Hello doctor, My weight is 58 kg, height 5'3". Female, age 43. My platelet count five months back was 165, next month it was 140 and now it is 120. My liver function is normal and having thyroid. Taking Eltroxin 50 mg. Please advise.
Hi.  I have reviewed your reports (attachment removed to protect patient identity) and here is my advise. Your platelet count is constantly reducing according to provided history. Kindly mention if you are having any clinical infection history like dengue, malaria, etc. because in such infection platelet count can be reduced. Aspirin, Ibuprofen like drug intake also can lead to reduced platelet count. So history regarding intake of this drug should be taken. Your urea, creatinine is within range, so uremia is not the cause. I suggest you investigate with serum ANA estimation to rule out any autoimmune disorder if present. If still, no cause is evident, then platelet function analysis study can be done. If still needed than your doctor might suggest you bone marrow aspiration examination study to rule out ITP (idiopathic thrombocytopenic purpura).  I suggest you consult a nearby hematologist for examination and discuss all these. Meanwhile, take the following precautions. Avoid intake of Aspirin and Ibuprofen without doctor advice. Do not use razor blade over any part of the body. Be careful while using a knife like sharps.