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Platelets and WBC count differ
Hello sir/madam,
My mother had a fever and the doctor asked to take blood tests and in that test, the platelet count was 2.8 lakhs/cumm and WBC were 8600 cells/cumm and asked to take antibiotics and few infection medicines for fever and we started to take those which is just yesterday but today we went to diagnostic center for taking the tests again and in that report the platelet count was 1.81 lakhs/cumm and WBC are 4900 cells/cumm. Though it was in the normal range I wanted to check if this is normal as both platelets count and wbc Count decreased. Please help me fastly as I am having fear whether the counts are decreasing.
Answers (71)
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+131
CBC (Complete Blood Count)
DENGUE PANEL
WIDAL, MALARIA
LFTs (Liver Function Tests)
ESR (Erythrocyte Sedimentation
CRP (C-Reactive Protein)
CUE
Next Steps
1. Rest and avoid strenuous activities
2. Avoid medications that can lower platelet or WBC counts
3. Practice good hygiene to prevent infections
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It is normal some time antibiotics take its due coarse of time
And adding to that please do a dengue NS1 antigen test also
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This is absolutely normal
Next Steps
Just complete the course of antibiotics .
Health Tips
If fever persists or recur or of high intensity then contact immediately.
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Kindly do dengue report and Keep patient hydrated ..add papaya,orange , apple in diet.and If fever persist keep doing CBC alternative day to see progress of disease.
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The latest lab report is in normal range . But this is seemed to be a viral infection.
Next Steps
So first of all do NS1 antigen for dengue and if it is found to be negative then
please check CBC includes both WBC count and platelets in 3 consecutive days. If it shows a decreasing trends (platelets count <1.5lakh and WBC <4000) consult nearby hospital and take an appointment with physician
Health Tips
stay hydrated. Add kiwi fruit in diet which helps to increase platelet count
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Dengue ns 1 antigen test
Repeat cbc
Keep yourself hydrated .
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Do these tests: repeat CBC and Dengue NS1,IgM ; MP kit and report .
If these come to be positive you need to consult your physician.
Remeber to stay hydrated.
Next Steps
CBC, Dengue Ns1, IgM; MPkit to be done and results to be reported.
Health Tips
Stay well hydrated.
Look out for warning signs: bleeding manifestations, petechiae (clot under skin) .Other symptoms likes body ache, joint pain, itching must also be reported if present.
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Hello, the consecutive reports do suggest that both cell lines are in decreasing trend,but we can’t say anything based on just these two reports.In view of high incidence of dengue during this time,I suggest you to get your mother thoroughly investigated in above lines
Next Steps
Get tropical fever work up done
Health Tips
Exercise caution,keep surroundings clean,adequate hydration
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Kindly do dengue report
And follow up CBC report of your mother
Next Steps
drink plenty of water.
Take a Rest
Health Tips
drink papaya leaves juice.
it's beneficial for your immunity.
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Ask your mother if she has symptoms like retro-orbital pain (pain behind her eyes) or joint pain.
Next Steps
Update the answer after asking the above stated questions and keep your mother hydrated.
Health Tips
Add turmeric milk before sleeping in her diet to boost the immune systems' functioning.
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Kindly do dengue malaria and typhoid test
And consult with the reports
Health Tips
drink plenty of water
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Dr. Nikita Srivastva
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
6 yrs exp
Ghaziabad
Although it may be due to different labs having different machines but it’s better to repeat it again after two days and see the trend. Also you can get a peripheral smear made which leads to manual calculation to see whether both counts are adequate.
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You should visit the same doctor again
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Should get fever profile done
Especially check for dengue , typhoid malaria
Also counts can get low due to viral fever
Next Steps
Get CBC done again after a day or two
and consult ur doctor again
Health Tips
Drink plenty of fluids
and watch for bleeding from gums
or rash in the body
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If asymptomatic, no need to worry.
Next Steps
If otherwise, monitor the blood pressure, any skin color changes, urine output volume, weight gain if possible do hematocrit, Plt again. Take plenty of fluid, consult a doctor if condition worsening.
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He needs proper evaluation and diagnosis
Next Steps
please consult me on practo for further management
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Rule out dengue typhoid malaria
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Check for dengue and typhoid
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It would be easier if you share your history and remaining parameter to evaluate you better . Kindly consult for proper medication and advice
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You have not submitted if any other tests are done.
