### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been diagnosed with ITP last month. My platelet count at that time was only 4000. After 1 gm Prednisol Injection for 3 days, i was put on steroids (Wysolone 65 mg) as per my body weight, My dose is being tappered every 8 days, This time i am taking 45 mg wysolone.......I am not seeing much improvement in platelet count...After Prednisol injections Platelet count was 0000, After taking wysolone it dropped to 0000, Now it is 0000......Guide me to some better Doctor..................My all tests are Fine except one i.e H-Pylore..I am taking medicine for that

### output:

Hello there!  What is 0000? I believe its 10 thousand.first ITP is diagnosis of exclusion. So let's assume you have been ruled out for all other possible causes of thrombocytopenia, here is what we gonna do but first did u have any bleeding episodes? Severe hemorrhages etc.? Airways breathing, were they ever needed to be maintained with external aids?have anyone ever checked your intro cranial pressures?have you ever lost hemodynamic stability (blood loss enough to give you a shock. Low BP etc.)I will say HAE your self checked by a neurosurgeon for assessing intro cranial hemorrhages risk, and a hematologist to reconfirm the diagnosis. sometimes It's too early to say its ITP.as you are not responding to the meds. Now consider you are diagnosed correctly, and you are not responding to the treatment it means your case is bit resistant. So steroids won't be enough for you. You need platelet transfusions right after the dosages of Ivies(intravenous immunoglobulins) this will help reduce the lysis. Add some thrombotic agents to your diet(platelets producing stimulators) like proact(eltrombopag) and Plate (Romiplostim) .and if these medications fail too which I am sure they wont you will need to get rid of the spleen after vaccination for calculated organisms. Spleenectomy will solve the platelet lysis issues and will help the recovery.let's hope medicines are enough to get you out of your miseries.cheers.