One of my friend have a problem and diagnosed Immune thrombocytopenic purpura (ITP) and he started his medication in Afghanistan with prednisolone tablets. Now, I am kindly requesting you to have your doctor's advise about the following concern we have: 1. What is the main cause of ITP? 2. What we should do for his treatment? 3. Is this problem have exact or short course treatment or he need to for contentious treatment? 4. Is this problem need treatment in the super specialty hospital? If Yes, where we can go? 5. Is this problem is genetic? If yes, what we should do to prevent his children? Here is attached blood test report and consultant doctor's prescription for your information. Thanks once again for your support and advice. Best Regards.

Dr. Sajeev KumarGeneral Physician32yrs exp

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Idiopathic thrombocytopenic purpura (ITP) is a disorder that can lead to easy or excessive bruising and bleeding. The bleeding results from unusually low levels of platelets ? the cells that help blood clot. Idiopathic thrombocytopenic purpura, which is also called immune thrombocytopenia, affects children and adults. Children often develop ITP after a viral infection and usually recover fully without treatment. In adults, the disorder is often long term.People with mild idiopathic thrombocytopenic purpura may need nothing more than regular monitoring and platelet checks. Children usually improve without treatment. Most adults with ITP will eventually need treatment, as the condition often becomes severe or long-term (chronic) ITP. Treatment may include a number of approaches, such as medications to boost your platelet count or surgery to remove your spleen (splenectomy). Talk with your doctor about the risks and benefits of your treatment options. Some people find that the side effects of treatment are more burdensome than the effects of the disease itself.Drugs that suppress your immune system. Your doctor will likely start you on an oral corticosteroid, such as prednisone. This drug may help raise your platelet count by decreasing the activity of your immune system. Once your platelet count is back to a safe level, you can gradually discontinue taking the drug under the direction of your doctor. In general, this takes about two to six weeks. The problem is that many adults experience a relapse after discontinuing corticosteroids. A new course of corticosteroids may be pursued, but long-term use of these medications isn't recommended because of the risk of serious side effects. These include cataracts, high blood sugar, increased risk of infections and thinning of bones (osteoporosis). If you try to attach reports it is not visible and you have to personally attach to me by going to private consult. 

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