Like dengue.
This may be dengue viral fever.
Next Steps
Consultation.
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**Opinion:**
The drop in both platelet count and WBC count that you've noticed after starting antibiotics and other medications for your mother's fever is understandable and can be concerning. However, it's important to note that fluctuations in blood counts can occur due to several reasons, including the body’s natural response to infection, medications, or even lab variability. While the counts have decreased, they are still within normal ranges, which is reassuring. The reduction may reflect the body's immune response to the infection and the effectiveness of the treatment in reducing the overall inflammatory state.
**Next Steps:**
1. **Continue Monitoring:** It’s crucial to keep monitoring your mother's blood counts to observe any further changes. Repeating the tests in a few days will provide more clarity on whether the trend is continuing or stabilizing.
2. **Follow the Treatment Plan:** Continue with the prescribed antibiotics and infection-related medications. Ensure that your mother stays well-hydrated and gets adequate rest to support her recovery.
3. **Report Any New Symptoms:** If your mother develops new symptoms, such as increased weakness, bruising, or bleeding, or if the fever persists, it's important to contact the healthcare provider immediately.
4. **Follow-up Consultation:** I recommend scheduling a follow-up consultation with me or your primary healthcare provider to review the test results, monitor progress, and make any necessary adjustments to the treatment plan. This will ensure that your mother is recovering well and that there are no complications.
Please don’t hesitate to reach out for further clarification or if you have any additional concerns. It's important to address any worries promptly to ensure your mother’s health and peace of mind.
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If both reports are from same lab .. then you should get checked for dengue , malaria.
Next Steps
Get a repeat sample test done for cbc and peripheral blood smear..
Health Tips
Look for skin rashes.. and excessive bleeding from any site.. this could be because of low platelets
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Kindly connect
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Aa , you said platelets are dropping again do reports maintain hydration and proper calorie calorie intake.
Monitor blood pressure.
Warnings signs
Bleeding from gums
Severe headache
Bleeding from nose
Next Steps
consultation
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No need to worry
Need to take antibiotics
And pcm /cyra d
And your mother will get fine
And for further help need to consult
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You 2nd cbc shows a viral picture with decreased WBC count and fall in platelets, most likely dengue.
The first cbc is normal as it was early in the disease course.
Kindly consult. Will help you out with the treatment.
Next Steps
consult
Health Tips
Adequate hydration is the key, at least to consume 5lits per day of water/juices/ors.
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It's totally fine as of now , but with the viral going on in several parts of india due to change in climate.
But it's always better to get a consultation .
Get well soon
Health Tips
lookout for -
persistent fever
headache especial eye pain
body pain
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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Need to discuss symptoms and queries for any such advice!!
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Both are within the normal range , so no cause of worry , what about fever ?
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Should be evaluated and detailed history and all signs and symptoms are needed before any advice
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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There is nothing much to worry since the counts are within the normal range.
But look out for the symptoms mentioned below and kindly reach out for consultation as soon as possible.
Next Steps
Look out for these symptoms:
1. Headache
2. Pain in the back of the eyes
3. Muscle and Joint pain
4. Chills, persistent fever, tiredness
5. Nausea or vomiting
6. Rashes or red spots
Health Tips
If you have any doubts or health concerns or if you require any medical assistance please feel free to reach out for a consultation.
Your good health is my first priority 🤗
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It depends what medicines she is taking. Either Higher antibiotics or it may be due to viral infection.
Next Steps
consult a doctor
Health Tips
take ORS, stay hydrated, Rest until the diagnosis is clear
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As usual in viral fever.don't worry
Keep hydration maintained.
Next Steps
consult if vomiting and bodyache severity increases.
Health Tips
take plenty of fluid and juices
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Please consult
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It looks as if you got the tests done from different Laboratories. The WBC count Platelets count can't fall by 40% within 24 hours however strong the medicine might be. But since all the parameters done so far are within normal limits there is no cause for worry.
Please continue with the medicine. If she becomes afebrile then it is all right. Otherwise you will have to get some more tests done.
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These levels are within the normal range.The difference could be due to the viral infection related fever.If the fever continues get the test repeated along with malaria and dengue profile
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There is nothing to worry as counts increases decreases on daily basis.
