Treatment FAQ

why are platelets low when cancer treatment hasn't started

by Abigayle Runolfsdottir DDS Published 3 years ago Updated 2 years ago

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.

Full Answer

Does low platelet count always mean cancer?

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: Certain types of cancer: patients with lymphomas or leukemias may be at higher risk for low platelet counts; Certain types or cancer treatment, such as chemotherapy or radiation therapy …

What kind of cancer causes low platelets?

This is the tissue inside your bones where your body makes platelets. A low platelet count from chemotherapy is usually temporary. It is rare that chemotherapy permanently damages bone marrow cells. Radiation therapy. Radiation therapy does not usually cause a low platelet count. But your platelet levels may go down if you receive a large amount of radiation therapy to your …

What does low platelets Mean in cancer patients?

Dec 10, 2010 · Cancer treatments may unintentionally kill the cells in bone marrow that produce platelets. When this happens, your body won't be able to produce the platelets it needs. Leukemia Blood cancer may also cause low platelets. When bone marrow is invaded by cancer cells, healthy cells can be crowded out by cancer cells.

What are the dangers of low platelets?

Nov 27, 2017 · Cancer (And Cancer Treatment) Some cancers are more likely to lead to lower blood platelets than others, particularly if they reach the bone marrow or directly impact blood. In addition, treating cancer with chemotherapy can also have a negative effect on platelets, so it’s something that needs to be monitored quite closely.

What does it mean when a cancer patient has low platelets?

Certain cancers such as leukemia or lymphoma can lower your platelet count. The abnormal cells in these cancers can crowd out healthy cells in the bone marrow, where platelets are made. Less common causes of a low platelet count include: Cancer that spreads to the bone.

How low can platelets be and still get chemo?

When chemotherapy causes low platelet counts, the dose may have to be lowered or the length of time between chemotherapy cycles may have to be longer. If your platelet count is less than 20,000/mm3 and you are bleeding or have a lot of bruising, you may need a platelet transfusion.

How low can platelets go before death?

When the platelet count drops below 20,000, the patient may have spontaneous bleeding that may result in death.

What is the reason of not increasing platelets?

Decreased production of platelets Some types of anemia. Viral infections, such as hepatitis C or HIV. Chemotherapy drugs and radiation therapy. Heavy alcohol consumption.Apr 8, 2020

Why do platelets drop during chemotherapy?

Chemotherapy-induced thrombocytopenia occurs because the chemotherapy drugs have destroyed many of the normal rapidly dividing cells in the bone marrow responsible for platelet production.Aug 1, 2018

How long does it take for platelets to regenerate?

Your body will replace the liquid part of the blood (plasma) and platelets within two days and the red blood cells within 56 days.

Can you live with a platelet count of zero?

In mild cases of thrombocytopenia, the count is between 100,000–150,000. In severe cases, the count can be close to zero. If the platelet count falls below 30,000, the risk of uncontrolled bleeding is high and could be life-threatening.

What's the lifespan of platelets?

The survival of blood platelets is assumed to be one of the best criteria for their integrity, viability, and physiological activity. Studies thus far have indicated a life span of 3 to 7 days.

What is the alarming level of platelets?

A count lower than 150,000 platelets per microlitre of blood is considered to be thrombocytopenia, which means a lower than normal platelet count. Below 50,000 is a seriously low platelet count. Below 10,000 is considered severe thrombocytopenia, with a risk of internal bleeding.

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.Nov 20, 2020

What deficiency causes low platelets?

Vitamin B-12 helps keep your blood cells healthy. A deficiency of B-12 has been associated with low platelet counts.

What medication causes low platelets?

Some prescribed medications can also cause thrombocytopenia, including:amiodarone.ampicillin and other antibiotics.cimetidine.piperacillin.seizure medications, such as carbamazepine.sulfonamides, such as trimethoprim-sulfamethoxazole.vancomycin.

What causes low platelet count?

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. Cancer in the spleen. Your spleen is an organ in your body.

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 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 is the blood test for cancer?

You will have regular blood tests when you have cancer to monitor your overall health. One test is called a platelet count. It checks the number of platelets in your blood, and shows if the count is low. A platelet count can be done as part of a blood test called a complete blood count.

What is platelet count?

A platelet count can be done as part of a blood test called a complete blood count. You may have a platelet count test done more often if you have certain types of cancer or treatments that may cause blood or bone marrow problems.

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 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.

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.

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 .

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.

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 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.

What is the medical term for a low platelet count?

Thrombocytopenia is the medical term used to describe a low platelet count. 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 ...

What foods can you eat to treat thrombocytopenia?

Folate can be found in leafy greens like spinach and asparagus, as well as avocado, lentils and beets. Basically, try to limit processed foods and eat an array of fruits, vegetables, fresh meats, legumes, and healthy fats. Other steps you can take to treat thrombocytopenia include: Blood platelet transfusion.

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.

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 the color of thrombocytopenia?

