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Spleen enlargement during pregnancy. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 36 Questions
Doctor :   hi
Doctor :   how can i help you
Doctor :   r u there
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM everyday.
Doctor :   hi
Doctor :   how can i help you?
User :   Hi I'm 18 weeks pregnant and when I did the scan on the 5 th Aug I was told my spleen is enlarged
Doctor :   ok
User :   how does this effect my baby & me
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   I'm 33yrs, female, S.Visa officer and married, 91kgs.. have one child0girl who is 3 1/2yrs
Doctor :   ok
Doctor :   are you having any other health problem?
User :   swelling of feet and low placenta
Doctor :   ok
Doctor :   what is your current BP?
User :   110/70
Doctor :   ok
Doctor :   did you have any fever or infection?
User :   no.. nothing... no pain and no fever
Doctor :   have you gotten any other tests done?
User :   I did a blood test on the 5th Aug results have not come in yet
Doctor :   ok
Doctor :   i suggest that you get your platelet count done
Doctor :   also get a haemogram done with Smear for MP
User :   how does it effect my baby?
Doctor :   first the cause for the spleen examination
Doctor :   enlargement should be made out
Doctor :   are you on any medicines?
Doctor :   what is the amount of spleen enlargement in the scan?
User :   I'm taking vitamins for the pregnancy such as calcium, Becozinc, folic acid, ovron, codliver oil, and cardiprin
Doctor :   ok
User :   16mm or 16cm not sure
Doctor :   the cause should be first determined
Doctor :   you should get the blood tests
Doctor :   done
Doctor :   it could be either due to an infection like malaria
User :   ok.. results of what I did shud be available tday..
User :   did not have malaria fever
Doctor :   ok
Doctor :   what tests did you get done?
Doctor :   the platelet count is most important
Doctor :   do you have any past medical problems?
User :   full blood count, ESR,T protein, S.G.P.T, S.G.OT
User :   b.picture and blood for malaria antigen
Doctor :   ok
User :   I had Dengui fever in 2004 july/august
Doctor :   the tests would probably help us in knowing the cause
Doctor :   ok
Doctor :   have you gotten a urine examination done?
User :   no..did in May for pregnancy test
Doctor :   ok
Doctor :   i suggest that you get a Complete Urine Examination done
Doctor :   the other cause can be due to pregnancy related hypertension
User :   ok
Doctor :   was your bp during pregnancy high any time?
User :   sometimes it was 130/90
Doctor :   ok
Doctor :   i suggest that you inform us of the test results
User :   last pregnancy i had high pressure and baby was taken when i was in the 8 month
Doctor :   any condition of spleen enlargement has to be treated
Doctor :   ok
Doctor :   then my suspicion would be pregnancy related hypertension
Doctor :   that can be managed effectively
Doctor :   if diagnosed at an early stage itself
Doctor :   you would need constant monitoring
Doctor :   and care
Doctor :   are you there?
User :   ESR result is 56
Doctor :   ESR can be raised normally in pregnancy
Doctor :   due to the changes in blood composition in pregnancy
Doctor :   please confirm your details
User :   yes confirmed
Doctor :   ok
Doctor :   i suggest you inform us of the test results once they come
Doctor :   then the cause can be made out and appropriate treatment can be given
User :   ok doctor thank you very much
Doctor :   Please fill the feedback form say done when done
Doctor :   Is there any thing else that I could help you with?
Doctor :   Have you filled the feedback form which I have sent?
Doctor :   are you there Lishani?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM everyday.
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