Thrombocytopenia (low platelet count)

Diagnosis

The following can help determine if you have thrombocytopenia:

• Physical examination with a thorough medical history included. In addition to examining your abdomen to check for enlarged spleen, your doctor will check for any indications of bleeding beneath your skin. Along with inquiries regarding ailments you’ve had, he or she will also inquire about the kinds of drugs and supplements you’ve recently taken.
• A blood test. The amount of blood cells, including platelets, in a sample of your blood is ascertained by a complete blood count.

Depending on your signs and symptoms, your doctor may recommend additional tests and procedures to identify the cause of your condition.

Treatment

Thrombocytopenia can endure for varying durations, ranging from days to years. Mild cases may not necessitate treatment. However, managing thrombocytopenia depends on its underlying cause and severity. Addressing the root cause, such as an underlying condition or medication, may alleviate thrombocytopenia. For example, if heparin-induced thrombocytopenia is the issue, your doctor might recommend an alternative blood-thinning medication.

Other treatment options may include:

• Prescription drugs. If your condition is associated with an immune system problem, your physician may suggest medication to boost your platelet count. Initially, a corticosteroid might be the preferred choice. If this proves ineffective, stronger medications to suppress your immune system may be utilized.
• Platelet or blood transfusions. Your doctor may restore lost blood with transfusions of packed red blood cells or platelets if your platelet count becomes too low.
• Exchange of plasma. Plasma exchange may be necessary in the event of thrombotic thrombocytopenic purpura, which is a medical emergency.
• Surgical procedures. In the event that non-operative measures prove ineffective, your doctor may suggest a splenectomy.