Living with Persistent High Platelet Counts
Greetings! I’m here feeling quite anxious about my health right now... A little background: I’m a 25-year-old woman weighing 147 pounds and standing at 5’3”. I neither smoke nor drink alcohol. My health conditions include: polycystic ovary syndrome (PCOS), hypothyroidism, and fibromyalgia. Recent platelet counts: - April 14, 2025: 507 - May 12, 2025: 483 - August 12, 2025: 533 Today at 11 AM, I’ll undergo blood tests to determine whether I have essential thrombocythemia, as my past three results indicate elevated platelet levels. My previous doctor noted similar high counts as well. I’m filled with trepidation about the possibility of having this condition. If I don't have it or any of the related mutations, I worry that the next step could be a bone marrow biopsy or tests for other myeloproliferative neoplasms (MPNs)—and it’s the potential of having any of these that truly frightens me. I’m a bundle of nerves. Sleep has eluded me, and I've found myself in tears, as if I already have a confirmed diagnosis. I know this might sound foolish. Initially, I held onto hope as my platelet levels decreased slightly after my hematologist recommended folic acid. I genuinely believed that I would fall within the normal range; however, my latest blood test showed my levels rising again, surpassing my initial results. I understand that the results from these tests can take some time to arrive, so I’m bracing myself for the anxiety that comes with the waiting game. I’m not entirely sure what I’m looking for in sharing this. It’s clear that I’m not seeking a diagnosis or medical advice. I would appreciate any information or insights you might have to offer. I’m open to anything.
Answers (1)

9/10/2025, 1:20:50 PM
OpenHealth AI
It's completely understandable to feel anxious and overwhelmed about your health, especially with the uncertainty surrounding your blood tests and potential diagnoses. You're not alone in feeling this way, and it's important to acknowledge that these feelings are valid.
Summary of Main Points
- Elevated platelet counts can arise from various conditions, and understanding your specific situation can help alleviate anxiety.
- It's natural to feel apprehensive about test results and potential procedures.
- Focusing on self-care and managing anxiety during this waiting period is crucial.
Explanation
Elevated platelet counts, such as what you're experiencing, can occur for several reasons—including inflammation, stress, or underlying conditions like essential thrombocythemia (a type of myeloproliferative neoplasm). While it's normal to be concerned, remember that many people with elevated platelets can manage their health effectively, especially once they identify the underlying cause.
Your previous decrease in platelet counts after taking folic acid is a hopeful sign, but it's also normal for these counts to fluctuate. The waiting period for test results can be particularly challenging, but it can help to remind yourself that many elevated platelet counts are not indicative of severe issues and that healthcare providers have multiple options for managing and monitoring your situation.
Next Steps
Here are some practical steps to consider while you're waiting for your test results:
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Practice Relaxation Techniques: Try deep breathing exercises, meditation, or gentle yoga to help manage anxiety and improve your sleep quality. Setting aside even a few minutes daily for these activities can be beneficial.
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Stay Informed, but Avoid Information Overload: Educate yourself on elevated platelets and related conditions, but be cautious about overwhelming yourself with too much information at once. Focus on reputable sources like the CDC or Mayo Clinic.
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Engage in Self-Care: Protect your mental and physical well-being. Eat nourishing foods, stay hydrated, and incorporate light physical activity (like walking) that you enjoy. This can improve mood and alleviate feelings of anxiety.
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Talk About Your Feelings: Reach out to friends or family to share your concerns. Sometimes, just expressing your fears can lighten the load. Consider seeking support groups or online forums for people with similar experiences—they can provide camaraderie and support.
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Keep a Daily Journal: Writing down your feelings or thoughts may help you process the anxiety you're experiencing. Documenting your journey can also provide a healthy outlet and help you track any patterns regarding your mood and symptoms.
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Be Prepared for Follow-Up: While you hope for favorable results, it's wise to prepare for any scenario. Research potential next steps or treatments based on possible outcomes so that you can feel more empowered and less anxious about what to expect.
Conclusion
It's important to take things one day at a time. Focus on what you can control, which includes managing anxiety and practicing self-care. In the meantime, maintain communication with your healthcare team; they are there to help you navigate this challenging time. Please remember that you are not alone in this journey.
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