Preparing for your appointment

Because a low platelet count may not cause symptoms, the problem is often discovered when you have a blood test for another reason. In order to diagnose idiopathic thrombocytopenic purpura, your doctor is likely to order further blood tests that require drawing a small amount of blood from a vein in an arm. He or she may also refer you to a specialist in blood diseases (hematologist).

What you can do

Here are some steps you can take to get ready for your appointment:

  • List any symptoms you're experiencing, including those that seem unrelated to the reason for which you scheduled the appointment.
  • List key personal information, including major stresses, life changes, and recent illnesses or medical procedures, such as a blood transfusion.
  • List all medications, vitamins and supplements that you're taking, including doses. Note whether you've recently used antibiotics, tonic water, herbal preparations and heparin, which can be linked to thrombocytopenia.
  • Ask a family member or friend to come with you. It addition to offering support, he or she can write down information from your doctor or other clinic staff during the appointment.
  • List questions to ask your doctor. Preparing a list of questions can help you make the most of your time together.

For ITP some questions you may want to ask include:

  • How many platelets do I have in my blood?
  • Is my platelet count dangerously low?
  • What is causing my ITP?
  • Do I need more tests?
  • Is this condition temporary or long lasting?
  • What treatments are available, and what do you recommend?
  • What will happen if I do nothing?
  • What are the possible side effects of the treatments you're suggesting?
  • Are there any restrictions that I need to follow?
  • Is there a generic alternative to the medicine you're prescribing?
  • Do you have any brochures or other printed material that I can take with me? What websites do you recommend?
April 23, 2016
References
  1. AskMayoExpert. Immune thrombocytopenia (ITP). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  2. AskMayoExpert. Spleen disorders and splenectomy. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
  3. Immune thrombocytopenia (ITP). Merck Manual Professional Version. http://www.merckmanuals.com/professional/hematology-and-oncology/thrombocytopenia-and-platelet-dysfunction/immune-thrombocytopenia-(itp). Accessed Feb. 10, 2016.
  4. Yeo CJ, et al., eds. Splenectomy for conditions other than trauma. In: Shackelford's Surgery of the Alimentary Tract. 7th ed. Philadelphia, Pa.: Elsevier Saunders; 2013.
  5. Immune thrombocytopenic? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/itp. Accessed Feb. 9, 2016.
  6. George JN, et al. Immune thrombocytopenia (ITP) in adults: Clinical manifestations and diagnosis. http://www.uptodate.com/home. Accessed Feb. 10, 2016.
  7. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Feb. 11, 2016.
  8. Neunert C, et al. The American Society of Hematology 2011 evidence-based guidelines for immune thrombocytopenia. Blood. 2011;117:4190.
  9. CBC with differential, blood. Mayo Medical Laboratories. http://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/9109. Accessed Feb. 12, 2016.
  10. George JN, et al. Approach to the adult with unexplained thrombocytopenia. http://www.uptodate.com/home. Accessed Feb. 11, 2016.
  11. George JN, et al. Immune thrombocytopenia (ITP) in adults: Initial treatment and prognosis. http://www.uptodate.com/home. Accessed Feb. 10, 2016.
  12. George JN, et al. Immune thrombocytopenia (ITP) in adults: Second-line and subsequent therapies. http://www.uptodate.com/home. Accessed Feb. 10, 2016.
  13. Leandro MJ. Rituximab and other B cell targeted therapies for rheumatoid arthritis. http://www.uptodate.com/home. Accessed Feb. 16, 2016.
  14. Imuran (azathioprine). U.S. Food and Drug Administration. http://www.accessdata.fda.gov/drugsatfda_docs/label/2014/016324s037,017391s016lbl.pdf. Accessed Feb. 16, 2016.
  15. Arnold DM. Positioning new treatments in the management of immune thrombocytopenia. Pediatric Blood & Cancer. 2013;60:S19.
  16. Mesa RA (expert opinion). Mayo Clinic, Scottsdale/Phoenix, Ariz. Feb. 17, 2016.