Essential Thrombocytosis symptoms

Posted by lynn22 @lynn22, Apr 5, 2023

Having had high platelets since 2017 and doctors could not find a cause I paid to see a haematologist and I was diagnosed with ET in 2019. With a platelet level of 723 I was put on baby Asprin but unfortunately it did not suit me. I was then put on Clopidogrel but had an allergic reaction to it. I have refused to have a biopsy so far but said I will if levels go over 800. The haematologist made it quite clear that I am at a high risk of having a stroke. So I am taking Arnica homeopathy twice a day to thin the blood which helps the headaches which I have suffered with for years and take 2 paracetamol a day, usually when I wake-up as that’s when I get most headaches and sometimes it is like having a massive hangover. I also get tired and lightheaded and since January I am suffering with constant tingling hands and feet which according to the internet is another side affect. But as of two weeks ago I have tingling lips and tongue which is not listed as a side affect and I am wondering if anyone else also has these symptoms tingling symptoms. Having tried to see a doctor the surgery have said I can have a routine appointment which is weeks away. My doctor has agreed that I have a blood test every 3 months to monitor, at the moment it ranges from 750 to 800. Any advice gratefully received.

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@1pearl

Hi again nohrt4me,

I know you and I both are CALR positive, but did you get any other mutations listed on your genetic testing? I have two others that are concerning as percentage still in the 40s. My CALR is 49%. So you know exactly what this all means?

Hope you are enjoying your weekend.

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The test results I saw 8 years ago merely said "CALR with deletion." Tests with much more info may come thru your patient portal, so a sit-down with your doc is probably in order.

It's pretty customary for doctors to want to talk thru the tests after results come back. If your doc doesn't, you might want to request a consult.

Once the doc translates what it all means, a good question to ask is how often you will need blood monitoring. (Every 3-4 months is pretty typical.) Also how often you should be seen by hemo. (Twice a year is also typical, but I talked mine down to once a year with the proviso that I would be scrupulous about meds and bloodwork.) You might also ask what are some symptoms you should report to the doc.

Take care!

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@lynnebgraham

Neither my GP or hematologists mentioned ET was a very rare blood cancer. Only found this out by googling it. I have had it for over 16 years, would have thought someone would have mentioned this fact. Neither has mentioned a mutation of JAG2 or CALR. I feel I have been left out in the dark maybe because it has been under control for all this time with Agralyn. Have prior to Christmas had my first bone marrow test to confirm ET. Now on a different path with Hydrae, this seems to be okay 1 tablet a day with 1 asprin. Just waiting for blood tests, was 1155 then 735 so it is going down. Only side affect is very tired, otherwise all good.

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I'm on year 17 with ET.

When Dad was diagnosed, his doc told him nothing. When I got the official diagnosis 10 years ago, I got a bit more info.

Since then, researchers have learned more. Might be good to ask your doc you didn't realize you have a pretty rare chronic cancer, and what's new on the treatment front?

In my experience with specialists, they don't much volunteer info.

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@nohrt4me

The test results I saw 8 years ago merely said "CALR with deletion." Tests with much more info may come thru your patient portal, so a sit-down with your doc is probably in order.

It's pretty customary for doctors to want to talk thru the tests after results come back. If your doc doesn't, you might want to request a consult.

Once the doc translates what it all means, a good question to ask is how often you will need blood monitoring. (Every 3-4 months is pretty typical.) Also how often you should be seen by hemo. (Twice a year is also typical, but I talked mine down to once a year with the proviso that I would be scrupulous about meds and bloodwork.) You might also ask what are some symptoms you should report to the doc.

Take care!

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Hi nohrt4me,
Thanks for your quick reply! I guess my O/H knew I would have lots of questions, so she actually gave me a printout of all the alleles tested and which ones had mutations and the percentages of those. So, although the one sit down appointment with her that I had seemed like I just had high platelets and ET and needed Hydrea, with this added information which she presented me with at my sister’s six month oncology follow up visit, I am more confused. She did allow me to have a bone marrow biopsy which I did today and blood work was done after it with results already given on many tests run. My platelets went down again on no treatment as I did not even fill my prescription. Yes, they are more than 400 but my platelets are 411 units lower than first visit less than two months ago! Why are they lowering without treatment is my question. What will my platelets be in another six weeks with no treatment as if they go down another 411, they will be normal? My next appointment with my O/H is in two months.
Thanks for listening and your insights.

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@nohrt4me

I'm on year 17 with ET.

When Dad was diagnosed, his doc told him nothing. When I got the official diagnosis 10 years ago, I got a bit more info.

Since then, researchers have learned more. Might be good to ask your doc you didn't realize you have a pretty rare chronic cancer, and what's new on the treatment front?

In my experience with specialists, they don't much volunteer info.

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I was under the impression that ET was not hereditary. I hope your dad was well and had no side effects. These days we need de google to give us information.

