Discussions By Condition: I cannot get a diagnosis.

Low Platelets and Low MPV

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: Jean78
  • May 28, 2011
  • 04:58 AM

More than anything else I would like suggestions and help finding information on low platelets AND low mpv. Ideally adding on symptoms of vaginal bleeding and swollen sub-occipital lymph nodes.
I have had low platelets since 2004 with an old average around 116 but more recently my average is down around 70. New also is my MPV value in my last three tests (over a 5 month range) has been between 6.6 and 7.0 where the reference value is 7.5 and 11.5.
Outside of when I was sick my MCH has ran on the high side of average to being high. AST/ALT levels have been just above normal (within 5pts of the high reference range).
My Lymphocyte count is and has (since 2004) been normal however excluding when I was sick with strep or similar my lymphocyte percentage runs between 5 and 20 percent above the reference range.
Beyond this I have had vaginal bleeding since the end of Dec. 2010. I previously bled from August 2004 - Dec 2006 but no diagnosis was ever made. I can not take Birth Control of any kind due to the fact it tends to make my blood pressure sky rocket, makes migraines/headaches worse, causes weight gain, and other negative responses.

I am supposed to be having a tooth removed but the jaw surgeon wants a letter of release from the hematologist (out of town) but recent platelets down to 70 and MPV down to 6.6. If my next test (Thursday the 26th) is low I am not sure what to do. After the last round of tests from the hemo. the result was not lupus which is nice as my sister does have.
However the next step is a bone marrow biopsy. My hemo. said that as I don't have insurance I might consider waiting till I get sick again and platelets drop down to the low 40's (where they were in Dec/Jan). However, now that the MPV is low and what I read online I think the biopsy might be good if only to rule out some anemias and cancers.

I am getting a bit stressed which I know doesn't help but as I have read through my platelet and other blood test results and I look them up I tend to not like what I read.

I was wondering what people know about the blend of low platelets and low MPV.. and if possible the addition of the vaginal bleeding.

I especially am curious if people have any suggestions of other blood tests I might look into before the biopsy as that is quite costly and well... yeah. Read more at http://www.healthboards.com/boards/showthread.php?t=850437&ktrack=kcplink

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