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CT Scan Showed Mild Splenomegaly. What Treatment Should Be Done?

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Posted on Tue, 28 May 2013
Question: In a CT Scan I had the report indicated mild splenomegaly, what is this condition and what are the treatment options if any?
doctor
Answered by Dr. Pankaj Malhan (31 minutes later)
Hi

Thanks for asking.

Splenomegaly is an enlargement of the spleen. The spleen usually lies in the left upper quadrant (LUQ) of the human abdomen.

The most common causes of splenomegaly in developed countries are infectious mononucleosis, splenic infiltration with cancer cells from a hematological malignancy and portal hypertension (most commonly secondary to liver disease, and Sarcoidosis.

Splenomegaly causes can be divided into three main types:

1. Increased function because of the removal of defective Red blood cells as seen in

spherocytosis
thalassemia
hemoglobinopathies
nutritional anemias
early sickle cell anemia

2. Increased blood flow as seen in cirrhosis with portal hypertension (because of liver problems)

3. Metabolic and malignant disorders

Thus, Splenomegaly alone will not point to any particular diagnosis, it is in combination with other symptoms, which will point towards the proper diagnosis.

Please consult your doctor, you probably need some investigations to figure it out, what exactly is the cause in your case.

Thanks, I am available for the follow-ups.





Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Pankaj Malhan (13 minutes later)
What are the available treatments?
doctor
Answered by Dr. Pankaj Malhan (58 minutes later)
Hi

Treatment of Splenomegaly / whether the Splenomegaly needs any treatment, depends on the cause of it.

Like if, the cause is destruction of red blood cells or hemolytic anemia it needs to be treated before the Splenomegaly improves.

I will advise you to consult your doctor to do some basic investigations to find the actual cause of this.


Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
Dr.
Dr. Pankaj Malhan

Internal Medicine Specialist

Practicing since :1998

Answered : 439 Questions

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CT Scan Showed Mild Splenomegaly. What Treatment Should Be Done?

Hi

Thanks for asking.

Splenomegaly is an enlargement of the spleen. The spleen usually lies in the left upper quadrant (LUQ) of the human abdomen.

The most common causes of splenomegaly in developed countries are infectious mononucleosis, splenic infiltration with cancer cells from a hematological malignancy and portal hypertension (most commonly secondary to liver disease, and Sarcoidosis.

Splenomegaly causes can be divided into three main types:

1. Increased function because of the removal of defective Red blood cells as seen in

spherocytosis
thalassemia
hemoglobinopathies
nutritional anemias
early sickle cell anemia

2. Increased blood flow as seen in cirrhosis with portal hypertension (because of liver problems)

3. Metabolic and malignant disorders

Thus, Splenomegaly alone will not point to any particular diagnosis, it is in combination with other symptoms, which will point towards the proper diagnosis.

Please consult your doctor, you probably need some investigations to figure it out, what exactly is the cause in your case.

Thanks, I am available for the follow-ups.