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Completely normal der
No worry
Ur body rbc count won't e proportionate all the time
It keeps changing all the time.
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Dr. Aditya Prasad Padhy
Urologist
13 yrs exp
Bhubaneswar
Kindly connect
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Sure.
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Follow cbc
Next Steps
Consultation
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Dr. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Don't worry it's normal
Once temperature is normal every thing will be fine
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Dr. Aishwarya Avhad
General Physician
2 yrs exp
Nashik
Hello, As you have mentioned platelets counts have decreased but its not that significant
Keep checking for warning signs (like rash, fever,platelets counts)
Please connect to me for further assistance
Next Steps
Check for platelets every other day
Dengue test
Typhoid test
Health Tips
Increase water intake
Have fruits
Start medications for fever
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Dr. Lakshmi Priyanka CH
ENT/ Otorhinolaryngologist
5 yrs exp
Ongole
Once get blood test for dengue antigen
Accordingly can take medications
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Dr. Sachin Pariskar
Pediatrician
9 yrs exp
Pune
No
It's looking like viral illness
May be dengue like
Next Steps
kindly consult once physically to nearby physician
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Kindly receive
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Dr. Konica Gupta
General Physician
6 yrs exp
Ghaziabad
Looks fine dear but in case of high grade fever and reduction in platelets count you can get a dengue test done
Next Steps
Maintain hydration and drink more water
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Dr. Vamshi Krishna Koppula
General Physician
5 yrs exp
Karimnagar
Plz consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
Don't worry
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Hello sir,
I would suggest some information to understand following details:
1.Age of patient
2. Associated symptoms (headache, joint pains, body aches, burning urine, etc)
3. Serial value of hematocrit
Next Steps
Urine test
Typhoid test
specific test for dengue
Health Tips
maintain hydration. Allow patient to take plenty of fluids if that is possible and there is no vomiting.
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Dr. Mohamed Riyaz
General Practitioner
8 yrs exp
Chennai
Possible for viral fever
Check Dengue serology
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Dr. Saurabh Tripathi
General Physician
9 yrs exp
Kanpur
It's happening in viral fever
Next Steps
take consultation for further details
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
According to your query and sign and know about the disease and cause and it's best Treatment as you have mentioned as above .
Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow any medicine or advise after consultation only from a good doctor.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
please keep positive attitude to fight any disease and any problem of your life
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Dr. Sanghpriya Gautam
General Physician
6 yrs exp
Delhi
Connect please
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Dr. Mohammed Salman Mohiuddin
General Physician
5 yrs exp
Hyderabad
Repeat CBP tomorrow once again
Kindly consult if it drops further
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Dr. Tushar Jain
General Physician
14 yrs exp
Lucknow
While both counts are still within normal ranges, the drop may be concerning, especially if accompanied by symptoms like high fever, rash, or severe pain, which could indicate dengue or other infections such as Typhoid.
Next Steps
Get infection panel test and consultation
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Repeat test tomorrow
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Dr. V R Tindwani
Family Physician
51 yrs exp
Ahmedabad
So long as it's in normal range no concern
Different fevers behave differently so this shift helpful for doctor to monitor
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Dr. Bijli Nanda
General Practitioner
7 yrs exp
Noida
Check dengue profile.maintain hydration with plenty of fluids.
Not to worry yet,if patient is otherwise ok.
Next Steps
repeat cbc alternate days
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravindran P
General Practitioner
39 yrs exp
Chennai
Yes increased in fall WBC count , platelets count , sudden fall is significant
Next Steps
You do dengue fever profile screening
Health Tips
Contact me
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Davra Kaushalkumar Dilipbhai
General Physician
6 yrs exp
Ahmedabad
Normal now
Do cbc after 2 days
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Zaheer Ahmad
General Physician
10 yrs exp
Bareilly
Dnt worry it's normal.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Do connect and consult will help you
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Dr. Manoj Kumar Nayak
Aviation and Aerospace Medicine Specialist
17 yrs exp
Gurgaon
Dear,
Are you on any medication because some drug also induce low platelet and low wbc count? Viral origin fever may be the cause in many cases. Please write the symptoms
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
This is in favour of viral fever.
Get dengue serology done and have a follow up.
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