LITTLE PATIENTS BIG QUESTIONS

My Child Has Low Platelets – Should I Worry?

Author: Dr. Swati Kanakia, MD, DCH, PhD Pediatric Hematologist-Oncologist
Blood & Cancer Clinic for Children – Kanakia Health Care, Mumbai

Dr. Swati Kanakia
Seeing Low Platelets on a Blood Report? You're Not Alone.

As a parent, reading the words "low platelets" on your child's blood test can be scary. You may be worried — Is this dangerous? Does my child have cancer? Should we see a specialist immediately?

Just wait before you hit the panic button. A drop in platelet count is fairly common in children, and in many cases, it is temporary and treatable.

Let's break it down.

What Are Platelets?

Platelets (also called thrombocytes) are small blood cells that help the body stop bleeding. If your child gets a cut, platelets rush to the site to help form a clot, which stops the bleeding.

At our clinic, we like to introduce kids and parents to Mr. Platy, our cartoon platelet hero who "plugs leaks" in blood vessels.

What is a Normal Platelet Count?

In most children, a normal platelet count ranges between 150,000 and 450,000 per microliter of blood.

A count below 150,000 is considered thrombocytopenia, or low platelets.

But this doesn't always mean something serious. Many children experience temporary drops due to common illnesses.

What Causes Low Platelets in Children?

Some of the most frequent causes include:

  • Viral infections
  • Dengue Malaria
  • Immune thrombocytopenia or ITP (where the body mistakenly destroys platelets)
  • Certain medications especially anticonvulsants
  • Nutritional deficiencies
  • Lab error (yes, it happens especially in little children)

In most of these cases, the body recovers on its own in 1–2 weeks.

When Should You Be Concerned?

You should consult a pediatric hematologist if:

  • Platelet count drops rapidly
  • Your child has unusual bruising, frequent nosebleeds, or small red spots on the skin
  • The count remains low for more than 10–14 days
  • Other blood parameters (WBCs, hemoglobin) are also abnormal
  • If the child has fever, in unwell, has lymph nodes, an enlarged liver and spleen

In rare cases, low platelets could signal conditions like ITP, bone marrow issues, or even leukemia — but these are uncommon and usually come with other warning signs.

Are you Still Worried? Watch This Video:

Watch Dr. Swati's Full Explanation Below:

In this short talk, I explain:

  • Why is the platelet count low
  • What symptoms to watch for and red flags
  • What next?
Final Words

Low platelet counts can be scary — but with the right information, they don't have to be confusing.

We're here to help you understand what's happening in your child's body and guide you through every step, from reports to recovery.

If you found this helpful, feel free to share it with other parents — and subscribe to our YouTube channel for regular updates.

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