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Signs and Symptoms

Chronic ITP

Signs and Symptoms

The symptoms of chronic ITP

Because people with chronic ITP have low platelet counts, their blood does not clot properly. That means that they may have a number of symptoms, including:

Easy bruising

Prolonged bleeding from wounds

Visible red or purple dots (petechiae)

Spontaneous nosebleeds

Bleeding gums, often during dental work

Curious whether your chronic ITP symptoms are something to worry about?

This table helps break down the different categories of chronic ITP symptoms. Always check with your doctor if you have any doubts or concerns about your symptoms.

Chronic ITP symptoms

Mild: Keep an eye on it

  • Occasional nosebleeds that can be stopped by applying pressure
  • Blood blisters in the mouth
  • Small bruises
  • Few petechiae (tiny red or purple dots on the skin)

Moderate: Let your doctor know

  • Nosebleeds lasting longer than 15 minutes
  • Bleeding from the gums, lips, mouth, esophagus, or intestines
  • Blood in the urine, stool, or vomit
  • Large, new bruises (bigger than about 2 inches)
  • Lots of new petechiae

Severe: See your doctor right away

  • Continuous bleeding from the gums, lips, mouth, or throat
  • Suspected internal bleeding (brain, lung, muscles, joints, other)
  • Extensive petechiae and large bruises

Tips on dealing with bleeding

Did you have an accident and get a cut or scrape? Follow the RICE protocol to stop the bleeding:

 

REST

  • Avoid using or disturbing the injured area for 24 to 48 hours
  • Resume activity gradually so the wound does not reopen
  • Use a supportive device such as a sling or crutch if necessary to keep the wounded area protected

ICE

  • Ice the area to shrink blood vessels and control bleeding
  • Apply ice for 20 minutes at a time for 48 to 72 hours
  • Do not put ice directly on your skin. Put it in a plastic bag and then wrap that bag in a towel or cloth before applying to the affected area

COMPRESS

  • Wrap the injured area with an elastic bandage to reduce swelling and limit bleeding. While the bandage should fit tightly, it should not be so tight that it cuts off your circulation

ELEVATE

  • If possible, keep the injured area lifted to reduce swelling
  • Depending on where the injury is, you may have to limit your activity for a few days following a bleeding episode

If the injury is more serious or the bleeding does not stop, contact your doctor immediately.

Source: National Hemophilia Foundation. R.I.C.E. https://stepsforliving.hemophilia.org/sites/all/themes/stepsforliving/pdf/rice.pdf. Accessed January 30, 2018.