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MY PLATELETS COUNT IS VERY HIGH (MORE THEN 10 LAKH).
Posted on
Fri, 29 Mar 2019
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 29 Mar 2019
Answered on
Last reviewed on
Question : MY PLATELETS COUNT IS VERY HIGH (MORE THEN 10 LAKH). PLEASE SUGGEST RIGHT TREATMENT OF THIS PROBLEM . I HAVE NO SYMPTOMS(PROBLEM) YET FROM HIGH PLATELETS COUNT.
Brief Answer:
may be essential thrombocytosis. Require further confirmation.
Detailed Answer:
Hello,
I have gone through your query and attached report image. Here is my advice.
As per your history and reports, I think it may essential thrombocytosis.
Please let me know do you have history of surgery or are you taking any medications?
I would suggest you to do bone marrow aspiration and biopsy, iron profile after hematologist consultation.
For that you may require tab. hydroxyurea along with low dose aspirin to prevent blood clotting after consultation.
Along with that kindly watch for symptoms like dizziness, headache, numbness or weakness in limbs.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
may be essential thrombocytosis. Require further confirmation.
Detailed Answer:
Hello,
I have gone through your query and attached report image. Here is my advice.
As per your history and reports, I think it may essential thrombocytosis.
Please let me know do you have history of surgery or are you taking any medications?
I would suggest you to do bone marrow aspiration and biopsy, iron profile after hematologist consultation.
For that you may require tab. hydroxyurea along with low dose aspirin to prevent blood clotting after consultation.
Along with that kindly watch for symptoms like dizziness, headache, numbness or weakness in limbs.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
Above answer was peer-reviewed by :
Dr. Yogesh D
Sir,
I have not any history of surgery in past, or i am not taking any medicine. But I have take two spoon of Amla Juice daily.
I have a blood test in 27.05.2015 in which Platlet count was 563000.
Please explain that : what is bone marrow aspiration and biopsy.
PREVIOUS BLOOD TEST REPORT DT. 27.5.2015
NAME XXXXXXX (49Y/M)
TEST NAME TECHNOLOGY VALUE UNITS
25-OH VITAMIN D (TOTAL) C.L.I.A ng/ml Value 35.99 ng/ML
DEFICIENCY : <20 ng/ml
INSUFFICIENCY : 20-30 ng/ml
SUFFICIENCY : 30-100 ng/ml
TOXICITY : >100 ng/ml
TOTAL LEUCOCYTES COUNT 10.12 X 10³ / μL 4 - 10
NEUTROPHILS 72 % 40-80
LYMPHOCYTE PERCENTAGE 19.2 % M:20-40; F:20-40
MONOCYTES 4.7 % 0-10
EOSINOPHILS 3.2 % 0-6
BASOPHILS 0.6 % < 2
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.3 % Male : 0-0.5 Female: 0-0.4
NEUTROPHILS - ABSOLUTE COUNT 7.29 X 10³ / μL 2.0 - 7.0
LYMPHOCYTES - ABSOLUTE COUNT 1.94 X 10³ / μL 1.00 - 3.00
MONOCYTES - ABSOLUTE COUNT 0.48 X 10³ / μL 0.20 - 1.00
BASOPHILS - ABSOLUTE COUNT 0.06 X 10³ / μL 0.02 - 0.10
EOSINOPHILS - ABSOLUTE COUNT 0.32 X 10³ / μL 0.02 - 0.50
IMMATURE GRANULOCYTES(IG) 0.03 X 10³ / μL 0.03
TOTAL RBC 4.81 X 10^6/μL Male : 4.5-5.5 Female : 3.9-4.8
NUCLEATED RED BLOOD CELLS Nil X 10³ / μL Nil in adults
NUCLEATED RED BLOOD CELLS % Nil % Nil in adults
HEMOGLOBIN 14.6 g/dL Male : 13-17 Female : 12-15
HEMATOCRIT(PCV) 44 % Male : 40-50 Female : 36-46
MEAN CORPUSCULAR VOLUME(MCV) 91.5 fL 83-101
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 30.4 pq 27-32
MEAN CORP.HEMO.CONC(MCHC) 33.2 g/dL 31.5-34.5
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 51.6 fL 39 - 46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 15.5 % 11.6-14
PLATELET DISTRIBUTION WIDTH(PDW) 12.9 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 10.7 fL 6.5-12.0
PLATELET COUNT 563 X 10³ / μL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 30.6 % 19.7 - 42.4
PLATELETCRIT(PCT) 0.6 % 0.19 - 0.39
END
I have not any history of surgery in past, or i am not taking any medicine. But I have take two spoon of Amla Juice daily.
