Conversation: The conversation between human and AI assistant.
[|Human|] Hi. 7 days back i felt very cold during the night. And during the next day i felt extreame weakness. So i checked the doctor. I was asked for some blood and urine examination. the result showed decrease in platelets counts 77000. The tests for malaria and dengue were also negative. After that the result showed platelets count of 62000, 71000 and 82000 on daily blood test basis. What is the reason of such low platelts count and why it is not increasing on fast basis.
[|AI|]  Hello and welcome to Chat Doctor, Low platelets occur due to rapid destruction of platelets or decreased production of platelets in the bone marrow. Since, the platelet counts are persistently low, you need to get a bone marrow aspiration study. A combined assessment of peripheral blood and bone marrow needs to be done to determine the cause of low platelet counts. Viral infections are common cause of low platelets, Is there history of viral infections in the past? If yes, then probably viral infection may be the cause of low platelet counts. Management will be planned after result to investigations is obtained. Thanks and take care Chat Doctor.