Question 1

My platelet count has suddenly dropped by half. My recent blood test showed a platelet count of 80,000, whereas 10 days ago it was 160,000. My hemoglobin has increased over the same period from 11.7 to 12.2. I have not experienced any fever. I do have some acid reflux issues and occasional palpitations. Recently, I noticed swelling around the left side of my face near my left tonsils and a sensation of something stuck in my ear and tonsils. My doctor said this could be due to a bacterial infection, but I never had a fever. Please advise what could be causing this sudden drop in platelets and if there are any good supplements to help increase platelet count.

Question 2

I have been experiencing high fever since Saturday, and my reports indicate dengue. Along with fever, I have full body pain and itching.
My blood reports are:
Monday CBC: WBC 4300, Platelets 2.5 lakh
Tuesday CBC: WBC 2600, Platelets 1.5 lakh, SGPT 101, BP 100/70
I am currently taking Lenol ER, C Lin 500, Rabeprazole Sodium, and Domperidone DSR. Previously, I was able to reduce the fever with Paracetamol (Calpol 650), but now the fever is persistent. How should I manage this? What steps can help cure or relieve my symptoms?

Question 3

My mother had a fever 5 days ago. She was tested for viral fever, which was negative. Her fever subsided in 3 days, but her platelet count has been dropping daily:
Day 1: WBC 1800, Platelets 1.9 lakh
Day 2: WBC 3000, Platelets 1.37 lakh
Day 3: WBC 3900, Platelets 1.11 lakh
Today: WBC 4800, Platelets 0.84 lakh

Her WBC is now normal, but the platelet count continues to decrease. She received an injection of Tazira Lyo 4.5 mg today.

Should we admit her to the hospital? What action should we take?

Not likely related to disc issue. However, persistent low platelets need monitoring. Please repeat CBC, Platelet Count and ANA to exclude chronic low grade causes. Take these tests to monitor the drop and rule out autoimmunity.

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