
Health Tips
Do consult
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Low platelets may occur with a recent infection, dengue/malaria, medicines, nutritional deficiency or even lab variation; the cause needs the complete CBC and examination. Please share the platelet count, haemoglobin, WBC count and peripheral smear. Seek urgent care for bleeding, black stools, severe headache or a rapidly falling count. I can review the reports through a Practo consult or at Synergy Multispeciality Hospital, Miraj.
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Patient needs further evaluation but based on above tests
Patient needs to repeat the CBC again because some labs do show slightly low values of Platelets . If cell count still remains slight low then it could possibly be recent viral infection. Blood smear should be done. TFT LFT to be done also
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A mildly low platelet count is often temporary and commonly follows a viral illness, so it usually isn't a cause for alarm on its own. Please repeat the CBC after a week or two and share both results with a physician to check the trend.
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