Question 1

What is thrombocytopenia?

Accepted Answer

Thrombocytopenia is a condition characterized by abnormally low platelet counts in the blood, typically below 150,000 platelets per microliter. It is caused by bone marrow disorders, autoimmune destruction of platelets, certain medications like sirolimus, viral infections including COVID-19, or increased platelet consumption. The Complete Blood Count (CBC) with Differential and Platelets is the most important test for diagnosing thrombocytopenia because it directly measures platelet levels and provides Mean Platelet Volume (MPV) data.

Question 2

What causes thrombocytopenia?

Accepted Answer

Thrombocytopenia is caused by three main mechanisms: decreased platelet production in the bone marrow, increased destruction of platelets, or abnormal distribution of platelets in the body. Decreased production can result from bone marrow disorders like aplastic anemia, leukemia, or chemotherapy side effects. Increased destruction often occurs through autoimmune conditions where your immune system mistakenly attacks platelets, viral infections like HIV or hepatitis C, or medications including sirolimus, heparin, and certain antibiotics. Other causes include excessive alcohol consumption, pregnancy complications, and infections such as COVID-19 that can trigger platelet destruction or consumption.

Question 3

What is the best test for thrombocytopenia?

Accepted Answer

The Complete Blood Count (CBC) with Differential and Platelets is the most important test for thrombocytopenia because it directly measures your platelet count and provides the definitive diagnosis when levels fall below 150,000 per microliter. This test also includes Mean Platelet Volume (MPV), which reveals whether your bone marrow is responding appropriately by producing new platelets or if production is impaired. For patients who recently had COVID-19, the Post COVID-19 Expanded Panel is essential as it measures platelet counts while screening for other post-viral complications. If you take immunosuppressive medications like sirolimus, the Sirolimus LC/MS/MS test is critical because it monitors drug levels that can cause thrombocytopenia as a side effect.

Question 4

When should I get tested for thrombocytopenia?

Accepted Answer

You should get tested if you notice easy bruising that appears without obvious injury, small red or purple spots on your skin called petechiae, bleeding gums when brushing your teeth, unusually heavy menstrual periods, or nosebleeds that occur frequently or are difficult to stop. Testing is also important if you have prolonged bleeding from minor cuts, blood in your urine or stool, or if you are taking medications known to affect platelet counts. Anyone recovering from COVID-19 or other viral infections who experiences unusual bleeding or bruising should get tested promptly, as thrombocytopenia can develop as a complication.

Question 5

What are the symptoms of thrombocytopenia?

Accepted Answer

The symptoms of thrombocytopenia range from mild to severe depending on how low your platelet count drops. Common signs include easy or excessive bruising, prolonged bleeding from cuts or wounds, spontaneous bleeding from the gums or nose, petechiae (tiny red or purple dots on the skin caused by bleeding under the surface), blood in urine or stool, unusually heavy menstrual flow, and fatigue. In severe cases with extremely low platelet counts, you might experience dangerous internal bleeding, including bleeding in the brain, which requires immediate medical attention. Some people with mild thrombocytopenia have no noticeable symptoms and discover the condition only through routine blood work.

Question 6

Who is at risk for thrombocytopenia?

Accepted Answer

People at higher risk for thrombocytopenia include those undergoing chemotherapy or radiation therapy, individuals taking certain medications like heparin, antibiotics, or immunosuppressants, and patients with autoimmune disorders such as lupus or rheumatoid arthritis. Pregnant women can develop thrombocytopenia, particularly in the third trimester or with conditions like preeclampsia. People with viral infections including HIV, hepatitis C, Epstein-Barr virus, or recent COVID-19 infection face increased risk. Heavy alcohol consumption damages bone marrow and increases risk, as do bone marrow disorders like leukemia or aplastic anemia. Children who develop immune thrombocytopenia often do so following viral infections, and individuals with enlarged spleens from liver disease or blood cancers are also at higher risk.

Question 7

What happens if thrombocytopenia is left untreated?

Accepted Answer

Untreated thrombocytopenia can lead to serious and potentially life-threatening complications. The most dangerous risk is spontaneous bleeding, which can occur internally in organs like the brain, gastrointestinal tract, or lungs without any injury or trauma. Intracranial hemorrhage (bleeding in the brain) is the most severe complication and can result in stroke, permanent neurological damage, or death. Chronic bleeding can lead to severe anemia, causing extreme fatigue, weakness, and organ damage from inadequate oxygen delivery. Even minor injuries or dental procedures can result in uncontrolled bleeding that becomes difficult to manage. The underlying cause of thrombocytopenia may also progress, such as undiagnosed leukemia or autoimmune conditions that worsen without treatment.

