Low Platelet Count Due To Chemotherapy

Key points about low platelet count due to chemotherapy

• platelets prevent bleeding happening in the body by forming clots
• a low platelet count is called thrombocytopenia
• signs of a low platelet count are bruising, bleeding from the nose, gums or other parts of the body, black poo, or vomit with specks of blood in it
• your child may need a transfusion of platelets to help stop bleeding or correct a low platelet count

What do platelets do?

Platelets prevent bleeding from occurring in the body by forming clots.

What is thrombocytopenia?

A low platelet count is called thrombocytopenia.

Signs of a low platelet count are:

• bruising
• bleeding from the nose, gums or other parts of the body that doesn't stop with pressure applied for more than 10 minutes
• black poo
• vomit which may have specks of blood in it or which looks like ground coffee

What is the treatment for thrombocytopenia?

Your child may need a transfusion of platelets to help stop bleeding or correct a low platelet count.

If your child needs a transfusion of blood or blood product, your child's doctor or nurse will give you some information leaflets from the New Zealand Blood Service.

What information can I get from the NZ Blood Service?

The New Zealand Blood Service is responsible for the supply of safe blood products.

You can check the New Zealand Blood Service website for information.

See a selection of leaflets for recipients of blood components and products

What can I do to reduce the chance of bleeding during my child's cancer treatment?

• use a soft toothbrush for your child's tooth-cleaning
• use a lip balm to keep your child's lips moist and prevent cracked lips
• show your child how to blow their nose gently - if they have a nosebleed, sit your child on a chair (not lying down) and pinch the soft part of the nostrils below the hard nasal bones for 5 minutes
• explain to your child that they cannot take part in physical activities and sports that have a high risk of bruising or injury

If your child has a sore mouth, read the information about mouth care

Which medicines should I not give my child during their cancer treatment?

It's very important that you do not give your child any medicine without first discussing it with your child's doctor.

If your child is having chemotherapy, it is very important that you don't give them any of the following medicines:

• aspirin and products containing aspirin
• anti-inflammatory medicines
• herbal products with anticoagulant ('blood thinning') properties

Even small doses of these can stop normal clotting of the blood and cause bleeding.

Only give medicine for pain and fever after talking to your child's doctor.

Information on product labels may not be clear, so if in doubt, check with your child's doctor.

Read more about side effects of treatment

Read more about childhood cancer