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Less platelets count in general
My father's platelet count is approx 70 in general but he is not having any kind of difficulty or uneasy health condition. As per him all okay
Need to to know expected reason and cure for the same
Answers (16)
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If the platelets have been LOW FOR SOMETIME then, It is usually from 2 reasons
1. His bone marrow does not produce enough (low B12, low folic acid or a problem in the bone marrow itself called Myelodysplasia syndrome). - blood tests and replace B12/folate if low and a Haematologist review
2. His body (ie his spleen, which js an organ in the abdomen) is breaking down more than normal amounts of platelets (either from a pressure issue inside the spleen called portal hypertension or an immune issue called chronic ITP). - blood tests for clotting, liver function tests. Ultrasound abdomen and Gastrointestinal or Haematologist depending on if it ‘pressure’ or ‘immune’ issue respectively.
Sorry about the technical details.
All the best.
J G S R clinic.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Need marrow study
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A platelet count of 70,000 (normal range 150,000–450,000) is called mild–moderate thrombocytopenia.
Many people with this level feel completely normal, exactly like your father, and have no bleeding symptoms.
But this level needs evaluation to find the cause, because platelets should not stay low for long without understanding why.
Most Common Causes (Especially in Older Adults)
1. Immune Thrombocytopenia (ITP)
The body’s immune system destroys platelets.
Very common cause, often without symptoms.
2. Chronic Liver Disease or Fatty Liver
Liver problems reduce platelet production.
Ultrasound abdomen can help rule this out.
3. Enlarged Spleen (Hypersplenism)
Spleen “traps” platelets, leading to low levels.
4. Vitamin Deficiencies
• Vitamin B12 deficiency
• Folate deficiency
Both are very common in elderly.
5. Long-standing infections
Such as:
• Viral infections (Hepatitis B, Hep C, HIV)
• Post-infectious conditions
6. Bone-marrow related issues
Less common but important to check in older age:
• Myelodysplastic syndrome
• Aplastic bone marrow changes
7. Medicines
Some drugs cause low platelets:
• Painkillers (naproxen, diclofenac)
• Antibiotics
• Blood-thinners
• Antiepileptics
• Cardiac medicines (rare)
If the platelet count is stable around 70,000 for a long time and no bleeding, it usually indicates a chronic, non-dangerous cause.
Next Steps
Recommended Evaluation
To identify the exact cause, doctors usually do the following tests:
CBC with peripheral smear-
To check platelet appearance and bone marrow signals.
Liver function test (LFT)-To rule out liver-related causes.
Vitamin B12 and Folate levels-Low levels can drop platelets significantly.
Ultrasound abdomenTo check liver and spleen size.
Viral markers (Hepatitis B, Hep C, HIV)
Only if required.
Bone marrow test
Only if platelet count keeps dropping, or smear shows suspicious changes.
(Not needed routinely.)
Health Tips
Your father’s platelet count of 70,000 is low, but it is common for people with this count to feel completely normal. The cause can be vitamin deficiency, mild liver issue, spleen enlargement, immune-related platelet destruction, or bone marrow changes. Most of these are treatable once we check a few blood tests and an ultrasound. As long as his platelets stay above 50,000 and he has no bleeding, it is usually not dangerous. A proper evaluation will help identify the exact cause and guide the right management.
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Please share detailed medical history, why was this test done , then I can help him.
He should take more of fresh green leafy vegetables, beetroot, pappaya, pomegranate.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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The platelet count is low , needs proper history and examination with complete blood picture
Next Steps
consult me in practo for the same
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Advise
Lft
Tab platyza two times a day after food for five days.
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He need to be examined by a physician. 70 platelet is too low . Need to see whole blood pictures
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Digvijay Vashistha
General Physician
1 yrs exp
Faridabad
If you need guidance, I’m here—feel free to book your consultation.
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
A platelet count around 70,000 in a 71-year-old is definitely lower than normal, but the fact that your father has no bleeding, bruising, weakness, fever, weight loss, or other complaints is reassuring.
However, low platelets can happen due to many reasons:
• Chronic viral infections (HBV, HCV, HIV)
• Bone marrow suppression
• Alcohol-related changes
• Nutritional deficiencies (B12/folate)
• Immune thrombocytopenia (ITP)
• Liver-related issues causing splenic sequestration
• Age-related marrow changes
• Certain medications
At his age, the important thing is not to assume it’s harmless just because he “feels fine.”
Many serious conditions don’t show symptoms early.
Before deciding anything, he needs:
1. A proper CBC trend (not just a single value)
2. Peripheral smear
3. Liver function tests
4. Viral markers
5. Basic clinical history and medication review
Only then can we tell whether this is benign, chronic, or something that needs treatment.
Low platelets can be stable and harmless in some people and dangerous in others depending on the cause.
If you want a clear, personalised interpretation and an exact plan on what to test next and how to manage it, you can book a private consultation with me on whatsapp at nine three two six zero two zero five three six and I will guide you step-by-step based on his reports and history.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
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