I've been feeling better since recovering from dengue last month, but I'm worried because my SGPT level is at 168 UL and my SGOT is 40 UL. Should I be concerned about these levels being high? What could this mean for my health right now? Looking for some advice on what steps I should take next.

Dr Chandra P

General Practitioner

• MBBS
• 5+ Yrs

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Low Platelet Count (Thrombocytopenia) and Rashes

Medical Consultation

1. Consult a hematologist: Schedule an appointment with a hematologist to determine the underlying cause of your low platelet count.

Possible Causes

1. Immune thrombocytopenic purpura (ITP): An autoimmune disorder where the immune system attacks platelets.
2. Infections: Certain infections, such as HIV, hepatitis, or sepsis, can cause low platelet counts.
3. Medications: Certain medications, such as heparin, can cause thrombocytopenia.

Treatment Options

1. Corticosteroids: Medications like prednisone can help increase platelet counts.
2. Immunoglobulins: Medications like intravenous immunoglobulin (IVIG) can help increase platelet counts.
3. Thrombopoietin receptor agonists: Medications like romiplostim or eltrombopag can help stimulate platelet production.

Natural Remedies

1. Vitamin B12 supplements: Vitamin B12 deficiency can contribute to low platelet counts.
2. Folate supplements: Folate deficiency can also contribute to low platelet counts.
3. Papaya leaf extract: Some studies suggest that papaya leaf extract may help increase platelet counts.

Rashes on Palm

1. Petechiae: Small, pinpoint rashes on the skin can be a sign of low platelet counts.
2. Purpura: Larger, purple-colored rashes can also be a sign of low platelet counts.

Monitoring

1. Regular blood tests: Monitor your platelet count regularly to ensure treatment effectiveness.
2. Watch for bleeding symptoms: Monitor for signs of bleeding, such as bruising, nosebleeds, or heavy menstrual bleeding.

Answered 04/07/2025