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Suggest Treatment For Severe Abdominal Pain And Lesions On The Spleen
Question: I was admitted to the ER for stomach pain. I was told it was muscular. A week later I could not move, went to ER again, and CT scan showed lesions on spleen, that had grown in size and number compared to a scan a year ago, possibly due to plaque build up. I had a XXXXXXX stroke 3 days later. Can the stroke be related to the spleen plaque build up? My blood cell counts were also elevated. I am unable to get in to see a specialist for 4 months. Nobody has an answer. Please help.
Brief Answer:
Hepato splenomegaly, Thrombocytosis
Detailed Answer:
DEAR XXXX,
IT IS POSSIBLY A HAEMATOLOGIC DISORDER. THERE ARE MANY CAUSES OF HEPATOSPLENOMEGALY ( LIVER AND SPLEEN ENLARGEMENT). THE FIRST IS SOME FORM OF BLOOD DISORDER WHICH IS NEEDED TO BE RULED OUT. FOR THIS COMPLETE HEMOGRAM WITH LIVER FUNCTION TESTS AND COAGULOGRAM IS NEEDED WHICH IF ALREADY DONE MAY PLEASE BE FORWARDED. SECONDLY THE MOST IMPORTANT CAUSE IS CARDIOVASCULAR FOR WHICH AN ECHO AND ECG IS REQUIRED.
THE WORK UP ALREADY DONE BY YOU IS REQUIRED TO BE REVIEWED SO THAT ACTUAL CAUSE OF YOUR PROBLEM CAN BE ARRIVED AT.
SINCE YO HAVE SUFFERED FROM A STROKE YOU CAN CONTINUE WITH THE SYMPTOMATIC MANAGEMENT TILL WE ARRIVE AT FINAL DIAGNOSIS.
I AM ABLE TO SEE YOUR CBC REPORT WHICH SUGGESTS THAT YOU HAVE INCREASED PLATELETS(THROMBOCYTOSIS) WHICH CAN BE THE CAUSE OF YOUR SPLENIC PROBLEM AND STROKE THOUGH THE OTHER REPORT IS NOT LEGIBLE.
I WILL BE GLAD TO OPINE IF ALL THE DETAILS ARE PROVIDED.
TRULY,
DR. J. TICKU
Hepato splenomegaly, Thrombocytosis
Detailed Answer:
DEAR XXXX,
IT IS POSSIBLY A HAEMATOLOGIC DISORDER. THERE ARE MANY CAUSES OF HEPATOSPLENOMEGALY ( LIVER AND SPLEEN ENLARGEMENT). THE FIRST IS SOME FORM OF BLOOD DISORDER WHICH IS NEEDED TO BE RULED OUT. FOR THIS COMPLETE HEMOGRAM WITH LIVER FUNCTION TESTS AND COAGULOGRAM IS NEEDED WHICH IF ALREADY DONE MAY PLEASE BE FORWARDED. SECONDLY THE MOST IMPORTANT CAUSE IS CARDIOVASCULAR FOR WHICH AN ECHO AND ECG IS REQUIRED.
THE WORK UP ALREADY DONE BY YOU IS REQUIRED TO BE REVIEWED SO THAT ACTUAL CAUSE OF YOUR PROBLEM CAN BE ARRIVED AT.
SINCE YO HAVE SUFFERED FROM A STROKE YOU CAN CONTINUE WITH THE SYMPTOMATIC MANAGEMENT TILL WE ARRIVE AT FINAL DIAGNOSIS.
I AM ABLE TO SEE YOUR CBC REPORT WHICH SUGGESTS THAT YOU HAVE INCREASED PLATELETS(THROMBOCYTOSIS) WHICH CAN BE THE CAUSE OF YOUR SPLENIC PROBLEM AND STROKE THOUGH THE OTHER REPORT IS NOT LEGIBLE.
I WILL BE GLAD TO OPINE IF ALL THE DETAILS ARE PROVIDED.
TRULY,
DR. J. TICKU
Above answer was peer-reviewed by :
Dr. REMY KOSHY
Thank you. A follow up CT scan showed more damage to spleen. It's attached. Hematologist put me on hydroxyurea yesterday..testing for JAK2 gene.
Yesterday's bloodwork showed a slight decline in platelet count. 900x10^9, previously 949x10^9. Could that be from rosuvastatin and clopidogrel blood thinners I've been on past 2 weeks?
Can this disorder be due to the spleen or visa versa? Will I be ok?
Yesterday's bloodwork showed a slight decline in platelet count. 900x10^9, previously 949x10^9. Could that be from rosuvastatin and clopidogrel blood thinners I've been on past 2 weeks?
Can this disorder be due to the spleen or visa versa? Will I be ok?
Brief Answer:
THROMBOCYTHEMIA
Detailed Answer:
DEAR XXXX,
THANK YOU FOR THE REVERT.
IT IS NOW ESTABLISHED THAT YOU HAVE PLATELET DISORDER AND YOU HAVE RIGHTLY BEEN PUT ON THE TREATMENT WITH HYDROXYUREA. YOUR PROBLEMS WILL SUBSIDE ONCE THE COUNT COMES TO NORMAL.
SPLENIC INFARCT GIVES THE TYPE OF PAIN YOU HAD. SPLEEN WILL RECOVER FROM THIS DAMAGE IN THE PASSAGE OF TIME. ROSAVASTIN AND CLOPIDOGREL ARE BLOOD THINNERS ONLY TO MAINTAIN FREE CIRCULATION AND PREVENT CLOT FORMATION ANYWHERE IN THE BODY. THESE ARE ALSO USED TO DISSOLVE THE CLOT WITH WHICH YOU HAD A STROKE.
YOUR CT SCAN REVEALED THAT YOU HAVE SOME INTESTINAL PROBLEM CALLED DIVERTICULOSIS HAVING GIVEN RISE TO PARACOLIC ABSCESS. THE INFECTION COULD BE ONE OF THE CAUSES OF RAISED PLATELETS. BUT WE HAVE TO KEEP OTHER DISORDERS ALSO IN MIND WHICH YOUR DOCTOR IS WELL AWARE OF.
TRULY,
DR. J. TICKU
THROMBOCYTHEMIA
Detailed Answer:
DEAR XXXX,
THANK YOU FOR THE REVERT.
IT IS NOW ESTABLISHED THAT YOU HAVE PLATELET DISORDER AND YOU HAVE RIGHTLY BEEN PUT ON THE TREATMENT WITH HYDROXYUREA. YOUR PROBLEMS WILL SUBSIDE ONCE THE COUNT COMES TO NORMAL.
SPLENIC INFARCT GIVES THE TYPE OF PAIN YOU HAD. SPLEEN WILL RECOVER FROM THIS DAMAGE IN THE PASSAGE OF TIME. ROSAVASTIN AND CLOPIDOGREL ARE BLOOD THINNERS ONLY TO MAINTAIN FREE CIRCULATION AND PREVENT CLOT FORMATION ANYWHERE IN THE BODY. THESE ARE ALSO USED TO DISSOLVE THE CLOT WITH WHICH YOU HAD A STROKE.
YOUR CT SCAN REVEALED THAT YOU HAVE SOME INTESTINAL PROBLEM CALLED DIVERTICULOSIS HAVING GIVEN RISE TO PARACOLIC ABSCESS. THE INFECTION COULD BE ONE OF THE CAUSES OF RAISED PLATELETS. BUT WE HAVE TO KEEP OTHER DISORDERS ALSO IN MIND WHICH YOUR DOCTOR IS WELL AWARE OF.
TRULY,
DR. J. TICKU
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. REMY KOSHY
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