Treatment FAQ

what lis considered low platelet count at when doctor suggests treatment

by Mr. Nicholaus Hoeger Published 2 years ago Updated 1 year ago

The following platelet counts carry the risk of serious bleeding: Between 20,000 and 50,000/µl: There is more risk of bleeding in relation to an injury. Less than 20,000/µl: Bleeding happens even without an injury. Below 5,000/µl: Spontaneous bleeding can be severe and a risk to life.

Full Answer

What to do if you have a low platelet count?

You can limit problems caused by low platelets by doing things that lower your risk of bleeding: 10

  • Avoid certain medications. This includes nonsteroidal anti-inflammatories (NSAIDs) like aspirin and Advil ( ibuprofen ). ...
  • Use an electric razor to shave. ...
  • Use extra care when working with sharp objects such as knives or scissors.
  • Avoid contact sports​.
  • Use an extra-soft toothbrush. ...
  • Blow your nose gently. ...
  • Limit or avoid alcohol.

What number is considered a low platelet count?

low platelet count: anything under 150,000 platelets per microliter of circulating blood is considered low (if the platelet count falls below 20,000 per microliter, spontaneous bleeding may occur and is considered life-threatening)

What are the risks of having a low platelet count?

The symptoms of thrombocytopenia may include:

  • spontaneous and easy bruising
  • regular nosebleeds that are long lasting and difficult to stop
  • bleeding in the gums
  • prolonged and heavy menstrual bleeding
  • hemorrhaged blood vessels or leaks, which produce a rash that appears as small discolored dots
  • extreme fatigue
  • depression
  • blood blisters inside the cheeks

More items...

Does low platelet count always mean cancer?

You can develop a low platelet count if your body does not make enough platelets or if your body loses or destroys platelets. A low platelet count is a common side effect of cancer and treatment. For example, chemotherapy can lower your platelet count.

How low do platelets have to be before treatment?

Dangerous internal bleeding can occur when your platelet count falls below 10,000 platelets per microliter. Though rare, severe thrombocytopenia can cause bleeding into the brain, which can be fatal.

What is a seriously low platelet count?

A normal platelet count in adults ranges from 150,000 to 450,000 platelets per microliter of blood. A platelet count of less than 150,000 platelets per microliter is lower than normal. When you have a low platelet count, you may have trouble stopping bleeding.

What does the doctor advice if the platelet count is very low?

If your platelet level becomes too low, your doctor can replace lost blood with transfusions of packed red blood cells or platelets. Medications. If your condition is related to an immune system problem, your doctor might prescribe drugs to boost your platelet count. The first-choice drug might be a corticosteroid.

What platelet count requires hospitalization?

A platelet count <150 × 109/L at admission has been associated with higher mortality in patients admitted to an intensive care unit (ICU) for CAP. At the same time, a platelet count at admission ≥400 × 109/L has been associated with death in patients hospitalized with CAP.

Is 109 a low platelet count?

A low platelet count (< 150 x 109/L) is extremely common in clinical practice.

Is 88 a low platelet count?

A platelet count below 50,000 is low. When your platelet count is low, you may bruise or bleed more easily than usual. A platelet count below 20,000 is very low.

Do low platelets make you feel tired?

Things to know about thrombocytopenia (low platelet count) Symptoms and signs of thrombocytopenia may include fatigue, bleeding, and others.

What is the most common cause of low platelet count?

One of the most common causes of low platelets is a condition called immune thrombocytopenia (ITP). You may hear it called by its old name, idiopathic thrombocytopenic purpura.

How can I increase my platelets quickly?

How to Increase Platelet Count:Milk. We all know that milk is a rich source of calcium and protein and is important in maintaining the strength of bones and muscles in our body. ... Green Leafy Vegetables: ... Papaya Leaf Extract: ... Pomegranate: ... Pumpkin: ... Wheatgrass: ... Vitamin B-12. ... Iron.More items...

Is 120 a low platelet count?

Normal platelet count range: Between 150,000 and 400,000 platelets per microliter. Low platelet count: Less than 150,000 platelets per microliter. High platelet count: More than 450,000 platelets per microliter.

Is 151 a low platelet count?

A low platelet count is below 150,000 (150 × 109/L). If your platelet count is below 50,000 (50 × 109/L), your risk for bleeding is higher. Even every day activities can cause bleeding. A lower-than-normal platelet count is called thrombocytopenia.

Is 60000 a low platelet count?

A normal platelet count range is 150,000 - 400,000 per mm3 of blood (some providers prefer an upper range of 450,000 per mm3).