They are colorless, while the other components of blood, white cells and red cells, are characterized by their hue. Often the result of another health condition, thrombocytopenia typically appears alongside severe illnesses like leukemia or other illnesses that impact the immune system.

Why is my platelet count low?

When not enough platelets are made, the platelet count in your blood is too low. Chemotherapy and some radiation therapy can cause this temporarily. These cancer treatments can slow the production of platelets in the bone marrow. Another cause of a low platelet count is cancer of the bone marrow.

What happens if your platelet count 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. When it’s this low, you may bleed even when you are not injured. If your platelet count is very low, your doctor may order platelet transfusions until your count returns to a safe level.

How to get a cut to bleed?

If you get a cut, place a clean cloth or a piece of gauze over the cut, then apply pressure for a few minutes. If your cut continues to bleed, lie down and stay calm. Keep applying pressure. If possible, use an ice pack to apply pressure. Get emergency care for any of the following:

How to get rid of a low platelet count?

Do not have dental work without your doctor’s approval. If you must have dental work, tell your dentist that you have a low platelet count. Do not do heavy lifting, contact sports, or strenuous exercise. Do not walk in bare feet.

How to stop bleeding from a swollen tooth?

It is very important to avoid aspirin and other drugs that contain aspirin. If you are not sure about a medicine, ask your doctor. Use a soft-bristle tooth brush.

What is the normal platelet count?

Platelet count is the number of platelets in the blood. A normal platelet count ranges from 150,000 to 350,000. If the number of platelets is too low, excessive bleeding can occur. The medical name for a low platelet count is thrombocytopenia (throm-bo-sigh-toe-PEE-nee-uh).

What are the cells that help blood clot?

Your blood contains different types of cells. Each type has a different job to do. Platelets are the cells that help your blood to clot. The bone marrow produces them. It’s very important to have enough platelets in your blood. The medical name for platelets is thrombocytes (THROM-bo-sites).

When do you need a platelet transfusion?

You may also need to have a transfusion if your platelet count is higher than 10,000 mcL and you’re having a lot of bleeding, an invasive procedure (going into the body through a cut, slit, or puncture), or signs of other disorders. If you bleed a lot during your monthly period, talk with your doctor.

What is the normal platelet count?

They are made in your bone marrow, which is the soft, spongy center in most of your large bones. A normal platelet count is 150,000 to 400,000 platelets per microliter (mcL) of blood.

How to stop bowel movements?

Try not to blow your nose. If you need to blow your nose, do it gently. If you’re straining to have bowel movements, talk with your healthcare provider about using stool softeners or laxatives.

What are the signs of bleeding?

Call your doctor if you develop any signs of bleeding, such as: Unusual bruising. A faint red rash on your chest, abdomen (belly), arms, or legs. Heavy bleeding during your period . Broken blood vessels in the white of your eye (sclera) Back to top.

How to stop bleeding from nose?

Apply direct pressure on the area that’s bleeding. If you have a nosebleed, apply ice and pressure over the bridge of your nose. After applying pressure, call your Memorial Sloan Kettering (MSK) doctor. If you can’t reach your doctor and you can’t control the bleeding, go to your local emergency room.

Do you have to wear a mask at MSK?

Masks Are Still Required at MSK. Patients and visitors must continue to wear masks while at MSK, including people who are fully vaccinated. MSK is offering COVID-19 vaccines to all patients age 12 and over. To schedule or learn more, read this. For Adult Patients /.

Can cancer lower platelet count?

Cancer and cancer treatments can lower your platelet counts. When your platelet counts are low, you’re at risk for bleeding. If your doctor has told you that you have a low platelet count, it’s very important to try to avoid getting hurt. We have listed some general ways you can prevent bleeding.

What is CLL in medical terms?

Chronic lymphocytic leukemia (CLL) is a cancer of B-lymphocytes, which normally make antibodies needed to fight infection. Advanced CLL causes many signs and symptoms resulting from leukemia cells replacing the bone marrow’s normal blood-making cells, including thrombocytopenia or low blood platelets.

Where are blood cells produced?

Blood cells are produced in the bone marrow. In those with myelodysplatic syndrome (MDS) the bone marrow is damaged and blood cell production is impaired, including platelet production. The disease can also transform into acute myeloid leukemia (AML).

Can low platelets cause cancer?

Chemotherapy used to treat many types of cancer can damage the bone marrow and result in a low platelet count. However, there are some cancers that have a more direct association with thrombocytopenia due to bone marrow involvement, compromised immune system or an enlarged spleen.

What to do if your platelet count is 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 to do if you have thrombocytopenia?

If your thrombocytopenia is caused by an underlying condition or a medication, addressing that cause might cure it. For example, if you have heparin-induced thrombocytopenia, your doctor can prescribe a different blood-thinning drug. Other treatments might involve: Blood or platelet transfusions. If your platelet level becomes too low, your doctor ...

What to do if your immune system doesn't work?

