Having low platelets, also known as thrombocytopenia, means that your blood has fewer platelets than normal, which can lead to problems with blood clotting
. A normal platelet count typically ranges from 150,000 to 450,000 platelets per microliter of blood
. Thrombocytopenia is defined as a platelet count of less than 150,000 platelets per microliter of blood
. Causes of thrombocytopenia:
- Bone marrow problems If the bone marrow doesn't make enough platelets, it can result in a low platelet count
- Enlarged spleen An enlarged spleen can trap too many platelets, which lowers the number of platelets circulating in the body
- Autoimmune conditions Conditions like lupus and rheumatoid arthritis can cause the immune system to attack and destroy platelets
- Infections Infections such as HIV and sepsis can also lower platelet counts
- Medications Certain medications can reduce the production of platelets or cause the body to destroy them
- Cancers and cancer treatments Certain cancers, such as leukemia, and treatments like chemotherapy and radiation can affect the bone marrow and lead to a low platelet count
Symptoms of thrombocytopenia:
- Easy bruising
- Excessive bleeding, even from minor injuries
- Tiny red spots on the skin (petechiae)
- Bleeding from the gums or nose
- Blood in the urine or stool
- Heavy menstrual bleeding
- Fatigue
- Joint pain
If you suspect you have a low platelet count, a healthcare provider can perform a physical exam and order a complete blood count test to determine your platelet count
. Treatment for low platelets depends on the cause and severity of the condition