Patient's question:
For the past week, I've experienced several episodes of continuous vomiting, a headache, and was hospitalized for examination. The results showed cervical spine deformation and hyperplasia. Currently, I am seeking treatment at the 465 Hospital. Blood tests revealed platelet counts over 300 but below 400. I want to know what causes high platelet counts and what methods can help lower them. I am 52 years old, and I was on my menstrual period during the blood test. Is it possible that the high platelet count is related to my period? Thank you!Doctor's answer:
Platelet count test results show significant variability; please consider a retest. If there are no other symptoms, treatment is not necessary. For primary thrombocythemia, general treatment is recommended. Although most experts agree that treatment should be administered when the platelet count exceeds 1X10^6/μl and bleeding or thrombotic complications are present. The course of the disease varies depending on the extent of platelet elevation. Most cases progress slowly, with a median survival often exceeding 10-15 years. In some cases, the disease may transform into myelofibrosis, polycythemia vera, or chronic myeloid leukemia. Thrombosis and bleeding in vital organs are often the leading causes of death in this condition. The condition is not considered secondary thrombocythemia.