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@etandme0983

It is so sad that some Hemotolists / Oncologists have no respect for their patients . I kept seeing my platelets rise after having regular blood panels and finally I suggested I should be seen by a specialist . The worst Oncologist/Hematologist ever licensed . I had done my homework and after DNA Threading and numerous appts spread out over months , I had to also ask this if this was cancer , how rare it was and what Hydroxurea was . I knew I had to be my own advocate and after my Bone marrow Biopsy( my Oncologist never even called to check on me ) , it was obvious I needed a Dr that was a lot more empathetic and knowledgeable , so I researched my ET and am now seeing a wonderful Oncologist. I know I have to be on Hydyoxurea for the rest of my life ; my platelets are 620 and my new Dr is trying to get them down to 400. Strokes run in my family and This cancer is very very rare ( .01 % of the population has it ) . It is not genetic , but they are still doing research to see if it somehow has been linked to family members .
You have to be YOUR OWN ADVOCATE! . Do not be afraid to question Doctors , and change Dr’s if you don’t feel good about your medical care ! Your life depends on it ! Good luck

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Yes you do need to stand up for yourself. I have a great GP and now a great Haematologist. Both are concerned about my health. Just a pity it took my running out of tablets to set this in motion. Hope you are well, we can do this, wish my family took it seriously. My hubby is great, I think family don't say anything, in doing so, it doesn't really exist. You look healthy so you can't have a blood cancer. Sometimes I just want them to ask ARE YOU OK MUM. Just feeling a bit down that's all. Tomorrow is another day we all need this group l, keeps it real. ❤️

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@etandme0983

What is your diagnosis ? Diet is great , but you need to get to the root of the problem. Please seek advice from someone who specializes in blood disorders . Have blood work , genetic testing to rule out other cancers , and mutations , which could lead to other complications.

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Just wanted to say thank you, etanme0983, for your life-saving straight talk.

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@lynnebgraham

Neither my GP or hematologists mentioned ET was a very rare blood cancer. Only found this out by googling it. I have had it for over 16 years, would have thought someone would have mentioned this fact. Neither has mentioned a mutation of JAG2 or CALR. I feel I have been left out in the dark maybe because it has been under control for all this time with Agralyn. Have prior to Christmas had my first bone marrow test to confirm ET. Now on a different path with Hydrae, this seems to be okay 1 tablet a day with 1 asprin. Just waiting for blood tests, was 1155 then 735 so it is going down. Only side affect is very tired, otherwise all good.

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I am sorry you had such incompetent "care" for so long. You are on a much better path now.

Odds are that once the HU brings down your platelet count, you'll get your energy back.

Rooting for you!

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@lynnebgraham

Yes you do need to stand up for yourself. I have a great GP and now a great Haematologist. Both are concerned about my health. Just a pity it took my running out of tablets to set this in motion. Hope you are well, we can do this, wish my family took it seriously. My hubby is great, I think family don't say anything, in doing so, it doesn't really exist. You look healthy so you can't have a blood cancer. Sometimes I just want them to ask ARE YOU OK MUM. Just feeling a bit down that's all. Tomorrow is another day we all need this group l, keeps it real. ❤️

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The lack of understanding, let alone compassion, is hard.

I would go crazy without this forum, the only place our alien cancer is understood.

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@lynnebgraham

Yes you do need to stand up for yourself. I have a great GP and now a great Haematologist. Both are concerned about my health. Just a pity it took my running out of tablets to set this in motion. Hope you are well, we can do this, wish my family took it seriously. My hubby is great, I think family don't say anything, in doing so, it doesn't really exist. You look healthy so you can't have a blood cancer. Sometimes I just want them to ask ARE YOU OK MUM. Just feeling a bit down that's all. Tomorrow is another day we all need this group l, keeps it real. ❤️

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Yes, "how's the old fatigue level?" would be nice once in awhile, wouldn't it? And if anybody said "are you feeling tired today?" I'd fall down in a faint!

I used to talk to student nurses about dealing with chronic cancer, and I emphasized the exact point you make: We don't look or act sick, so people just assume we're fine. They don't see the extra effort it takes for us.

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@micheletx

Hello 1pearl,

In an effort to identify the cause of my platelet reduction, I have been considering various factors. The most plausible explanation I can discern is the alterations in my diet and lifestyle. I have adopted the Mediterranean diet lifestyle, which emphasizes the consumption of vegetables, fruits, and whole grains. Additionally, I have restricted my intake of red meats to once a week.

I have read numerous comments suggesting that it is not possible to lower platelet counts without medication. Therefore, I am uncertain how I have managed to reduce mine.

I wish you the best of luck in your journey.

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Hi michele tx,

Like you, my platelets have gone down with no treatment. I do practice a healthy lifestyle with Mediterranean diet and daily exercise. I need to work more on lowering stress as I react to that. I do yoga which is helpful and pray too. I only learned of my high platelet problem on December 11, 2024, so I was not planning on jumping fast into taking such a nasty toxic product which Hydrea is. I am glad I have not as my platelets dropped 411 units since then doing nothing as I had a blood test with quick results yesterdays ordered by my O/H when I asked for bone marrow biopsy. This whole blood cancer area is very confusing.
I hope both of us continue to have reduced platelets and good health.
Have a blessed week.

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