I have a blood test in 27.05.2015 in which Platlet count was 563000.
Please explain that : what is bone marrow aspiration and biopsy.
PREVIOUS BLOOD TEST REPORT DT. 27.5.2015
NAME XXXXXXX (49Y/M)
TEST NAME TECHNOLOGY VALUE UNITS
25-OH VITAMIN D (TOTAL) C.L.I.A ng/ml Value 35.99 ng/ML
DEFICIENCY : <20 ng/ml
INSUFFICIENCY : 20-30 ng/ml
SUFFICIENCY : 30-100 ng/ml
TOXICITY : >100 ng/ml
TOTAL LEUCOCYTES COUNT 10.12 X 10³ / μL 4 - 10
NEUTROPHILS 72 % 40-80
LYMPHOCYTE PERCENTAGE 19.2 % M:20-40; F:20-40
MONOCYTES 4.7 % 0-10
EOSINOPHILS 3.2 % 0-6
BASOPHILS 0.6 % < 2
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.3 % Male : 0-0.5 Female: 0-0.4
NEUTROPHILS - ABSOLUTE COUNT 7.29 X 10³ / μL 2.0 - 7.0
LYMPHOCYTES - ABSOLUTE COUNT 1.94 X 10³ / μL 1.00 - 3.00
MONOCYTES - ABSOLUTE COUNT 0.48 X 10³ / μL 0.20 - 1.00
BASOPHILS - ABSOLUTE COUNT 0.06 X 10³ / μL 0.02 - 0.10
EOSINOPHILS - ABSOLUTE COUNT 0.32 X 10³ / μL 0.02 - 0.50
IMMATURE GRANULOCYTES(IG) 0.03 X 10³ / μL 0.03
TOTAL RBC 4.81 X 10^6/μL Male : 4.5-5.5 Female : 3.9-4.8
NUCLEATED RED BLOOD CELLS Nil X 10³ / μL Nil in adults
NUCLEATED RED BLOOD CELLS % Nil % Nil in adults
HEMOGLOBIN 14.6 g/dL Male : 13-17 Female : 12-15
HEMATOCRIT(PCV) 44 % Male : 40-50 Female : 36-46
MEAN CORPUSCULAR VOLUME(MCV) 91.5 fL 83-101
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 30.4 pq 27-32
MEAN CORP.HEMO.CONC(MCHC) 33.2 g/dL 31.5-34.5
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 51.6 fL 39 - 46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 15.5 % 11.6-14
PLATELET DISTRIBUTION WIDTH(PDW) 12.9 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 10.7 fL 6.5-12.0
PLATELET COUNT 563 X 10³ / μL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 30.6 % 19.7 - 42.4
PLATELETCRIT(PCT) 0.6 % 0.19 - 0.39
END
Brief Answer:
please see detailed answer.
Detailed Answer:
Hello,
Thank you for reply. I have gone through your attached report image. In previous report also platelet count was also high.
Bone marrow aspiration involves taking a sample of the liquid part of the soft tissue of bones and in biopsy solid part is taken.
As all blood cells including platelets are produced in bone marrow. So to rule out any blood related pathology, bone marrow investigations are helpful.
So kindly follow all measures advised in previous answer.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale
please see detailed answer.
Detailed Answer:
Hello,
Thank you for reply. I have gone through your attached report image. In previous report also platelet count was also high.
Bone marrow aspiration involves taking a sample of the liquid part of the soft tissue of bones and in biopsy solid part is taken.
As all blood cells including platelets are produced in bone marrow. So to rule out any blood related pathology, bone marrow investigations are helpful.
So kindly follow all measures advised in previous answer.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thanks sir,
Still i have not any problem . Is this test still necessary, or i can do test after appointment in government hospital.
Still i have not any problem . Is this test still necessary, or i can do test after appointment in government hospital.
Brief Answer:
Yes, but do as soon as.
Detailed Answer:
Hello,
Thank you for reply.
Yes, these investigations are necessary and you can do in government hospital also after hematologist consultation. But kindly try to do as soon as.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
Yes, but do as soon as.
Detailed Answer:
Hello,
Thank you for reply.
Yes, these investigations are necessary and you can do in government hospital also after hematologist consultation. But kindly try to do as soon as.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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