Essential Thrombocythemia (ET) and viruses

Posted by arti4 @arti4, Oct 8, 2022

I was diagnosed with Essential Thrombocythemia a few months ago, and I’m positive for JAK 2. So far, I have a “mild” case (platelets are below 600) and currently taking only 2 low-dose aspirin a day. Since my diagnosis I’ve gotten 2 colds/viruses. The first one turned into pneumonia, and I’ve never had pneumonia in my life; I’m currently sick with another cold or virus and on day 6. I feel like it’s getting progressively worse each day instead of better. Is this because of the ET? Is this how every little illness is going to be from now on?

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@bettyk49

Thank you so much. My next appointment is March 13. They have been giving me a choice of 6 weeks or 3 months and tell me to call if I need to come in sooner. I choice 3 months but after reading my chart I wished I had an earlier appointment. I have had many iron infusions. So when I start feeling real tired I call for a sooner appointment. I had the TIA in 2014 and I have had chrons since 1990. I just thought they were keeping check on my anemia. Is Essential thrombocythemia a blood cancer? When I looked it up that is what it said. I definitely will talk with my PA. Thanks Again!!

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Basically, all of your symptoms of anemia and the ET may related. You’re not getting the benefit of full, healthy blood cells. So the fact that your hematologist is doing routine checks on your anemia is two-fold. It also keeps track of your Essential Thrombocythemia. It is a type of blood cancer but it’s not generally aggressive and takes time to develop over years. And at this point in time, blood thinners would be the treatment anyway so you’re covered.
The main concern is to prevent blood clots. So the blood thinner is very important to keep taking. Try to avoid sitting for long periods of time in one place…move around to keep your circulation up. Hydration is important too.
I found a pretty good article from Blood-Cancer.com which explains ET. https://blood-cancer.com/clinical/essential-thrombocythemia

Try not to let the word Cancer form your thought pattern now. Nothing has changed as you’ve most likely had this for several years. ☺️ Just keep living like you have and then have a chat with the NP at your next appt.

It’s really great that you can go in to get iron infusions when you feel you need them. How frequently do you get them?

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I just have them when my iron points get too . I think it was just twice last year but maybe 2 to 3 times a year the past 9 years. thanks Again.

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@julieanna57

I also have ET. I need to find out if it is Essential Thrombocythemia or thrombocytosis? I don’t think I even spelled those right. My Dr said your platelet count for a woman should be around 500,000 and mine were 1.2 million. I was tested for leukemia that was a painful test but gratefully negative. Dr said no hormones and an aspirin daily. But I need to know more. Not a day goes by that I don’t have a major headache. Im tired and I do get sick a lot. Spent a week in the hospital with pneumonia. Any advice would be appreciated. Im 58 years old.

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Hi Julieanna57,

I am curious whether you are taking anything other than aspirin. Your platelets seem very high.

I am 78 and have Essential Thrombocytosis and treated with Hydroxyurea which is causing daily headaches, some migraines, I will discuss change of medication when I next see the hematologist,

Best wishes, Eileen

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@julieanna57

I also have ET. I need to find out if it is Essential Thrombocythemia or thrombocytosis? I don’t think I even spelled those right. My Dr said your platelet count for a woman should be around 500,000 and mine were 1.2 million. I was tested for leukemia that was a painful test but gratefully negative. Dr said no hormones and an aspirin daily. But I need to know more. Not a day goes by that I don’t have a major headache. Im tired and I do get sick a lot. Spent a week in the hospital with pneumonia. Any advice would be appreciated. Im 58 years old.

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I never heard no hormones. My Hematologist said HRT was fine. Just no progesterone. I, too, have ET. I was recently diagnosed at nearly 70 years old. My platelets have come down significantly from over 600 to 450 with taking 1 aspirin daily and HU 3 days a week. I don't have any side effects from the HU or symptoms from ET. The only thing that I do notice is painful tingling and redness in both feet. Good luck to all.

