If you are not sure about a medicine, ask your doctor. Use a soft-bristle tooth brush. Do not use dental floss. If you must have dental work, tell your dentist that you have a low platelet count. Do not do heavy lifting, contact sports, or strenuous exercise.
Do not walk in bare feet. If you feel weak and unsteady, have someone help you when walking. Avoid cutting your nails. Use an emery board to care for your nails. When shaving, do not use a razor blade. Use an electric razor instead. Be careful when using household tools, such as knives and scissors.
If you get a cut, place a clean cloth or a piece of gauze over the cut, then apply pressure for a few minutes. If your cut continues to bleed, lie down and stay calm. Keep applying pressure. If possible, use an ice pack to apply pressure. Get emergency care for any of the following: Do not bend over with your head lower than your shoulders. Bend from the knees, and keep your head up.
Do not blow your nose forcefully. If you get a nose bleed, sit upright. Tilt forward to allow the blood to drip out. Then apply firm pressure to your nostrils, below the bridge of your nose. Get emergency care for any of the following: Do not wear tight clothing.
Do not use alcohol. Prevent constipation. Drink plenty of fluids, and get enough fiber in your meals. Do not strain to move your bowels. Tell your doctor if you are constipated.
He or she may prescribe a stool softener. Do not use rectal suppositories, enemas, or vaginal douches. If you are a woman having your period, do not use tampons.
These cells are made in the bone marrow. When a blood vessel becomes damaged, platelets are activated to stick together and to form a clot to seal the blood vessel wall to stop or prevent bleeding. An abnormal platelet count means there are too many platelets or too few platelets in the blood. This can also be further classified into primary or secondary thrombocytosis, both of which are caused by the bone marrow producing too many platelets:.
Symptoms of thrombocytosis may include abnormal bruising or bleeding or stroke-like symptoms. It is very common for no symptoms to be present at all. Having too many platelets can cause blood clots to form. This can actually lead to acquired von Willebrand disease , in which the platelets fail to interact properly with the blood vessel wall at sites of injury.
The failure to seal the site of injury leads to bleeding. Platelet levels may be decreased for multiple reasons:. Symptoms of thrombocytopenia may include:. Having too few platelets can lead to bleeding, as there are not enough platelets to clot and repair blood vessel walls if they become damaged. Platelet counts are evaluated through a blood test called a complete blood count , or CBC.
To run a CBC, a sample of blood is drawn. This blood sample is then put into a machine to count all the different types of cells in the blood. These include evaluating the size of the cells as well as the number. The size of platelets is referred to as the MPV, or mean platelet volume. If the MPV is elevated, that means the platelets are larger than normal. An elevated MPV may be found in the following instances:. A decreased MPV means the platelets are smaller than normal.
A decreased MPV can be found due to:. Women tend to have higher platelet counts than men do, possibly due to hormonal differences and having menstrual cycles. There have not been found to be differences in the MPV.
If you are experiencing symptoms, such as bleeding or bruising, and are concerned about your platelet counts, be sure to talk with your healthcare provider about your concerns.
A simple blood test can be done to make sure they are normal, and if not, further evaluation may be needed. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Johns Hopkins Medicine. When the platelet count is less than 50,, bleeding is likely to be more serious if you're cut or bruised.
Some people make too many platelets. They can have platelet counts from , to more than 1 million. In this condition, your bone marrow makes too few platelets. Or your platelets are destroyed. If your platelet count gets too low, bleeding can occur under the skin as a bruise. Or it can happen inside the body as internal bleeding. Or it can happen outside the body through a cut that won't stop bleeding or from a nosebleed. Thrombocytopenia can be caused by many conditions. These include several medicines, cancer, liver disease, pregnancy, infections, and an abnormal immune system.
Essential thrombocythemia. In this condition, your bone marrow makes too many platelets. People with this condition may have platelet counts of more than 1 million. Symptoms can include blood clots that form and block blood supply to the brain or the heart.
Doctors don't know what causes this type of thrombocythemia.
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