Thrombocytopenia (Low Platelet Count) - Symptoms

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What are the symptoms of thrombocytopenia?

In many instances, thrombocytopenia may have no symptoms, especially if mild, and it can be detected only incidentally on routine blood work done for other reasons.

If thrombocytopenia is severe, for example less than 20 per micro liter, it can potentially manifest as increased bruising or bleeding when a person is cut or injured, or increased bleeding during menstrual period.

Spontaneous bleeding can also happen with severe thrombocytopenia (less than 10,000 to 20,000 platelets). This type of bleeding usually occurs under the skin or the mucus membrane (the inner lining of the oral cavity, gastrointestinal tract, or the nasal cavity).

Petechiae may be seen in patients with very low platelet counts. Petechiae are small (pin head size) red, flat spots seen under the skin on the dependent parts of the body because of increased pressure due to gravity, for example, on the lower legs. These happen because of bleeding out of the tiny blood vessels under the skin or the mucus membrane. Petechiae are generally not palpable or painful.

Other rashes or bruises seen in thrombocytopenia are called purpura, which are small, purple spots under the skin as a result of hemorrhage. These are typically greater than 3 millimeters in diameter and may represent a confluence of petechiae.

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See what others are saying

Comment from: Shibu, 25-34 Female (Caregiver) Published: April 17

My wife had an abortion (D&C) on 18 December 2013. We have conducted a CBC test in January, in which the platelet count is 361 which is normal. On that test the hemoglobin was below the normal range and the doctor prescribed for folic acid tablets. She had normal periods for the next 2 months and the 3rd one got delayed by 3 weeks. Due to that delay we conducted a CBC test in which the platelet count was only 45. The general physician (05-Apr-14) advised to consult a hematologist. Also a medicine was prescribed if there was excessive bleeding during the periods. Her periods had started on 09-Apr-14 and we took the medicine which was prescribed by the doctor. On 16-Apr-14 another CBC test was conducted, the platelet count was 41. There are no red marks or cuts on her body and physically also she is active.

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Comment from: 75 or over Male (Patient) Published: November 21

I have low blood platelets due to leukemia of my bone marrow. The doctor is treating me with B-12 shots and they are not helping. The doctor said my hemoglobins are okay and no treatment is necessary at this time. I am feeling very tired and do not have much energy.

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