Question 8

Can thrombocytopenia be diagnosed with a blood test?

Accepted Answer

Yes, thrombocytopenia is definitively diagnosed with a blood test. The Complete Blood Count (CBC) is the standard diagnostic test that measures the exact number of platelets in your blood and confirms whether your count falls below the normal range of 150,000 to 450,000 platelets per microliter. The CBC also provides additional information like Mean Platelet Volume (MPV), which helps determine whether the low count is due to decreased production or increased destruction of platelets. Your doctor may order follow-up tests based on the CBC results to identify the underlying cause, such as a peripheral blood smear to examine platelet appearance, bone marrow biopsy if production issues are suspected, or specific antibody tests for autoimmune causes.

Question 9

How is thrombocytopenia treated?

Accepted Answer

Treatment for thrombocytopenia depends on the underlying cause and severity of your platelet count. Mild cases may require only monitoring with periodic blood tests and avoiding medications that impair platelet function like aspirin or ibuprofen. For immune-related thrombocytopenia, treatments include corticosteroids to suppress the immune response, intravenous immunoglobulin (IVIG) to temporarily boost platelet counts, or medications like romiplostim and eltrombopag that stimulate platelet production. If medications are causing the low count, stopping or changing the drug often resolves the condition. Severe cases may require platelet transfusions for emergencies or active bleeding, or splenectomy (surgical removal of the spleen) if other treatments fail. Treating underlying conditions like infections, vitamin deficiencies, or bone marrow disorders addresses the root cause.

Question 10

How can I prevent thrombocytopenia?

Accepted Answer

While not all cases of thrombocytopenia can be prevented, you can reduce your risk by avoiding excessive alcohol consumption, which damages bone marrow and platelet production. Be cautious with medications known to cause thrombocytopenia and discuss alternatives with your doctor if you are at risk. If you take medications like heparin or sirolimus, regular monitoring with blood tests helps catch declining platelet counts early. Protect yourself from viral infections that can trigger thrombocytopenia by practicing good hygiene, getting recommended vaccinations, and using protection during activities with potential exposure to blood-borne pathogens. If you have an autoimmune condition, working with your doctor to manage it effectively can help prevent secondary thrombocytopenia. Maintaining a balanced diet rich in folate, vitamin B12, and iron supports healthy blood cell production.

Question 11

What can I do at home for thrombocytopenia?

Accepted Answer

While home remedies cannot cure thrombocytopenia, several lifestyle measures can help manage the condition and reduce bleeding risk. Avoid contact sports and activities with high injury risk, and use a soft toothbrush to prevent gum bleeding. Take precautions to prevent cuts and bruises by wearing protective gloves during housework or yard work, and avoid medications that interfere with platelet function like aspirin, ibuprofen, and other NSAIDs unless approved by your doctor. Eat foods rich in vitamins and minerals that support blood health, including leafy greens, citrus fruits, lean proteins, and foods high in vitamin K like broccoli and spinach. Apply ice to bruises and maintain pressure on cuts for longer periods to help control bleeding. Stay hydrated and avoid alcohol, which can worsen the condition. Always consult your healthcare provider before trying any supplements or making significant dietary changes.

Question 12

How’s this work?

Accepted Answer

Getting your blood test with us is easy, private & backed by the power of science.Long story short:
            
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                When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
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Question 13

How do I know which test to get?

Accepted Answer

In the test options, find the test you want.
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            Just text or call us at 754-799-7833, email us at support@privatemdlabs.com, and we'll gladly help you. We've got your back and reply quickly.

Question 14

When will my lab results be available?

Accepted Answer

Most test results will be available within 1–3 business days. Once they're ready, we'll send an email and text message to let you know.
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Question 15

Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?

Accepted Answer

Absolutely! We totally understand that errors can happen. No worries, we're here to help you.
            Just reach out to us via text at 754-799-7833 or shoot us an email at
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            There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.
            Our lab requires an address to be listed to generate an order.

Question 16

Do you accept health insurance?

Accepted Answer

Only HSA & FSA is accepted.
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Question 17

Can I cancel my order?

Accepted Answer

Yes.
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Question 18

How can I find a lab location near me?

Accepted Answer

During the ordering process, you’ll be able to select a specific lab near you, with no strings attached!
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Low Platelet Count Blood Test

What is Thrombocytopenia?

What causes thrombocytopenia?

What is the best test for thrombocytopenia?

When should I get tested for thrombocytopenia?

References

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