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There are many things that come into play with low platelet counts. I agree, we see bleeding gums, blood from the nose, bruising easily and petechia with low platelet counts. I believe activity can really effect when you see the petechia- for example: people who walk alot or run will see them with higher platelet counts. We have seen bruising instead of petechia when platelets are low and weve been laying down alot. How hard you brush your teeth can effect when gums bleed. We have been told by the doctors to use a soft bristle tooth brush and brush softer. I feel the only way to know for sure is with a blood count. Hope this helps
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