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@julieanna57

I also have ET. I need to find out if it is Essential Thrombocythemia or thrombocytosis? I don’t think I even spelled those right. My Dr said your platelet count for a woman should be around 500,000 and mine were 1.2 million. I was tested for leukemia that was a painful test but gratefully negative. Dr said no hormones and an aspirin daily. But I need to know more. Not a day goes by that I don’t have a major headache. Im tired and I do get sick a lot. Spent a week in the hospital with pneumonia. Any advice would be appreciated. Im 58 years old.

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Hi @julieanna57 As @eileen11108 mentioned in her reply to you, your platelet count of 1.2 million is quite elevated and even at 500,000 it is significantly higher than the normal high for a female which can be 150,000 to 300,00 or 330,000 depending on age.
It sounds as though you had a bone marrow biopsy which ruled out leukemia. That had to be a huge sigh of relief. But having platelets that elevated can mean you have an increased risk for blood clots. I’m sure that’s why your doctor has you on aspirin. But that isn’t reducing the amount of platelets or addressing the condition.

It would really be in your best interest to seek another opinion from a hematologist; a blood specialist. That’s what I would be doing if I were in the same situation.
Is the doctor you’re seeing a hematologist?

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@loribmt

Hi @julieanna57 As @eileen11108 mentioned in her reply to you, your platelet count of 1.2 million is quite elevated and even at 500,000 it is significantly higher than the normal high for a female which can be 150,000 to 300,00 or 330,000 depending on age.
It sounds as though you had a bone marrow biopsy which ruled out leukemia. That had to be a huge sigh of relief. But having platelets that elevated can mean you have an increased risk for blood clots. I’m sure that’s why your doctor has you on aspirin. But that isn’t reducing the amount of platelets or addressing the condition.

It would really be in your best interest to seek another opinion from a hematologist; a blood specialist. That’s what I would be doing if I were in the same situation.
Is the doctor you’re seeing a hematologist?

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Good morning, @julieanna57, it’s been a couple of months since your first posting about having a very high platelet level. How are you feeling? Have you gotten any more information from your hematologist?

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I was diagnosed 17 years ago at the age off 22. I have had a flu now for 5 weeks and just cannot shake it. I am quite worried about what the future holds. I am usually ok but very tired. Approaching the third decade is daunting. Is anyone else in this position?

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@rachelpabs

I was diagnosed 17 years ago at the age off 22. I have had a flu now for 5 weeks and just cannot shake it. I am quite worried about what the future holds. I am usually ok but very tired. Approaching the third decade is daunting. Is anyone else in this position?

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Welcome to Mayo Connect, @rachelpabs. With your history of essential thrombocythemia, it’s important to have regular blood draws to monitor your condition. If you haven’t checked in with your physician lately, it would be a good time to have some labs run. It’s not usual to have the flu for 5 weeks. Have you gone to see a doctor for your lingering symptoms?

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@wiggins32

Hi Victoria. My heart skipped a beat when I read your post, specifically about the "bone pain in shin". In 2022, joint pain went into overdrive. But in past 2 months, both shin bones are very painful even at night when trying to sleep. I haven't done anything different so no explanation there. I've told my Internist a few times. She ordered bone density = normal. I have severe iron deficiency anemia and get infusions every 3 months or so (unknown cause). I also have shortness of breath, but that's usually from IDA when my iron has crashed. The bone pain is worrisome! I'm used to joint pain with osteoarthritis but never bones. I need to Google your condition to see if it connects with some of my other symptoms. Ty for sharing. I would love to know more!

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Hi Victoria
I had ankle and foot pain before my diagnosis. Once on hydroxyurea the pain went away. I also drink electrolytes that have helped me alot. Use to get migraine 2 a week before electrolytes.

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@marty8888

Hi Victoria
I had ankle and foot pain before my diagnosis. Once on hydroxyurea the pain went away. I also drink electrolytes that have helped me alot. Use to get migraine 2 a week before electrolytes.

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Welcome to Connect, @marty8888. Thank you for sharing your experiences with having ET. It’s really encouraging to hear you’ve had such good results with taking HU and that your foot and ankle pain is gone! Equally interesting is the change you’ve had with adding electrolytes on a regular basis.

Was this something you found on your own or did you have blood work done that indicated some of your numbers were low? What type of electrolytes do you take?

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