Essential Thrombocythemia: Looking for information and support

Posted by shenriq @shenriq, Jun 4, 2018

I was recently diagnosed with Essential Thrombocythemia, a rare incurable blood cancer. Platelet count aside, I am asymptotic. This current condition morphed from (constitutional) thrombcytosis, something I’ve lived with for 25+ years. While the new diagnosis was the result of a bone marrow aspiration and biopsy, my age was an additional factor, which was completely disarming, having been walking around unwittingly for the past 8 years! While at the low end of risk for clots, heart-attacks and stroke, nothing has truly changed - except the “C” word. No chemo yet, but active discussion about hydroxyurea. Uncertainty about ET is anxiety provoking and swoethatl, but I’m feeling betrayed by my blood. I’m looking for all information about ET, the chemo and support.
Thanks!

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Profile picture for ttown @ttown

Hi - My name is Ginger - I am 77 and was recently diagnosed with ET JAK2 in September of this year and have had the red feet and ankles. I also have red splotches (for lack of a better word) on the back of my left leg. These are not painful - just unsightly. I have a small level of numbness in both feet and in my left leg. These things are recent. My hematologist/oncologist prescribed hydroxyurea 500 mg daily. I had no side effects the first month. I had a bone marrow biopsy and it was confirmed that it was ET JAK2 . My platelets went from around 600 to normal within 10 days of starting the hydroxyurea. I was thinking all was great.....then the sores in and on my mouth appeared and my doctor took me off the hydroxyurea for a 5 day period and I am to start taking it again every other day. It has taken a toll on me - it was difficult to eat and swallow. I still continue with the low dose aspirin which I was already taking when I was first diagnosed. Now I am terrified to go back on a full dose of the hydroxyurea for fear of the mouth sores. This is all so new to me. Has anyone else had problems with sores in their mouth as a result of the hydroxyurea?

I wrote and posted this previously, but I must not have saved it properly because I cannot find it. This is such a great and informative place to learn so much about ET JAK2

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MOUTH SORES
Advice from Chemocare.com:

To help treat/prevent mouth sores…use a soft toothbrush, and rinse three times a day with 1/2 to 1 tsp of baking soda and/or 1/2 to 1 tsp of salt mixed with 8 ounces of water.

Eileen

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Profile picture for ttown @ttown

Hi - My name is Ginger - I am 77 and was recently diagnosed with ET JAK2 in September of this year and have had the red feet and ankles. I also have red splotches (for lack of a better word) on the back of my left leg. These are not painful - just unsightly. I have a small level of numbness in both feet and in my left leg. These things are recent. My hematologist/oncologist prescribed hydroxyurea 500 mg daily. I had no side effects the first month. I had a bone marrow biopsy and it was confirmed that it was ET JAK2 . My platelets went from around 600 to normal within 10 days of starting the hydroxyurea. I was thinking all was great.....then the sores in and on my mouth appeared and my doctor took me off the hydroxyurea for a 5 day period and I am to start taking it again every other day. It has taken a toll on me - it was difficult to eat and swallow. I still continue with the low dose aspirin which I was already taking when I was first diagnosed. Now I am terrified to go back on a full dose of the hydroxyurea for fear of the mouth sores. This is all so new to me. Has anyone else had problems with sores in their mouth as a result of the hydroxyurea?

I wrote and posted this previously, but I must not have saved it properly because I cannot find it. This is such a great and informative place to learn so much about ET JAK2

Jump to this post

The sheets given to me by my hematologist said
“To help/prevent mouth sores, use a soft toothbrush, and rinse mouth three times a day with 1/2 to 1 tsp of baking soda and/or 1/2 or 1 tsp of salt mixed with 8 ounces of water,”
Eileen

REPLY

Hi - My name is Ginger - I am 77 and was recently diagnosed with ET JAK2 in September of this year and have had the red feet and ankles. I also have red splotches (for lack of a better word) on the back of my left leg. These are not painful - just unsightly. I have a small level of numbness in both feet and in my left leg. These things are recent. My hematologist/oncologist prescribed hydroxyurea 500 mg daily. I had no side effects the first month. I had a bone marrow biopsy and it was confirmed that it was ET JAK2 . My platelets went from around 600 to normal within 10 days of starting the hydroxyurea. I was thinking all was great.....then the sores in and on my mouth appeared and my doctor took me off the hydroxyurea for a 5 day period and I am to start taking it again every other day. It has taken a toll on me - it was difficult to eat and swallow. I still continue with the low dose aspirin which I was already taking when I was first diagnosed. Now I am terrified to go back on a full dose of the hydroxyurea for fear of the mouth sores. This is all so new to me. Has anyone else had problems with sores in their mouth as a result of the hydroxyurea?