If that doesn't work, stronger medications can be used to suppress your immune system. Surgery. If other treatments don't help, your doctor might recommend surgery to remove your spleen (splenectomy). Plasma exchange. Thrombotic thrombocytopenic purpura can result in a medical emergency requiring plasma exchange.

How long does thrombocytopenia last?

Thrombocytopenia can last for days or years. People with mild thrombocytopenia might not need treatment. For people who do need treatment for thrombocytopenia, treatment depends on its cause and how severe it is. If your thrombocytopenia is caused by an underlying condition or a medication, addressing that cause might cure it.

What is the purpose of a complete blood count?

Blood test. A complete blood count determines the number of blood cells, including platelets, in a sample of your blood. Physical exam, including a complete medical history. Your doctor will look for signs of bleeding under your skin and feel your abdomen to see if your spleen is enlarged. He or she will also ask you about illnesses you've had ...

What to do when you have a bruising appointment?

What you can do. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. Make a list of: Warning signs you've noticed, such as any unusual bruising or bleeding or any rashes, and when they began.

Does alcohol affect platelets?

Alcohol slows the production of platelets in your body. Ask your doctor whether it's OK for you to drink alcohol. Use caution with over-the-counter medications. Over-the-counter pain medications, such as aspirin and ibuprofen (Advil, Motrin IB, others) can prevent platelets from working properly.

What is the condition where blood has a low platelet count?

Thrombocytopenia is a condition in which a person’s blood has an unusually low level of platelets. Platelets, also called thrombocytes, are the cells that stop bleeding by helping the blood clot and plugging damaged blood vessels . These cells are made in the bone marrow. Normal platelet levels in your blood are important for your health.

Why is regular communication important?

Regular communication is important for making informed decisions about your health care. It can be helpful to bring someone along to your appointments to take notes. Consider asking your health care team the following questions:

Does radiation cause thrombocytopenia?

Thrombocytopenia caused by chemotherapy is usually temporary. Sometimes, a person’s immune system destroys healthy platelets. Radiation therapy usually does not cause thrombocytopenia unless a significant amount of radiation is directed at the pelvis, the person is receiving chemotherapy at the same time, or the cancer has spread to the bones. Thrombocytopenia may also occur when cancer cells, such as leukemia or lymphoma cells, crowd out healthy bone marrow cells. Rarely, thrombocytopenia occurs when other cancers, such as prostate or breast cancer, spread to the bone marrow. Another uncommon cause of thrombocytopenia is enlargement of the spleen, which happens when the spleen traps too many platelets.

Can you have a lower platelet count while on chemo?

People whose platelet counts drop while receiving chemotherapy may switch to a lower dose or wait longer between chemotherapy cycles . Because of the risk of bleeding, the doctor may delay cancer surgery until platelet counts return to a normal level. In addition, people with a low level of platelets may receive a transfusion of platelet cells to prevent or treat heavy bleeding. However, transfused platelets only last about 3 days, and some people with thrombocytopenia may need multiple transfusions.

How to tell if your platelet count is low?

Often, one of the first signs is a cut or nosebleed that won’t stop bleeding. Other signs of low platelet count include: Bleeding gums. Blood in stool (black, tarry-looking), urine (hematuria) or vomit. Heavy menstrual periods. Petechiae (tiny red or purple dots on the lower legs that resemble a rash).

How long does a platelet last in blood?

Platelets are transfused only if the platelet count is extremely low. (Transfused platelets only last about three days in the circulation.) Splenectomy or removal of the spleen.

What are the three main classes of thrombocytopenia?

The three main classes of thrombocytopenia are: Platelet destruction such as with an auto-antibody that attaches to the platelet surface. Platelet sequestration such as in someone with a large spleen or with liver disease. Decreased platelet production as occurs in certain bone marrow diseases.

What is thrombocytopenia in blood?

What is thrombocytopenia? Thrombocytopenia (THROM-bo-sigh-toe-PEE-ne-ah) occurs when your blood platelet count is low. Platelets are also called thrombocytes. This type of blood cell clumps together to form blood clots to help stop bleeding at the site of a cut or wound. Another name for a blood clot is thrombus.

How to prevent thrombocytopenia?

If you’re at risk for thrombocytopenia, these steps may help prevent it: Avoid medicines that thin blood and increase bleeding risk, such as aspirin, naprosyn and ibuprofen. Take care with contact sports and activities that can cause injuries, bruising and bleeding. Minimize contact with toxic chemicals.

What is the name of the tissue that makes blood clots?

Another name for a blood clot is thrombus. Bone marrow is the soft, spongy tissue inside bones that makes all blood cells including platelets. People who have thrombocytopenia don’t have enough platelets to form a blood clot. If you get a cut or other injury, you may bleed too much and the bleeding can be hard to stop.

What causes a spleen to be enlarged?

Cancer treatments like chemotherapy and radiation therapy. Enlarged spleen caused by cirrhosis of the liver or Gaucher disease. The enlarged spleen traps platelets and other blood cells and prevents them from circulating in the blood stream. Exposure to toxic chemicals, including arsenic, benzene and pesticides.

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