What Is the Diagnosis and Treatment of Thrombocytopenia?

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Your doctor may use the following tests and procedures to determine whether you have thrombocytopenia:
  • Blood test. A complete blood count determines the number of blood cells, including platelets, in a sample of your blood.
  • Physical exam. It includes a complete medical history. Your doctor will look for signs of bleeding under your skin and feel your abdomen to see if your spleen is enlarged. He or she will also ask you about illnesses you've had and the types of medications you've recently taken.
  • Other tests your doctor might want you to take that check if your blood clots normally.
If your platelet count isn't too low, you might not need treatment. For severe thrombocytopenia, you might get:
  • Treating the underlying cause of thrombocytopenia. If your doctor can identify a condition or a medication that's causing your thrombocytopenia, addressing that cause may clear up your thrombocytopenia.
  • Blood or platelets from a healthy person, called a transfusion.
  • Medications. If your condition is related to an immune system problem, your doctor may prescribe drugs to boost your platelet count. The first-choice drug may be a corticosteroid.
  • Surgery to remove your spleen