Everyday Precautions — With Low Platelets

Yes, with one adjustment — switch to a soft-bristled toothbrush and brush gently. Light pinkness on the brush after brushing is common and not a reason to stop. What your team needs to know about is bleeding that does not settle after a minute or two, or that is getting heavier each day. Flossing is fine if you already floss regularly; be gentle. If your gums bleed heavily every session, mention it at your next visit or call the same day if it does not settle on its own.

An electric razor is safe for most people when platelet counts are low. Blade razors are worth avoiding during this period — a small nick can bleed longer than usual and is difficult to control on the face or legs. If you do cut yourself with a blade, apply firm, steady pressure with a clean cloth and keep it raised. If the bleeding does not slow within a few minutes, call your team or go to the emergency department.

Yes — cooking does not need to stop. A few simple habits help: use a stable cutting board, cut away from your fingers, and keep a clean cloth nearby. Wearing a thin kitchen glove on your non-dominant hand gives extra protection if you are not confident with knives. A small cut that stops bleeding within a few minutes with firm pressure is not an emergency. A cut that keeps bleeding despite steady pressure needs a call to your team.

Do not take ibuprofen, aspirin or diclofenac when your platelets are low — these affect how your blood clots and can increase bleeding risk significantly. For what to take instead, ask your oncology team before taking anything at all. They know your current platelet count, your other medicines, and what is safe for you right now. Do not assume any over-the-counter painkiller is automatically safe during active chemotherapy without checking first.