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What Causes Sudden Drop In Platelets And HB Level?
my 90 yr old mother has a platelet count of 25000,haemoglobin of 7 gm .she is barely able to speak.Her peripheral blood shows microcytic anaemia .There is a sudden drop in platelets and hb. septicemia is ruled out by tests. TLC is 10000. what could be the reason ?
Only Process of sudden Large haemorrhage ( internal or external ) or sudden intravascular haemolysis may cause a sudden drop in Hb to such extent. But it will not explain such low paltlet count.
On the other hand sudden drop of platlet count may be seen in the viral fevers such as dengue etc. But then it will not explain the sudden drop in HB.
So my opinion is that the platlet loss seen must be sudden but the drop in HB must be gradual. The repors also support the same as microcytic anemia indicates Iron deficiency anemia.
So it would be wise to look for a cause of sudden drop in platlets.
Close wattch must be kept on bleeding from any site of body, which should not be neglected.
Considering the low platlet count it is advisable to admit the patient under physicans care. Couple of tests also require to come at perfect diagnosis.If platlets counts drops further it may need platlet trasfusion too. So better to hospitalise patient unless platlet count increase.
For anemia proper diet & iv & oaral iron therapy can be satrted as per physicians opinion.
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What Causes Sudden Drop In Platelets And HB Level?
Only Process of sudden Large haemorrhage ( internal or external ) or sudden intravascular haemolysis may cause a sudden drop in Hb to such extent. But it will not explain such low paltlet count. On the other hand sudden drop of platlet count may be seen in the viral fevers such as dengue etc. But then it will not explain the sudden drop in HB. So my opinion is that the platlet loss seen must be sudden but the drop in HB must be gradual. The repors also support the same as microcytic anemia indicates Iron deficiency anemia. So it would be wise to look for a cause of sudden drop in platlets. Close wattch must be kept on bleeding from any site of body, which should not be neglected. Considering the low platlet count it is advisable to admit the patient under physicans care. Couple of tests also require to come at perfect diagnosis.If platlets counts drops further it may need platlet trasfusion too. So better to hospitalise patient unless platlet count increase. For anemia proper diet & iv & oaral iron therapy can be satrted as per physicians opinion.