In February, My daughter, Ms Avisha Sarkar developed Idiopathic Thrombocytopenia Purpura after a UTI E.Coli Infection. In mid of march, She is rushed to Apollo Kolkata where she received IVIG treatment when her platelet count dropped to 5000. A bone marrow test done and it shows everything is normal in bone marrow. In blood CBC test, everything is normal except the platelet count. Her BP, sugar etc. all normal.

After IVIG infusion in march, Apollo discharged her when platelet count reached to 80,000 or more in 36 hours.

Again her platelet count gradually dropped to around 10,000 level in april 17 and again she is given 2nd dose of IVIG and platelet count brought back to 100,000 or more in 36 hoursand she is again released.

She is otherwise very active in nature.

Her Behaviour at a glance:

1. She is only child, 6 years of age. Weight: 21kg.
2. Loves Sri Krishna and other God very much.
3. Love to watch spiritual serials like Bal-Ganesh, Sri Krishna, etc.
4. Very active, white complexion.
5. Tendency to watch cartoon in TV most of the time...about 3-4 hours per day. And mimic some of the cartoon charecter sometimes.
6. Tendency to destroy her dolls. Asks for new dolls frequently. We give it after 2/3 days and till then she asks for it.
7. Tendency to bit his grandfather-mother and other very close persons too.
8. We need to tell her one word repeatedly (such as: put your books on the table) and after many repetations, she listens and acts.

She lives in around 120km away from Kolkata in a small town where there is minimal pollution.

Her Food Habit:

Before ITP, we used to feed her packeted milk, such as Amul Taaza and Amul Gold on a regular basis for more than last 2 years. She also was fond of Maggi on a regular basis. She took Maggi and Cake, some fruit cake or preferably chocolate cake to her school on most day of the week for tiffin purpose. She also took branded potato chips like "uncle chips, kurkure" etc. ocassionally.

She used to take some fast food, but this is ocassionally, say once in a month in an outing. Sometimes she also ate sweets such as "Rasgullah"

After ITP, I have read in internet that packeted milk and all other readymade foods may trigger ITP, so I stopped all packet milk, Maggi, Chips, chocolates, cakes, any kind of fast food etc. since ITP diagnosed in mid of march.

Other important details:

She has some toothache and also has HPV Viral Warts (detected in Apollo) in her right thumb, just below nail - just one wart with about 1.5 to 2mm diameter and another in the index finger nail side. She perhaps received it from her mother about 8 to 10 months ago.

What we did before and after ITP detection.

1. First mark of Petechia and Bruise on legs seen on around last week of february - we took her to a local doctor who told it could be some skin disease and given some cream. Then we were not aware of what ITP is.

2. This time she has fever around 103 to 104F and developed UTI. We brought her to another physician by march start and he ordered an urine C/S and R/E. He gave some common medicine for fever. Urince C/S and R/E shows E.Coli infection and he prescribed Tarvid (Ofloxacin) antibiotic tablet for 5 days. We administered it but nothing happened in a week.

10-3-2010 we took her to another physician - he ordered a full CBC and result came as platelet 20,000. All other such as RBC, WBC etc. remained normal. Doctored ordered to took her immediately to Apollo Kolkata.

11-3-2010 - She is diagnosed ITP in Apollo hospital, Kolkata, bone marrow test done and result is normal - no problem. Hematologist detected it as ITP. 17.5gm IVIg infused the same night as platelet count was 5000 and given ITP. We opted for IVIg against steroid, as steroid may cause severe side effects in the long run.

Doctors also checked her urince C/S and R/E as UTI is still there after full course of Ofloxacin. Later in a Urine Sensitivity test, it is found she is resistant to Ofloxacin and that is why her UTI not cured. Doctor administered Cefotaxim injection 1gm twice daily for 2 days and then Topcef tablet 200mg, 1 tablet for next 5 days.

13-3-2010. Blood test found her platelet above 80,000 and she is released from hospital on 14-3-2010

19-3-2010 - Urine test and culture done and shows no evidence of UTI. Scattered petechia appeared around scratch marks on trunk. One 50paise size bruise on left elbow. Machine count platelet was 42,000

Then everyday, some petechia comes and goes, and bruises appearing each day, it appeared mainly in left side of the body always. In all cases, bruise first appeared bluish and on next day or so, it turned reddish.

Majority of the bruise appeared at both sides of lower abdomen and left leg, etc.

We watched her in a hope of recovery but bruised started appearing again and platelet count dropping.

15-4-2010 When her bruise appeared to be worsen and similar to her first symptom in february, we did a platelet count and it came to 30,000

17-4-2010 she is again rushed to Apollo Hospital Kolkata, it is a more than 5 hours journey from our house, on that night, she is again administered IVIg, 17gm, depending on her weight.

19-4-2010 Her platelet count rose to more than 1lakh and she is released from hospital.

Now I think only Ayurved has remedy for this. Can you please advice what to take and how long. Also what is the diet restriction?