Low Platelet Count

12 min read

Low platelet count, also known as thrombocytopenia, is a condition in which the body has an abnormally low number of platelets. Platelets are a type of blood cell that helps the body form clots to stop bleeding. A low platelet count can be caused by a variety of conditions, including certain medications, infections, and autoimmune diseases. It can also be a sign of a more serious underlying condition.

Causes of Low Platelet Count

Low platelet count can be caused by a variety of conditions, including:

  • Certain medications, such as chemotherapy drugs, antibiotics, and nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Infections, such as HIV, hepatitis, and malaria
  • Autoimmune diseases, such as lupus and rheumatoid arthritis
  • Bone marrow disorders, such as leukemia and myelodysplastic syndrome
  • Vitamin B12 or folate deficiency
  • Exposure to toxins, such as lead or arsenic

Diagnosis of Low Platelet Count

Low platelet count is usually diagnosed through a complete blood count (CBC) test. This test measures the number of platelets in the blood. If the platelet count is low, your doctor may order additional tests to determine the cause.

Complications of Low Platelet Count

Low platelet count can lead to serious complications, such as:

  • Excessive bleeding
  • Bruising
  • Blood clots
  • Organ damage

Prevention of Low Platelet Count

In some cases, low platelet count can be prevented by avoiding certain medications, such as NSAIDs, and avoiding exposure to toxins. It is also important to practice good hygiene and get regular check-ups to help prevent infections.

Symptoms

Signs and Symptoms of Low Platelet Count

  • Easy or excessive bruising
  • Bleeding from the gums or nose
  • Blood in the urine or stool
  • Fatigue
  • Frequent infections
  • Unusual bleeding during menstrual cycles
  • Prolonged bleeding from cuts
  • Pinpoint red spots on the skin

If you experience any of these symptoms, it is important to seek medical attention. Your doctor can perform a blood test to determine if you have a low platelet count. Treatment for low platelet count may include medications, transfusions, or other treatments depending on the underlying cause.

Take the Low Platelet Count Assessment

Causes

Viral Infections

Viral infections can cause a decrease in the production of platelets. Viral infections such as HIV, hepatitis, and cytomegalovirus can all lead to a decrease in platelet production. In addition, certain medications used to treat viral infections can also lead to a decrease in platelet production.

Autoimmune Disorders

Autoimmune disorders are conditions in which the body’s immune system attacks its own cells and tissues. These disorders can lead to a decrease in platelet production. Examples of autoimmune disorders that can lead to a decrease in platelet production include lupus, rheumatoid arthritis, and Crohn’s disease.

Cancer

Cancer can also lead to a decrease in platelet production. Certain types of cancer, such as leukemia and lymphoma, can lead to a decrease in platelet production. In addition, certain treatments for cancer, such as chemotherapy and radiation, can also lead to a decrease in platelet production.

Alcohol Abuse

Alcohol abuse can also lead to a decrease in platelet production. Alcohol can damage the bone marrow, which is the organ responsible for producing platelets. In addition, certain medications used to treat alcohol abuse can also lead to a decrease in platelet production.

Other Causes

Other causes of low platelet count include certain medications, kidney disease, and liver disease. In addition, certain genetic disorders, such as thrombocytopenia-absent radius syndrome, can also lead to a decrease in platelet production.

Getting a Diagnosis

Diagnostic Tests

The first step in diagnosing low platelet count is to perform a complete blood count (CBC). This test measures the number of red and white blood cells, as well as platelets. If the platelet count is low, further tests may be needed to determine the cause. These tests may include a bone marrow biopsy, a blood smear, or a platelet aggregation test.

Bone Marrow Biopsy

A bone marrow biopsy is a procedure in which a sample of bone marrow is taken from the hip bone. The sample is then examined under a microscope to look for any abnormalities in the production of platelets. This test can help determine if the low platelet count is due to a problem with the bone marrow.

Blood Smear

A blood smear is a test in which a sample of blood is examined under a microscope. This test can help determine if the low platelet count is due to a problem with the platelets themselves. The doctor may be able to see if the platelets are abnormal in shape or size.

Platelet Aggregation Test

A platelet aggregation test is a test that measures how well platelets stick together. This test can help determine if the low platelet count is due to a problem with the platelets themselves. The doctor may be able to see if the platelets are not sticking together properly.

Conclusion

Diagnosing low platelet count is important in order to treat it effectively. A complete blood count is the first step in diagnosing the condition. Further tests, such as a bone marrow biopsy, a blood smear, or a platelet aggregation test, may be needed to determine the cause of the low platelet count.

Questions for Your Doctor

Causes of Low Platelet Count

Your doctor will want to know the cause of your low platelet count. This can be due to a variety of factors, including certain medications, infections, or underlying medical conditions. Knowing the cause of your low platelet count can help your doctor determine the best course of treatment.

Treatment Options

Your doctor will discuss the various treatment options available to you. Depending on the cause of your low platelet count, your doctor may recommend lifestyle changes, medications, or other treatments. It is important to discuss all of your options with your doctor to ensure you are getting the best care possible.

Risks and Complications

Your doctor will also want to discuss the risks and complications associated with a low platelet count. This can include an increased risk of bleeding, infection, and other serious health complications. It is important to understand the risks and complications associated with your condition so you can make informed decisions about your care.

Follow-up Care

Your doctor will also want to discuss follow-up care. This may include regular blood tests to monitor your platelet count, as well as lifestyle changes to help manage your condition. It is important to follow your doctor's instructions to ensure your condition is properly managed.

