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Urgent information: WBC / Platelet
It is for the son. Since last five days his fever has gone max 101.4and have given him crocin after that two times in five days only. Cough, sore throat and body ache were there first two days only. Now fever is less than 99 today. I have given him papaya leaves and Amala garlic juices.
What should we check. CBC report conducted on 7th and 10th September enclosed. Please check special reference to WBC Platelet count and remarks by pathologist regarding platelet count.
Please advice
Enclosed one image containing both CBC reports 7th and today 10th September 2025
Answers (38)
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1st thing stop ,
Papaya leaves potion it will harm his Liver or Kidney.
2nd thing ,
Get a Fever Profile Done
3rd thing
His is 21years old , It's not a Paeds consultation , go for Medicine consultant
Next Steps
His Platelets are falling , Get him admitted asap
Health Tips
Stop leaves potions ,
Garlic & amla okay they are fruits you can have them as food nutrition not a
remedy cure
Answered
2/2 people found this helpful
The Platelet count is low and suggests further examination and evaluation
As the season is Dengue season
So high chances might be dengue fever
Do keep an eye on severe symptoms:
1. Bluish red discolouration of skin
2. Headache
3. Stomach ache
4. Dehydration
Don’t do home remedies without confirmed results as the Dengue fever may complicate
Next Steps
Get NS1 and LFT, KFT done
Answered
2/2 people found this helpful
Low platelets .
Get dengue test done... ns1
Go to hospital and get him admitted as iv fluids may be required during critical phase/capillary leaking phase.
Next Steps
go to hospital. continue home remedies without proper testing can b very dangerous!
Health Tips
if you have any doubt , instead of consulting here get admission to hospital till they recommend.
Answered
2/2 people found this helpful
In this scenario need physical examination of patient
Next Steps
Do dengue NS1 and LFT
Health Tips
Take fluid therapy at home (ORS)
Answered
2/2 people found this helpful
Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine.
Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS.
Jai hind. 🇮🇳
Answered
2/2 people found this helpful
You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
Answered
2/2 people found this helpful
The fever has already started coming down which is a good sign, but the main concern is the platelet count trend. In the CBC of 7th Sept the platelet count was 124,000/µL, and by 10th Sept it has further dropped to 82,000/µL. WBC count has also come down but still within the lower end of normal, which is common in viral fevers like dengue.
Next Steps
•Get a CBC checked daily until the platelet count starts rising.
•Keep him well hydrated (ORS, coconut water, soups, plenty of fluids).
•Only Paracetamol for fever if it goes above 100°F. Avoid medicines like Ibuprofen, Aspirin, Diclofenac.
•If any of these appear, or if platelets fall further below 50,000/µL, he should be taken to hospital immediately for monitoring.
•Since the fever is settling and he is otherwise improving, this may just be a viral thrombocytopenia, but consultation with a physician is strongly advised with these reports.
Health Tips
• Closely watch for warning signs – bleeding gums/nose, red spots on skin, blood in stool/urine, severe abdominal pain, repeated vomiting, or excessive weakness.
Answered
2/2 people found this helpful
The reports indicate a viral infection. Kindly get a dengue test done if not already performed.
Decrease in WBC and platelets indicate viral infection.
If the symptoms doesn't improve, kindly admit him in a hospital for IV Fluids and further management.
Keep him really hydrated. Plenty of water orally.
Look out for bleeding. Blood while passing urine (could be seen as orange/red coloured urine), blood while passing stools (black or red colored feces) could indicate dengue with worsening conditions.
Next Steps
Hydration, admission to hospital and IV fluids plus further treatment. Look out for bleeding.
Answered
2/2 people found this helpful
Your son's blood report is suggestive of Vital fever with thrombocytopenia (fall in platelet count). Platelet is required for normal homeostasis. When platelet counts fall, there is chance for his blood pressure to fall. Hence, he needs continuous monitoring of his vitals.
Most common etiology is Viral infectious causes, among which Dengue Fever is common.
Dengue IgM test can be done.
Treatment includes: fever management, good oral intake, if not taking orally, will have to start intravenous fluids.
Next Steps
Serial monitoring of Platelet Counts and Hematocrit.
Recording of his blood pressure
Health Tips
If any danger signs, return to hospital at the earliest
Danger signs:
1. Persistent vomiting
2. Severe abdominal pain
3. Any Bleeding manifestations
4. Breathing difficulty
5. Lethargy
6. Restlessness
Answered
2/2 people found this helpful
The WBC count is decreased and Platelet levels have been significantly decreased. My first differential to rule out will be Dengue ma'am, we may have to take NS1 Antigen test for that.
I require the trend of fever in this case. Kindly contact Nine nine nine six four one two zero three in whatsapp. Thank you.
Answered
2/2 people found this helpful
Ur son has fever might be bacterial or viral bcoz WBC counts are less
As your son is 22 yrs old give
Tab paracetamol 1000 mg every 12 hourly
Tab monocef Cv O 200 mg bid
Tab Azithromycin 500 mg once daily
Tab montina L 1 tab bid
SYP grilinctus bm 2tsf tid
Answered
2/2 people found this helpful
Your son’s CBC shows platelets 212to 197 (still normal, >150k) and WBC within safe range.
Fever is settling, no danger signs at present—continue fluids, rest, and paracetamol if >100°F.
Repeat CBC only if fever persists/worsens or bleeding signs appear. If more questions are in your mind, you can contact me on WhatsApp at nine one one nine two five five six nine nine for free consultation.
Answered
3/3 people found this helpful
Platelets are on the lower side.
If fever persists, and his body ache increases, you must consult a physician at the earliest.
Next Steps
Drink plenty of fluids. Have healthy diet that includes fruits and vegetables.
Try giving room temperature water sponge bath when he gets high fever.
Health Tips
Visit a physician at earliest if condition worsens.
Answered
2/2 people found this helpful
Reports are not that much concerning
Will require more information
Next Steps
book a consultation so that we can order a proper line of investigation and manage
Health Tips
in mean time keep your son hydrated by giving plenty of fluids including ors
mantain healthy diet
and do not let him go to school or classes to prevent the spread
Answered
2/2 people found this helpful
Needs hospitalisation
Repeat CBC, manual platelet count, ESR, CRP and culture and Dengue card test to rule out infections.
Next Steps
Go for hospital admission
Health Tips
Keep hydration till then with electrolytes.
Answered
2/2 people found this helpful
Manual platelet count is nearly normal
Kindly give him tab zifi 200 mg twice daily after food for 5 days
Give zincovit tablet once daily after 7 days
Drink plenty of water and take ors thrice daily .
Total water intake should be upto4 litres per day including ors
Repeat manual count from good lab like lal path or redcliffe.
Answered
2/2 people found this helpful
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