
Abdominal Pain Improved After Cipro And Metronidazole, Neck And Joints Make Cracking Sound. Reason For Low Platelets?

I have studied your case carefully and here is my advice -
Reduction in platelet count at your age can be due to ---B -12 or folate deficiency, post bacterial or viral infection especially dengue, due to immune disorder, or various types of purpura. Since other counts are normal, leukemia is ruled out.
We have to worry if platelet count comes below 10,000; till then regular monitoring is advised. You can take B-12 and folate supplements. If there are painless red spots appearing on your body immediately report to your doctor. Most cases spontaneously come back to normal but if count is steadily reducing, you can undergo a production of platelets.
Treatment can be with steroids, platelet infusions, auto immune drugs, and immunoglobulin injections, removal of spleen, bone marrow and stem cell transplantation. However these modalities may never be required in your case.
Please follow the stepwise advice I have given and revert if you have follow up queries.
Regards


Thanks for writing back.
I'm glad that your hepatitis tests and platelet levels have stabilized albeit at a lower level.
I would suggest that a test for dengue antibodies be done before an upper gastrointestinal endoscopy is done as all your symptoms are suggestive of dengue.
While stress and lack of sleep can contribute to generalized fatigue, they may only be a contributory factor. In your case, dengue is the most likely cause for these joint pains.
Stress can be a contributory factor to the ulcers or can exacerbate the symptoms but ulcers are primarily caused by a bacterium called Helicobacter pylori and medications like non-steroidal anti-inflammatory drugs.
It is extremely unlikely that these symptoms are related to food contamination as they have lasted for so long.
All the symptoms that you have been complaining of (including the lowering of platelets) are suggestive of dengue haemorrhagic fever. Other possibilities include rickettsial infections.
I hope this answers your query and if so do indicate.
Regards.

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