I wrote and posted this previously, but I must not have saved it properly because I cannot find it. This is such a great and informative place to learn so much about ET JAK2

REPLY

I take HU before bed, never with food. I feel full if I eat much more than a bowl of soup or a small plate at one sitting. I don't have the enlarged spleen many ET patients have, so not sure what that's about.

A plain cup of black decaf tea in the evening seems to help with bloat. So do some stretching exercises or a short walk.

I have cut back on starches and sugar and to eat four smaller meals. And yes to making sure you get you 64 oz of water.

We are retired and have no extended family, so the holidays are less overloaded with food than they used to be.

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I find taking a daily probiotic has helped a lot with wind and gut discomfort.

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Profile picture for cajunqueen @cajunqueen

Update!!! We did labs last week and my platelet count is down in the 640 range, so it came down again!! My Hematologist will have me continue the dosage of Hydroxyurea 500 mg per day then 2 on Saturday for another 4 weeks, go back for labs in December to see where my platelets are and if still dropping, she will do another lab in January and meet with me and go from there! Praying this dosage continues to lower my platelets because I am having little to no side effects! Just lower stomach pains here and there, which is gas, but I can live with it. May start taking GasX daily about an hour after my Hydroxy and see if that helps at all. Know that I am praying for each and every one of you daily for health & healing. Happy Thanksgiving to all and God bless!
Tifnie Queen

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I eat a meal and then take Hydroxyurea 30 minutes later with full glass of water. I drink the minimum of 64 ounces of fluids. No stomach distress doing this.

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I was just diagnosed last week with ET (CALR mutation) as a result of a marrow biopsy and a routine test resulting in a platelet count of 1700. Looking back over 8 months or so ago I noticed large lumps were resulting from contusions, which was new for me, but regretfully, I didn't get checked out. I have been on 1000 mg of hydroxyurea for over two weeks which lowered it to 1300, and just had the dosage raised to 1500mg 3 days ago. Luckily I have had no side effects from it. I am a very healthy 53 year old male, bicyclist, and have been eating super healthy in an attempt to shed blood pressure medication, so this was a huge let down. My physician tells me not to travel for work until the platelets are below 1000. I carry a lot of anxiety over being terrified of a stroke, or something that will incapacitate me as I'm told of the risks I have of developing a clot, stroke, or myelofibrosis in the next 15 years when, at my age I still plan to be working. I was told to basically keep doing what I am doing eating healthy and exercising and come back in a month for another test. Anyone else get any advice on something different they should be eating / avoiding / doing? One word of caution - Do not take hydroxurea right before a big meal. I did that and it bloated me to the point where I thought my stomach would pop! Wish all of you good health.

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My case even very similar. At 61 and asymptomatic, six months back platelets were 1150. With Hydroxyurea 500 mg and aspirin 75 mg every day they came down to 480. Walking , swimming, cycling had been my regular routine for years. Don’t know what must be the cause but after taking two doses of Covid vaccination COVISHIELD and was covid positive twice, these high platelets were accidentally found in my yearly routine blood test. Dr feels covid infection can be the reason . Would appreciate views from others too with similar experiences and guidance .

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Update!!! We did labs last week and my platelet count is down in the 640 range, so it came down again!! My Hematologist will have me continue the dosage of Hydroxyurea 500 mg per day then 2 on Saturday for another 4 weeks, go back for labs in December to see where my platelets are and if still dropping, she will do another lab in January and meet with me and go from there! Praying this dosage continues to lower my platelets because I am having little to no side effects! Just lower stomach pains here and there, which is gas, but I can live with it. May start taking GasX daily about an hour after my Hydroxy and see if that helps at all. Know that I am praying for each and every one of you daily for health & healing. Happy Thanksgiving to all and God bless!
Tifnie Queen

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Sherna09, I think I just lost the long response I was writing to you. In brief, I am still turning it all over. Watched the Cleveland clinic MPN conference this weekend, will have a video appt with a MAYO doctor in December and will talk to my acupuncturist in more detail next week. I can share more then and hope you will feel free to share your thinking as you maneuver your diagnosis --privately or through posting. Currently dealing with choosing Medicare for the first time and very overwhelmed with all this. Best to you!

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