Splenomegaly is a condition where the spleen is enlarged. Enlarged spleen occurs in cases of mononucleosis, cirrhosis, cystic fibrosis, juvenile rheumatoid arthritis, malaria, leukemia, and Hodgkin's disease. The symptoms are anemia, fatigue, easy bleeding, and abdominal pain. It is treated depending on the cause. In serious cases, splenectomy is done.

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Is mild hereditary spherocytosis the correct diagnosis?

Query: Hello doctor, I have been diagnosed with mild hereditary spherocytosis. My eyes still yellow. Is it unlikely hematologist who diagnosed me three years ago misdiagnosed? I do not doubt he knows his stuff. More about me getting worried. I lost weight a couple of months ago. I went very yellow in the e...  Read Full »

Dr. Singh Smrita

Answer: Hello, Welcome to icliniq.com. I have gone through your laboratory reports (attachment removed to protect patient identity) and they are consistent with the diagnosis made by your doctor. Yellowish tint of the eyes is due to increased bilirubin levels. This is due to the increased red blood cell d...  Read Full »

Ultrasound report shows splenic hemangioma and enlarged spleen. Is this malignant?

Query: Hello doctor, I had an incidental low-density mass, found on my spleen during a CT scan for possible kidney stones. A recommended follow up ultrasound with doppler showed a 4.3 X 4.7 X 4.8 cm ill-defined heterogeneous hyperechoic mass. The mass showed blood flow around the peripheral. The report sa...  Read Full »

Dr. Subhadeep Tripathy

Answer: Hello, Welcome to icliniq.com. As you mentioned that it might be splenic haemangioma as per USG (ultrasonography) with Doppler, let me relieve you by stating that it is one of the rarest condition affecting the spleen, one of the commonest benign condition and has no malignant potential. So do not...  Read Full »

Is pregnancy safe for women with enlarged spleen?

Query: Hello doctor, I have a hemoglobin C, and an enlarged spleen (18 cm), my doctor said as long as it does not hurt we will keep it. I do not sleep well because I feel like there is a big heavy ball in my stomach moving. I gave birth two years ago and I want to have another baby. My ques...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. You are having hemoglobin C hemoglobinopathy leading to hemolysis and hence splenomegaly is present. Your hemoglobin level also should be checked. In this case, as the cell turnover is high, folic acid is prescribed. If splenectomy is done, in pregnancy, there are chan...  Read Full »

My blood tests show mild splenomegaly. Do I have polycythemia vera?

Query: Hi doctor, I had COVID-19 twice in three months. I have attached my CBC report (attachment removed to protect the patient's identity). The reports showed mild splenomegaly. I am worried the most about polycythemia vera. I just moved to a new city and cannot get a consultation until next year. I ran ...  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. I understand your concern. I have reviewed your reports (attachment removed to protect the patient's identity). Your hemoglobin and hematocrit are borderline high, and liver enzymes are deranged, the blood glucose level is relatively high, the spleen is slightly enlar...  Read Full »

How is the prognosis of a child with abnormal hemoglobin pattern?

Query: Hi doctor, My friend is going to adopt a 6 months old female child. Certain routine tests were performed on the child. I have attached the reports for your reference. The Hb electrophoresis for thalassemia screening is showing an abnormal hemoglobin pattern. The treating pediatrician is not sure abo...  Read Full »

Dr. Prakash H. M

Answer: Hi, Welcome to icliniq.com. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: Looking at the report of HbD trait (hemoglobin D), the prognosis is excellent. The child will be very rarely transfusion dependent and mostly asympto...  Read Full »

I have pain below ribs on the left. What is causing it?

Query: Hello doctor, I am a 31 year old male. Recently, I have been diagnosed with tubercular lymphadenitis and started the treatment three days back for TB. My USG whole abdomen reveals hemangioma of the liver. I have pain in left side below ribs which radiates to back and a couple of months back on CT sc...  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to icliniq.com. Rugae thickening by itself is not going to cause you stomach pain. Such thickening is usually normal or a result of hyperacidity, or rarely Menetrier disease. Now, first of all, you need an upper gastrointestinal endoscopy as well as a biopsy to rule our Helicobacte...  Read Full »

What causes splenomegaly in pregnancy?

Query: Hi doctor, My wife is suffering from pain around the uterus. She is 16 weeks pregnant. Her doctor suggested for a urine test and ultrasound scan. Urine infection was detected and using medicines for it. But, the ultrasound scan report came as splenomegaly and low lying placenta. This is our second b...  Read Full »

Dr. Sanjay Kumar Bhattacharyya

Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity), which reveals a normal blood test with urine infection sensitive to Nitrofurantoin and two scans revealing a pregnancy with low lying or anterior placenta along with splenomegaly.Urinary ...  Read Full »

What does neutropenia mean?

Query: Hello doctor, I recently had my blood test and the results came back that I had mild neutropenia. It has got me a little concerned since this has been present on my last two blood tests with the lymphocyte count being significantly higher, but still within the normal upper limits. I have had no in...  Read Full »

Dr. Prakash H. M

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Neutropenia is reduced neutrophils in the blood. Neutrophil is one of the five types of white blood cells (WBC) in the blood.If one cell count is increased (for example lymphocytes here - normally 20-40%, here it is 59%),...  Read Full »

Can long-standing anemia cause enlargement of the spleen and rise in ESR?

Query: Hi doctor, I have no symptoms, and I am healthy. I had a chest X-ray last week to check my ribs due to a fall that I had. Last year I had a chest X-ray and then a chest CT and was told that I have a calcified granuloma in one of my lungs from an old infection and nothing to worry about. I also had ...  Read Full »

Dr. Jain Padmesh Satishchand

Answer: Hi, Welcome to icliniq.com. Please do not worry so much that you turn hypochondriac. Worrying will bring in illness that you do not have. Just eat healthily, be happy, exercise, have good close friends & family, stay away from alcohol and smoking. The X-ray you have provided (attachments remo...  Read Full »

Why do I experience fullness and an uncomfortable sensation on the left side of my stomach while lying down?

Query: Hello doctor, I am a 31-year-old female with an uncomfortable sensation on the left side of my stomach. I do not have pain, but the sensation is annoying. I only have it when I lie down. It feels like a fullness on the left side. My left side feels heavy, but if I lie on my right side, I do not have...  Read Full »

Dr. Penchilaprasad Kandikattu

Answer: Hello, Welcome to icliniq.com. Your symptoms are dragging my thoughts toward moderate splenomegaly. Patients with splenic enlargement in tropical malaria infection may have lumpy feelings in the left hypochondrium. Other possibilities include acute gastritis, abdominal gas, and left pleural effusion...  Read Full »

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