What is platelet count, and what happens if it is too high or too low?

Question

I recently had a blood test, and my doctor mentioned my platelet count, but I don’t fully understand what it means. I know platelets are related to blood clotting, but I don’t know how important they are or what causes changes in their levels.

What exactly is platelet count, and why is it important? What is considered a normal platelet count, and what happens if it’s too high or too low? I read that low platelets can cause excessive bleeding, but does that mean high platelet count increases the risk of blood clots?

I also want to understand what causes abnormal platelet count. Are conditions like infections, vitamin deficiencies, or autoimmune diseases responsible, or is it mostly genetic? Also, are there natural ways to balance platelet count? Does diet or Ayurveda offer treatments that help regulate it?

If anyone has had a high or low platelet count, what was the cause, and how did you manage it? Did your levels return to normal with treatment, or was it a long-term condition?

Dr Sujal Patil · Accepted Answer

Platelet count refers to the number of platelets (small cells in the blood) present in a given volume of blood. Platelets are crucial for blood clotting, helping prevent excessive bleeding when we get injured.

Importance:
Normal Platelet Count: Typically, 150,000 to 450,000 platelets per microliter of blood is considered normal.
Low Platelets (Thrombocytopenia): Can lead to excessive bleeding or bruising, as there aren't enough platelets to form clots.
High Platelets (Thrombocytosis): Increases the risk of blood clots, which can lead to conditions like strokes or deep vein thrombosis (DVT).
Causes of Abnormal Platelet Count:
Low Platelets: Conditions like viral infections, autoimmune diseases (e.g., lupus), or certain medications. It can also be caused by bone marrow disorders.
High Platelets: Can be caused by chronic inflammatory conditions, iron deficiency anemia, or bone marrow disorders. Stress and infections can sometimes cause temporary increases as well.
Balancing Platelet Count:
Diet: Foods rich in vitamin B12, folate, and iron (like leafy greens, meat, eggs, and beans) can support healthy platelet production.
Herbs & Ayurveda: Some Ayurvedic herbs, like Ashwagandha or Tulsi, may help support immune function and reduce inflammation. However, always check with a healthcare provider before using herbal remedies.
Management:
If your platelet count is high or low, it’s important to work with your doctor to identify the underlying cause. Treatment could involve addressing infections, adjusting medications, or managing underlying conditions.

What is platelet count, and what happens if it is too high or too low? - #14675

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