ITP and vomiting.

I basically just need someone to tell me not to freak out.

My 5 year old daughter was diagnosed with ITP last month. Her platelets were at 2, she got a round of IVIG and they went up and now seem to be coming back down. 2 days ago she was at the hematologist and they were 18. We don't want to treat unless it's less than 10.

So, this morning she woke up sick and vomiting. When do I need to be worried and call her hematologist? I assume this is unrelated, but I worry.

If she starts vomiting blood, no matter how little, you need to call the Dr or take her to the ER. That would mean that she either has bleeding in her GI tract or that she ruptured a blood vessel in her throat.

I would play it on the safe side and make the call, especially if there are other symptoms (headache?).

Your story is remarkably similar to this one, which worked out okay:
www.pdsa.org/join-the-community/personal-stories/item/452-my-5-year-old-was-diagnosed-with-itp-this-week.html

Well, I was trying not to be alarmist, but my too-carefully worded post above has been nagging at me.

Vomiting can be a symptom of brain hemorrhage... especially if accompanied by severe headache or other symptoms.

Here is a typical discussion of symptoms:

www.webmd.com/brain/brain-hemorrhage-bleeding-causes-symptoms-treatments?page=2

If you exhibit any of the following symptoms, you may have a brain hemorrhage. This is a life-threatening condition, and you should call 911 or go to an emergency room immediately. The symptoms include:

A sudden severe headache
Seizures with no previous history of seizures
Weakness in an arm or leg
Nausea or vomiting
Decreased alertness; lethargy
Changes in vision
Tingling or numbness
Difficulty speaking or understanding speech
Difficulty swallowing
Difficulty writing or reading
Loss of fine motor skills, such as hand tremors
Loss of coordination
Loss of balance
An abnormal sense of taste
Loss of consciousness
Keep in mind that many of these symptoms are often caused by conditions other than brain hemorrhages.

I don't know about 911 or going to the ER, but I would call the doctor.

Thanks for the input. I called the hematologist office after she spent all morning sleeping on the couch. The nurse was not alarmed and told us what to look out for.

Fortunately, while I was on the phone with the nurse, DD woke up and perked up a bunch. I'm feeling a lot better. Thanks for the support!

So glad to hear that she is doing better, Mae!