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Formerly known as California Oncology of the Central Valley Request an Appointment
Translate this page: EnglishEspañol
Formerly known as California Oncology of the Central Valley Request an Appointment

Thrombocytopenia

What is Thrombocytopenia?

Platelets are the tiny, colorless blood cells that help blood form clots and stop bleeding from injuries. Thrombocytopenia, or low platelet count, can be caused by some chemotherapy medications and radiation therapy. When platelets are low, even small cuts, bumps, or injuries can be very serious because the blood does not have the ability to clot and then the injury cannot stop bleeding.

Symptoms of Thrombocytopenia

  • A lot of bruising on the skin
  • Tiny red spots on the skin (petechiae)
  • Nosebleeds that will not stop
  • Bleeding gums
  • Bleeding from a small cut that will not stop after pressure has been applied
  • Dark colored urine
  • Blood in the urine or stool
  • Heavier menstrual bleeding, lasting longer and occurring between periods
  • Change in vision
  • Headache that will not go away

Managing Thrombocytopenia

Low platelet counts are treated with platelet transfusions in severe cases, but usually it can be managed by taking simple precautions. If bleeding occurs, apply immediate, firm pressure to the area until bleeding has stopped. For a nosebleed, apply pressure just below the bridge of the nose and keep the head raised until the bleeding stops. If there is a major injury or bleeding starts at random, go to the nearest hospital or emergency room immediately.

Tips to Prevent & Manage Bleeding

  • Keep mouth clean and moist
  • Use an electric razor for shaving
  • Avoid dental floss and mouthwashes with alcohol
  • Avoid coughing forcefully
  • Avoid medications that affect blood clotting
  • Avoid aspirin and salicylic acid, and anti-inflammatories like ibuprofen (Motrin, Advil), naproxen (Aleve), and celecoxib (Celebrex)
  • Do not use rectal thermometers, suppositories, or enemas
  • Discuss dental work with care team first
  • Avoid strenuous activity, high-impact sports and exercise, and lifting heavy objects
  • Drink plenty of noncaffeinated, nonalcoholic fluids every day