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My platelet count is low for the past one month. Please guide me.

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Patient's Query

Hi doctor,

My platelet count has been low for the past month, between 115000 and 130000 platelets per mcL, which I found during my regular body check-up. I do not have any previous issues related to this.

Please guide me.

Thank you.

Answered by Dr. Mubashir Razzaq Khan

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Your counts are clinically insignificant. Low platelet count is also called thrombocytopenia.

  1. In grade 1 thrombocytopenia, the platelet count ranges between 75000 to 150000 platelets per mcL. No action is needed. Just following up is enough.
  2. In grade 2 thrombocytopenia, the platelet count ranges between 50000 to 74000 platelets per mcL. Do not panic and investigate the cause. The top-of-the-line cause is usually nutritional deficiency, chronic infections, or some drug-induced destruction.
  3. In grade 3 thrombocytopenia, the platelet count ranges between 25000 to 49000 platelets per mcL. Possible causes might be septicemia, ITP (idiopathic thrombocytopenic purpura), or bone marrow infiltration.
  4. In grade 4 thrombocytopenia, the platelet count ranges between 5000 to 24000 platelets per mcL. No platelet transfusions are needed. Frequent monitoring of the patient is necessary. Causes include acute ITP, septicemia, DIC (disseminated intravascular coagulation), TTP (thrombotic thrombocytopenic purpura), acute leukemia, and aplastic anemia.
  5. In grade 5 thrombocytopenia, the platelet count falls below 5000 platelets per mcL. It is a critical level of platelets and needs hospitalization and immediate platelet transfusions. However, the tablet Eltrombopag is superior to platelet transfusion in most cases. Causes are the same as those of grade 4 thrombocytopenia.

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 27, 2021
Reviewed At May 19, 2026

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

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