Why do you need a platelet transfusion?

A platelet transfusion might be needed in some patients with cancer who have a low platelet count. Platelets may be given to prevent bleeding when the platelet count is very low, or they may be given if a patient has some unusual bleeding to help stop it.

Why is my platelet count low?

Your platelet count may be low if the body is not making enough platelets, losing platelets, or platelets are being destroyed. In patients with cancer, low platelet count may be caused by:

What is low platelet count?

Low Platelet Count (Bleeding) Platelets are blood cells called thrombocytes and help your blood clot, so you stop bleeding. Low platelet count is also called thrombocytopenia. When your platelet levels are lower than normal, your blood isn’t able to clot as it should, putting you at a higher risk for excessive bleeding.

What to do if you have a bleed?

If bleeding starts, stay calm. Sit or lie down and get help.

What pain medicine should I avoid if I have cancer?

Stay away from anti-inflammatory pain medicines, such as aspirin, naproxen, or ibuprofen (Motrin ®, Advil ®, Naprosyn ®, Aleve ®, Midol ®) and medicines like them unless your cancer team tells you to use them. Check with your pharmacist if you’re not sure whether a medicine is in this class of drugs, or if it contains one of them.

What does it mean when you have red stools?

Women may have heavy vaginal bleeding during monthly periods. New unexplained bruises on the skin. Red pinpoint dots on the skin, usually starting on feet and legs. Bad headaches, dizziness, or blurred vision . Weakness that gets worse.

Why is it important to keep the home environment safe?

Keep the home environment safe to help prevent injury and falls.

What is ITP in medical terms?

ITP refers to idiopathic thrombocytopenic purpura. It is also known as immune thrombocytopenia. The name of the condition relates to bleeding-induced rashes that occur as a result of a low platelet count. Idiopathic means that the cause is not known. In ITP, the immune system attacks platelets.

Why are platelets low?

The level of platelets is usually low as a result of two main factors. Either an underlying medical condition is causing the reduced level, or an individual is taking a medication or substance that serves to reduce platelet count.

What is low platelet count?

A low platelet count is a blood disorder that has a long list of possible causes . It is also known as thrombocytopenia. Reduced platelet content in the blood is not always a serious problem. However, the condition affects the ability of the blood to clot, and wounds can bleed severely with this condition. This can have serious complications in some ...

What causes low platelets?

Platelets are the component in blood that enables it to clot. Medicines, poisonous substances, heavy alcohol drinking, and even drinks with quinine in them, such as tonic water, can cause low platelet counts. Quinine is also found in tablets for leg cramps. If a doctor finds one of these substances to be the cause of a low platelet count, ...

How long do platelets stay in the blood?

Platelets are not invisible to the naked eye. The bone marrow produces them, and they travel in the blood for an average of 10 days before being destroyed.

What are the causes of thrombocytopenia?

Poisons that can cause thrombocytopenia include pesticides, arsenic, and benzene. The following are antiplatelet or anti-clotting drugs that reduce the platelet count: glycoprotein IIb/IIIa inhibitors, including abciximab, eptifibatide, and tirofiban. heparin.

What is the protein that holds a clot together?

Activated platelets also release sticky proteins to help form the clot. A protein known as fibrin forms a mesh of threads that holds the plug together.

Why does my thrombocytopenia increase during pregnancy?

Pregnancy: Gestational thrombocytopenia is a fairly common condition during the third trimester due to increased blood dilution, as blood volume continues to increase and platelet counts fail to increase at the same rate.

How to stop bleeding from low platelet count?

If you begin bleeding, follow these steps and contact your care provider: Have a seat or lie down. Try to remain calm. Apply pressure to the wound if you can see it. Apply an ice pack to the site to slow the bleeding.

What causes thrombocytopenia?

Autoimmune conditions: Diseases such as lupus and rheumatoid arthritis may cause immune thrombocytopenia as the immune system starts to attack itself, destroying platelets in the process. Bacterial blood infections: Bacteremia, or a bacterial infection affecting the blood, may destroy platelets.

What is CBC blood test?

Your platelets are analyzed during a complete blood count (CBC) test, which is a standard panel of bloodwork. Platelet count is one of the measures the CBC delivers. Here is the normal range and concerning levels of low platelets: 1 .

What happens if your platelet count is low?

Call your doctor if any of the following issues increase in frequency, severity, or become worrisome to you: 5 . Pain in your joints, particularly large joints like the knees and hips.

What causes low platelet count?