Questions and Concerns

Finally, it is important to discuss any questions or concerns you may have with your doctor. Your doctor is there to help you manage your condition and ensure you are getting the best care possible. Don't hesitate to ask questions or voice any concerns you may have.

Treatment

Medications

Medications are often used to treat low platelet count. Corticosteroids, such as prednisone, are commonly used to treat autoimmune thrombocytopenia, a condition in which the body's immune system attacks and destroys platelets. Other medications, such as intravenous immunoglobulin (IVIG) and anti-D immunoglobulin, may also be used to treat autoimmune thrombocytopenia. Medications such as romiplostim and eltrombopag may be used to treat idiopathic thrombocytopenic purpura (ITP), a condition in which the body produces too few platelets.

Surgery

In some cases, surgery may be necessary to treat low platelet count. Splenectomy is a surgical procedure in which the spleen is removed. The spleen is an organ that helps filter out old or damaged platelets. Removing the spleen can help increase the platelet count in people with ITP.

Blood Transfusions

Blood transfusions may be used to treat low platelet count in some cases. During a blood transfusion, healthy platelets are transferred from a donor into the patient's bloodstream. This can help increase the platelet count and reduce the risk of bleeding.

Platelet Transfusions

Platelet transfusions may also be used to treat low platelet count. During a platelet transfusion, platelets are transferred from a donor into the patient's bloodstream. This can help increase the platelet count and reduce the risk of bleeding.

Dietary Changes

Making dietary changes can also help treat low platelet count. Eating a diet that is rich in vitamins and minerals can help increase the platelet count. Foods such as leafy green vegetables, citrus fruits, and lean proteins are all good sources of vitamins and minerals.

Drugs & Medications

Corticosteroids

Corticosteroids are a type of drug that can help increase the platelet count. They work by suppressing the immune system, which can help reduce inflammation and improve platelet production. Common corticosteroids used to treat low platelet count include prednisone, methylprednisolone, and dexamethasone.

Immune Globulin

Immune globulin is a type of drug that helps the body produce more platelets. It works by providing the body with antibodies that can help stimulate platelet production. Immune globulin is usually given as an injection and can be used to treat both acute and chronic cases of low platelet count.

Thrombopoietin Receptor Agonists

Thrombopoietin receptor agonists are a type of drug that helps the body produce more platelets. They work by stimulating the production of platelets in the bone marrow. Common thrombopoietin receptor agonists used to treat low platelet count include eltrombopag and romiplostim.

Antibiotics

Antibiotics can be used to treat low platelet count caused by an infection. They work by killing the bacteria or virus that is causing the infection, which can help reduce inflammation and improve platelet production. Common antibiotics used to treat low platelet count include penicillin, amoxicillin, and ciprofloxacin.

Conclusion

Low platelet count can be a serious condition, but fortunately, there are a number of drugs available to help treat it. Corticosteroids, immune globulin, thrombopoietin receptor agonists, and antibiotics can all be used to help increase the platelet count and reduce the risk of excessive bleeding.

Diet

Foods to Eat

Certain foods can help to increase platelet count. Eating foods that are high in vitamin B-12, such as eggs, dairy, and fortified cereals, can help to boost platelet production. Additionally, foods that are high in iron, such as lean red meat, dark leafy greens, and legumes, can help to increase platelet count. Eating foods that are high in folic acid, such as fortified grains, beans, and citrus fruits, can also help to increase platelet count.

Foods to Avoid

Certain foods can interfere with platelet production and should be avoided. Alcohol can interfere with platelet production, so it is important to limit or avoid alcohol consumption. Additionally, foods that are high in trans fats, such as processed foods and fried foods, should be avoided. Foods that are high in sodium, such as processed meats and canned soups, should also be avoided.

Conclusion

Having a low platelet count can be a serious health concern. Fortunately, there are dietary changes that can help to increase platelet count. Eating foods that are high in vitamin B-12, iron, and folic acid can help to increase platelet count. Additionally, it is important to limit or avoid alcohol consumption and foods that are high in trans fats, sodium, and processed foods.

Lifestyle

Eat a Healthy Diet

Eating a healthy diet is essential for managing a low platelet count. Eating a balanced diet that includes plenty of fruits, vegetables, and lean proteins can help keep your platelet count in check. Additionally, avoiding processed foods and foods high in sugar can help reduce inflammation and improve your overall health.

Get Regular Exercise

Exercise is important for managing a low platelet count. Regular physical activity can help reduce inflammation and improve your overall health. Aim for at least 30 minutes of moderate exercise each day. This can include walking, jogging, swimming, or any other activity that gets your heart rate up.

Reduce Stress

Stress can have a negative impact on your platelet count. Try to reduce stress in your life by taking time for yourself each day. This can include activities such as yoga, meditation, or simply taking a few minutes to relax. Additionally, try to get enough sleep each night to help reduce stress and improve your overall health.

Avoid Alcohol and Smoking

Alcohol and smoking can have a negative impact on your platelet count. If you are a smoker, try to quit as soon as possible. Additionally, limit your alcohol consumption to no more than one drink per day. This can help reduce inflammation and improve your overall health.

Talk to Your Doctor

If you are struggling to manage your low platelet count, talk to your doctor. They can provide advice and guidance on how to best manage your condition. Additionally, they may be able to recommend medications or supplements that can help improve your platelet count.

Managing a low platelet count can be difficult, but with the right lifestyle tips, you can improve your overall health and reduce your risk of health complications. Eating a healthy diet, getting regular exercise, reducing stress, avoiding alcohol and smoking, and talking to your doctor can all help you manage your low platelet count.