Low platelets

Posted by foxbosco @foxbosco, 1 day ago

I have low platelets starting in Aug 2023 (133) May 2024 (127) Sept 2024 (120). Also
MPV high Sept 2024 (12.7)
IGA high Sept 2024 (0.7)
Mono Auto high Sept 2024 (14.4)
Neutrophil Auto low Sept 2024 (1,52)
A1C high 6.3
Next blood draw March 2025 (cbc and a1c)...just wonder if I should have been referred at this point? My only concern is that I did daycare for four years in my daughter's prior home that now has been tested and has high PFAS levels in water as much of Michigan does.

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my prior blood tests from 2024 and back all normal Platelets 150
i started taking gabapentin 100mg 1xa day a to 2 x a day in late oct 2024 to jan3 2025 back pain
blood test physical 12-16-2024 Platelets142
took some keflex 500mg late dec
blood test pre surgery 1-06-2025 Platelets117

saw hemologist today said gabapentin and r and keflex reduces platelets i also took 4 4mg medro dose pack before i saw him he took new test Platelets 141 said dm large spleen so said platelets low from medication. does this seem right never had issue until start taking gabapentin . does 4 4mg
medro dose work so fast to raise plarelets,

REPLY
@hondaman

my prior blood tests from 2024 and back all normal Platelets 150
i started taking gabapentin 100mg 1xa day a to 2 x a day in late oct 2024 to jan3 2025 back pain
blood test physical 12-16-2024 Platelets142
took some keflex 500mg late dec
blood test pre surgery 1-06-2025 Platelets117

saw hemologist today said gabapentin and r and keflex reduces platelets i also took 4 4mg medro dose pack before i saw him he took new test Platelets 141 said dm large spleen so said platelets low from medication. does this seem right never had issue until start taking gabapentin . does 4 4mg
medro dose work so fast to raise plarelets,

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said no large spleen

REPLY

Hi @foxbosco. Doctors generally look for trends in blood number results with an eye on keeping them stable. When numbers show steady increases or decreases with subsequent tests, that can signal a change in a person’s health for whatever reason.
According the numbers you posted in your comment, your platelets look like they are slowly creeping down. The lower end of ‘normal’ is usually around 150,000 or so.
What has your doctor said about your results? Is this a primary care doctor?

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This testing was done from my primary care doc who is internal medicine physician. Before my physical in Sept 2024 she sent me a message on mychart stating this..platelets continue to be low, could be related to auto immune disorder. may need hematology consult to review low platelets. During my physical I assumed she would do referral to hematology but I never got referral. Also this was to be my last appt with her because she was moving to another practice to far for travel. I was assigned another internal med phys in same office but have not seen him yet. He has responded on mychart to things that were ordered from her but has said nothing about the hematology referral. I just wonder if they are waiting for another lab result in March 2025 and at what point a person should be referred.

REPLY
@foxbosco

This testing was done from my primary care doc who is internal medicine physician. Before my physical in Sept 2024 she sent me a message on mychart stating this..platelets continue to be low, could be related to auto immune disorder. may need hematology consult to review low platelets. During my physical I assumed she would do referral to hematology but I never got referral. Also this was to be my last appt with her because she was moving to another practice to far for travel. I was assigned another internal med phys in same office but have not seen him yet. He has responded on mychart to things that were ordered from her but has said nothing about the hematology referral. I just wonder if they are waiting for another lab result in March 2025 and at what point a person should be referred.

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Since it’s already January, waiting until March for the next set of labs wouldn’t be unreasonable. That way your new doctor will be able to add one more reading as an evaluation.

There are a number conditons which can lower platelets including autoimmune diseases, viral infections, medications or sometimes underlying health issues. A hematologist specializes in blood and blood disorders so it would be a reasonable suggestion for a referral, for your peace of mind, if nothing else.

Will you please let me know what you find out?

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