Nutritional deficiencies: As with anemia, iron deficiency or vitamin deficiencies (B12, folate) can lead to low platelet counts, since the body doesn't have the basic nutrients to create them. Viral infections: Certain viral infections such as hepatitis C or HIV may result in decreased production of platelets.

Why do clots clump together?

They are specifically designed for clotting; they clump together to prevent bleeding. If you have low platelets in your blood, known as thrombocytopenia, your ability to form clots and stop bleeding may be impaired.

What are the signs of a low platelet count?

If your platelet count is low, you may not have any symptoms or signs. A simple blood test could find this condition before you notice any changes. If you have any of these signs, talk to your health care team right away:

Why are platelets important?

Platelets help stop bleeding when needed. For example, if you cut yourself, platelets make the blood cells clump together, or clot. This blocks off the cut blood vessels so they can heal. Normal platelet levels in your blood are important for your health.

How long does a platelet transfusion last?

However, this is a temporary treatment. The platelets from a transfusion only last about 3 days.

What does it mean when your platelets are low?

Platelets are one of these types of blood cells. The medical terms for a low level of platelets are "low platelet count" or "thrombocytopenia."

Why is my platelet count low?

Cancer that spreads to the bone. Some cancers that spreads to the bone may cause a low platelet count. The cancer cells in the bones can make it difficult for the bone marrow inside of bones to make platelets.

What is the name of the treatment for low platelet count?

This type of care is called palliative care or supportive care .

What does it feel like to vomit blood?

Vomit with blood in it. An unusually heavy menstrual period. Severe headaches. Muscle or joint pain. Feeling weak or dizzy. When you have a low platelet count, your body may have difficulty stopping bleeding from a nosebleed or a cut.

What is the treatment for a low platelet count?

There are several treatment options available for low platelet count. Ultimately, the severity of your condition will determine the type of treatment you will need.

How many platelets are in a microliter?

A doctor would carry a blood test (complete blood count) out in a laboratory. The average platelet count is around 150,000 to 450,000 platelets per microliter (μl) of blood.

Why is my platelet count low?

Although the primary cause of ITP remains unknown, the condition happens when your immune system – (the body’s primary defense against disease) doesn’t function properly. In this condition, your immune system deploys antibodies that are supposed to eliminate pathogens but attack and destroy your platelets.

What is the disease that causes abnormal cell growth in the bone marrow?

Leukemia: Leukemia is the cancer of the blood and bone marrow. Leukemia causes abnormal cell growth in the bone marrow, which could outgrow healthy blood cells and prevent the production of platelets. Certain types of cancer that spread to the bone can make it difficult for the bone marrow to produce platelets.

How much blood do you have to have to be able to bleed?

Between 20,000 and 50,000 per μl: You have a high chance of bleeding during injuries.

What is the term for a severe bacterial infection in your blood?

Sepsis, a severe bacterial infection in your blood

What is a purple bruise called?

Red, purple, or brown bruises, which are called purpura

What Causes Low Platelet Count?

Low platelet count can be caused by multiple factors, and in many cases, it is easily reversed.

What happens when you cut yourself?

Blood platelets are the tiny cells responsible for clotting the blood when you cut yourself. They help stop bleeding by clumping together and acting as plugs when you experience a blood vessel injury. When platelet counts are low, thrombocytopenia can set in and leave you at risk, most dangerously for internal bleeding.

What happens when your platelet count is low?

When platelet counts are low, thrombocytopenia can set in and leave you at risk, most dangerously for internal bleeding. Platelets are just one of many cell types that make up the blood floating through your body. They are colorless, while the other components of blood, white cells and red cells, are characterized by their hue.

How long do platelets stay in the blood?

Blood platelets are produced in the bone marrow and remain in the blood for roughly 10 days until they are naturally destroyed.

Why are my platelets low?

Some other causes of low platelet counts include: 1. Medication. A variety of medications have the ability to thin your blood and lower the count of blood-clotting platelets.

What are some of the conditions that affect platelet production?

Some hereditary or genetic conditions impact platelet production and lifespan. A couple of these conditions are Wiskott-Aldrich and May-Hegglin syndromes, and will be diagnosed by your doctor.

What are the factors that affect platelet count?

Environmental toxins can also play a role in platelet count, and they can be both naturally occurring and man-made.#N#Their effect usually comes by way of exacerbating an existing autoimmune condition. These can include products like pesticides, herbicides, plastics, toxins produced by grains and mushrooms, polyurethane, and wood preservatives.

