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Hematology focuses on diseases of the blood, bone marrow, and lymphatic system. Learn about the diagnosis and treatment of anemia, leukemia, and lymphoma.
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For many patients, thrombocytopenia is a chronic condition that requires lifelong management rather than a one time cure. Recovery involves finding a “safe zone” for platelet counts where the patient can live an active life without the fear of bleeding. Follow up care at Liv Hospital focuses on monitoring stability, managing the side effects of long term medications, and adjusting lifestyle factors to protect the patient’s physical well being.
Patients often worry about getting their count back to “normal” (above 150,000). However, from a clinical safety perspective, a count of 30,000 to 50,000 is often sufficient for normal daily activities.
The goal of follow up is hemostasis (no bleeding), not a perfect number on a lab sheet. Overtreating to reach normal numbers can expose patients to unnecessary drug side effects.
The frequency of blood tests depends on stability.
Initially, counts may be checked daily or weekly until they stabilize.
Stable patients may only need checks every month or even every few months.
Patients are educated to seek immediate testing if they notice new bruising, petechiae, or bleeding, regardless of their scheduled appointment.
Living with low platelets means mitigating trauma risk.
Contact sports like football, boxing, or martial arts are generally restricted because a blow to the head or abdomen could cause fatal internal bleeding. Low impact activities like swimming or walking are encouraged.
Using soft toothbrushes to prevent gum bleeding and electric razors instead of blades to prevent nicks is standard advice.
Patients should be careful with sharp objects like knives and tools. Wearing gloves during gardening or heavy work provides an extra layer of protection.
While diet cannot cure autoimmune thrombocytopenia, it supports marrow health.
Stopping alcohol is crucial as it suppresses platelet production and impairs platelet function.
A diet rich in leafy greens (folate), lean meats (B12), and general whole foods supports the metabolic needs of blood cell production. Avoiding tonic water (which contains quinine) is sometimes advised as it can lower platelets in sensitive individuals.
Patients must be vigilant about over the counter drugs.
Aspirin, ibuprofen, and naproxen interfere with platelet function. Acetaminophen (paracetamol) is generally the preferred pain reliever.
Some herbs like ginkgo biloba, garlic, and ginger can thin the blood and should be used with caution.
Women with a history of thrombocytopenia require close monitoring during pregnancy.
Platelet counts must be monitored to ensure they are high enough for safe delivery and epidural anesthesia (which typically requires a count above 70,000 80,000).
After birth, the baby’s platelets are checked, as maternal antibodies can cross the placenta and temporarily lower the baby’s count.
The fear of spontaneous bleeding can be stressful.
Understanding that spontaneous severe bleeding is rare with counts above 20,000 helps reduce anxiety.
Connecting with other chronic ITP patients can provide emotional support and practical tips for living with the condition.
Managing Thrombocytopenia requires a delicate balance between treating the numbers and treating the patient. At Liv Hospital, our Hematology Department offers a comprehensive care model that goes beyond the prescription pad. We utilize advanced diagnostic flow cytometry to rule out mimics of the disease, ensuring you are not treated for the wrong condition. We provide access to the latest generation of thrombopoietin receptor agonists, offering pill based options that avoid the need for infusions or steroids. Our multidisciplinary team includes nutritionists to support marrow health and surgeons expert in minimally invasive splenectomy if needed. We act as your partner in surveillance, offering flexible monitoring schedules and 24/7 access to care for any bleeding emergencies. We are committed to helping you live a full, active life, safe from the risks of bleeding.
Send us all your questions or requests, and our expert team will assist you.
Yes, flying is safe. The cabin pressure does not affect your platelet count. However, if you are having a spleen issue, check with your doctor first.
Urethritis is inflammation specifically of the urethra, whereas a urinary tract infection (UTI) can affect the bladder, ureters, or kidneys. While urethritis can be a symptom of a UTI, it is often a distinct condition caused by sexually transmitted infections or irritation, presenting primarily with discharge and burning at the tip of the penis or urethra.
For some (like after a virus), yes. For chronic autoimmune conditions, they may always be lower than average, but treatment keeps them at a safe level.
It is highly recommended. Alcohol slows down platelet production and makes the platelets you have work less effectively.
Apply firm pressure immediately and hold it for at least 5 to 10 minutes without peeking. If it doesn’t stop, go to the emergency room.
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