If you have ITP, you should avoid medicines that increase risks for bleeding. Some of these include warfarin, aspirin, or ibuprofen Advil, Motrin. You should also limit alcohol. It can decrease the ability of your blood to clot.
Many of the medicines used to treat ITP should not be taken by women who are pregnant. Talk to your doctor if you are taking medicine for ITP and want to become pregnant.
Diagnosing ITP during pregnancy can be difficult. Platelet counts may be low for other reasons. The cause of this is unknown. The platelet count goes back to normal right after delivery. A baby born to a mother who has ITP may have a low blood platelet count a few days to a few weeks after birth. These babies usually are kept in the hospital for several days. That way, doctors can make sure they are okay before sending them home.
This article was contributed by: familydoctor. This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject. A complete blood count test measures the different cells and platelets in your blood to give a doctor a….
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Bursitis of the Hip. Abnormal Uterine Bleeding. High Blood Pressure. On this page. What is ITP? What causes ITP? It is far less common in adults, who are more likely to have chronic ITP. Sometimes a viral infection such as a cold seems to trigger the condition. The disease goes away by itself within two to six months chronic ITP — this ongoing form accounts for most ITP seen in adults and is far less common in children. Who does ITP affect? Symptoms of ITP The normal level of platelets in the blood is between , and , per mL of blood.
These symptoms may include: skin that bruises very easily a skin rash of small red dots petechiae , which does not blanch go pale with pressure bleeding from any area of the body bleeding from the gums frequent nosebleeds that take a long time to stop internal bleeding long or heavy menstrual periods. These tests may include: blood tests — such as a full blood examination FBE to check for platelet numbers, to see if there are abnormalities in other blood counts, or to see if the blood cells look normal under the microscope bone marrow biopsy — doctors remove a small sample of bone marrow through a needle and then check it in a laboratory.
In a person with ITP, the platelets produced in the bone marrow should be normal. This test is rarely needed to diagnose ITP, and is used only when strictly necessary such as when there is some uncertainty of the diagnosis other tests — to rule out other conditions that may cause a low platelet count, such as acute leukaemia and aplastic anaemia.
First-line treatments the preferred treatments, or the ones that are tried first for ITP include: corticosteroids — these medications are used to reduce the activity of the immune system. They may be given as intravenous injections or tablets intravenous immunoglobulin IVIG — this is a blood product that consists of concentrated antibodies.
IVIG has to be given by an intravenous infusion and may take a couple of hours. Second-line treatments those used if the first-line treatments do not work include: splenectomy — surgical removal of the spleen.
This operation cures ITP in about 70 per cent of chronic cases thrombopoietin analogues — treatment to increase production of new platelets in the bone marrow monoclonal antibodies to CD20 — an injection treatment targeting antibody-producing cells. Where to get help Your GP doctor If you are bleeding, go to your nearest emergency department. Give feedback about this page. ITP is more common in children than in adults, and boys and girls are equally affected. Treatment options include several types of medication that can restore platelets to adequate levels.
Splenectomy, or surgical removal of the spleen, provides a permanent cure but leaves patients more susceptible to infections. People with mild ITP generally need monitoring but no immediate treatment.
Patients may have to make lifestyle changes, such as avoiding contact sports and certain medications that affect platelets, including aspirin and ibuprofen.
Not all children with ITP require treatment. Some children recover without treatment. Blood tests and protection from bleeding may be all that is needed. When treatment is needed, the two most common forms of treatment are steroids and immune globulin:.
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