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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Enlarged Spleen And Pressure While Breathing During Pregnancy?

I am now 7 weeks pregnant and i have an enlarged spleen. It is always enlarged around 16cm (i believe its cm) but right now i am having alot of issues like pressure when taking deep breaths, and its always sore not painful but you can definitely tell something is wrong, left shoulder pain and back pain. I saw my primary doctor today to discuss and he order an ultra sound of my spleen. But they were unable to do it for a few weeks, my doctor talked to them and pushed the appointment to 2 days away. I am always weak and never hungry, i have to force myself to eat. What should i look out for? Will the baby be okay?
Wed, 10 Mar 2021
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General & Family Physician,  's  Response
Hi,

The enlarged uterus pushing against any enlarged organ like spleen or liver will cause difficulty in breathing or breathlessness however at 7 weeks pregnancy its unusual for someone to have the complaints of breathlessness unless the spleen is too enlarged. The splenic enlargement has many reasons varying from malaria to a bleeding disorder and its difficult to pinpoint the cause without a full examination and investigations.

I would advise you to undergo a full blood and urine checkup along with ultrasound to find out the cause for splenic enlargement. Once the cause has been found, you can undergo treatment for it. I do not see any issue with baby's development as of now.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Anoop Kumar, General & Family Physician
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What Causes Enlarged Spleen And Pressure While Breathing During Pregnancy?

Hi, The enlarged uterus pushing against any enlarged organ like spleen or liver will cause difficulty in breathing or breathlessness however at 7 weeks pregnancy its unusual for someone to have the complaints of breathlessness unless the spleen is too enlarged. The splenic enlargement has many reasons varying from malaria to a bleeding disorder and its difficult to pinpoint the cause without a full examination and investigations. I would advise you to undergo a full blood and urine checkup along with ultrasound to find out the cause for splenic enlargement. Once the cause has been found, you can undergo treatment for it. I do not see any issue with baby s development as of now. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Anoop Kumar, General & Family Physician