How to treat low platelet count, also have aortic regurgitation and stenosis?
Patient: i am 48 years male and suffering from low platelet count i am also a known case of bicuspid aortic valve server stenosis with aortic regurgitation on 25 mg metaprolol my physician advised me to take wysolone 20 mg morning 20 mg after lunch and 10 mg at night with half tablet of ditide 10 mg in morning at present my platelet count is 90,000 please advise me Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Platelet count of 90000 is not be worried about. It is a bit below the normal limit.2. Due to aortic regurgitation and stenosis, increased risk of thrombus formation and hence low platelet count is possible. Also ITP and Vit B12 deficiency needs evaluation.3. Get a bleeding time, and bone marrow study for evaluation of low platelet count for evaluation of immune thrombocytopenic purpura.4. Platelet count below 20000 is serious, otherwise, nothing to worry. Cause needs to evaluated. If severely low, platelet transfusion can be given. Continue all other medications including steroids, ITP could be a major cause.Hope it helps.Any further queries, happy to help again.