What is erythromelalgia in PV?

Erythromelalgia (burning pain in the feet and hands accompanied by erythema, pallor, or cyanosis) is common in PV and is considered to be secondary to microvascular thrombotic complications (also seen in essential thrombocythemia, ET). It is more common when platelet counts are above 400,000 L.3 Laboratory abnormalities may include elevated hematocrit and red blood cell mass in almost all patients, platelet count 400,000 L (in 60 ), and a white blood cell (WBC) count 12,000 L (in 40 ). Bone marrow cellularity is increased in 90 of cases, and iron storage is absent in 95 .

How long did AML chemotherapy last?

The largest series incorporating AML-type chemotherapy in patients with myeloid blast phase (blast count 30 ) involved 162 patients treated at MD Anderson Cancer Center over an 11- year period from 1986 to 1997.23 Ninety patients received intensive combination chemotherapy, largely high-dose cytarabine-based. Overall, 28 of the patients responded to treatment, with CHR in 8 of the patients, and an additional 7 achieving all criteria for CHR, but with incomplete platelet count recovery. In addition, 11 of the patients achieved a return to chronic phase, and 2 of the patients were termed a partial response. The duration of response was approximately 4 months, which corresponded with survival as well. In a series of patients treated at the Karolinska Hospital in Sweden,24 47 of 83 patients with accelerated or myeloid blast-phase disease, treated with an anthracycline cytarabine-based regimen, achieved a return to chronic phase, the definition of which was less stringent than the MD...

What is CD52 in lymphocytes?

CD52 is a 12-amino-acid glycoprotein that is present on lymphocytes at up to 450,000 sites cell.48'49 It is also present on monocytes, macrophages, eosinophils, and the male reproductive tract.5051 Quigley et al. at the Scripps Clinic recently reported that in nine cases of classic HCL and one of HCLv, all patients expressed CD52 on 92-100 of the HCL cells.52 Fietz et al. reported recently that a patient with HCL and shortlived or poor responses to cladribine, interferon, splenectomy, and rituximab had hematologic benefit with alemtuzumab.53 The patient tolerated rituximab more poorly than alemtuzumab because of an allergic reaction to the former. With both mAbs, the patient had an improvement in thrombocytopenia, but failed to reverse blood transfusion dependence.

How long does hairy cell leukemia last?

Hairy cell leukemia is an indolent lymphoproliferative disorder, which, prior to the advent of successful systemic therapy, had a median survival of 53 months. Approximately 10 of the patients diagnosed with this disorder never require therapy. This population is characterized by older age, smaller spleen size, and minimal circulating hairy cells.1 The following criteria, though not validated, are commonly accepted as appropriate indications for therapy neutropenia characterized by an absolute neutrophil count (ANC)

What is the absence of a unique phenotype by flow cytometry identical to what appeared in the initial?

Absence of a unique phenotype by flow cytometry identical to what appeared in the initial specimen Absolute neutrophil count 100,000 mm3 platelet counts, and was used first on a broad scale in studies that led to the eventual approval by the Food and Drug Administration for gemtuzumab ozogamicin.1617 This category was developed for patients who fulfilled the requirements of a morphologic CR, but with residual neutropenia or thrombocytopenia. These patients do not seem to enjoy the same survival as those who enter a full morphologic CR.

How long does it take to administer Y-90?

Y-90 ibritumomab tiuexetan Y-90 ibritumomab tiuxe-tan has a murine rituximab conjugated to the iso-tope.80 The Y-90 ibritumomab tiuxetan regimen takes about 8 days to administer. On the first day, a dose of cold rituximab at 250 mg m2 is administered to bind nontumor CD20 sites and to facilitate better biodistribution. Because Y-90 is a beta emitter, it cannot be used for imaging thus, indium-111 -labeled ibritu-momab is substituted for biodistribution studies performed at days 2-3, and if needed, 6-7 to ensure appropriate localization of the isotope. On days 7-8, another low dose of cold antibody is delivered followed by 0.4 mCi kg of Y-90 ibritumomab tiuxetan (not to exceed 32 mCi) for patients with platelet counts of at least 150,000 mm3. The dose is reduced to 0.3 mCi in patients with a platelet count of 100-149,000 mm3.81

What is the best medicine for PV?

In patients with PV who continue to have thrombotic or vascular symptoms, despite aspirin and good control of the hematocrit and platelet count with phlebotomy and myelosuppression, clopidogrel 75 mg daily or ticlopi-dine 250 mg orally twice daily should be considered.14

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