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Splenomegaly - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1736 Questions
User :   Hi, I recently came back from a surfing holiday. On the last day I had a pain in my left lower ribs, where the spleen is. I thought it was muscular pain at first but it has been getting worse over the past few days and now I feel low, like in the early stages of a cold or flu. I am worried about spleen damange.
Doctor :   hi
Doctor :  
whats ur age/sex?
User :   male, 28
Doctor :  
do u have any fever?
User :   no, but it does feel like I have something coming on
Doctor :  
ok
Doctor :  
any rashes over ur body?
User :   my body feels a bit achy and lazy
User :   no rashes
Doctor :  
where did u go for surfing holiday?
User :   Fuertaventura
User :   In the Canary Islands (Spanish)
Doctor :  
ok
User :   I cannot see any physical signs around the area that hurts
Doctor :   have u seen any doctor?
User :   no bruising
User :   no
Doctor :  
ok
User :   i thought it was muscular pain or at worst a cracked rib
Doctor :  
from how many days u are having this pain?
User :   which I'm not sure much can be done about
User :   4
User :   4 days
Doctor :   any history of accident recently?
User :   no,
User :   however
User :   surfing can be a bit rough
Doctor :   ok
User :   i spent a lot of time stomach down on the board paddling
Doctor :   ok

User :   sometimes clinging on most likely with the part that now hurts pushing into the side of the surfboard
Doctor :  
ok
User :   which is why i thought it was muscular pain or bruising
Doctor :  
i dont think so it is splenic pain .
User :   that's good, why not?
Doctor :   but still to be on the safer side
Doctor :  
it will be better if u get an uULTRASOUND SCANNING OF ABDOMEN done
User :   ok
User :   what makes you think it is not splenic?
Doctor :  
where the details of the internal organs of the abdomen..will be clearly seen
Doctor :  
ur history..where u dont have any other physical symptoms except like fever/rash
Doctor :  
except for the pain around the ribs
Doctor :  
which might be due toexcess of strain during surfing
User :   would a fever / infection normally be very obvious after 4 days if the spleen was damaged?
Doctor :   if this is because of infection then defnetely u would have got fever by now
User :   sure, i meant more that if the spleen had been damaged due to an impact while surfing, how would we differentiate between spleen damage (which i presume requires immediate treatment) and muscular / rib damage (which may not)?
Doctor :   splenic damage/rupture is an emergency
Doctor :  
u will not be in aposition to chat
User :   ok
User :   good to know
Doctor :  
there will be lots of internal bleeding in the stomach
User :   would this come out in faeces / urine?
Doctor :   no
User :   i.e. i would have seen it by now
User :   ok
Doctor :  
it should be drained by opertation
User :   so you think its either damage to the rib or the muscle?
Doctor :   may be
Doctor :  
we cannot diagnose with out physical examination/ultrasound report
User :   ok
Doctor :   but according to my opinion
Doctor :  
it might not be splenic pain
User :   ok
Doctor :  
just muscle sprain/strain during surfing
User :   are there any warning signs to look out for over the next few days, that if occur will indicate that it is splenic pain.
User :   (i am going on holiday tomorrow)
User :   so will avoid seeing a doctor if I can
Doctor :  
please give me 2 minutes time
User :   ok
Doctor :  
there are no specific signs
Doctor :  
but i feel its better u get one ultrasound scanning done
User :   i understand
User :   are there any other precutions I should take?
Doctor :  
dont strain too much
User :   ok - the past couple of days I was doing press ups which i'll stop doing for a while
Doctor :   good
Doctor :  
and i striclty recommend u to get abdominal scan done..
User :   ok i'll try and go tomorrow when i'm in england
Doctor :   good
Doctor :  
if ur scan report is normal u can re;ax
User :   yes
Doctor :  
relax*
User :   would drinking alcohol make things worse if it is splenic?
Doctor :   defnetely yes

User :   (its friday night here and i'm going out for dinner)
User :   so i should avoid for now or you think its ok to drink?
Doctor :  
should not take alchohol if it is due to spleen damage
Doctor :  
avoid taking alchohol
User :   ok
User :   is there anything else I should know before we stop this chat?
Doctor :  
nothing regarding this issue
User :   ok
User :   there's nothing else i need to discuss
User :   thank you for your help
Doctor :   one last question did u have similar complaints inthe past?
User :   no, never
Doctor :  
k
Doctor :  
thats great
Doctor :  
Did you follow what I said? Please get back to me in case of doubts.
User :   you mean that because I didn't have similar complaints in the past this makes it less likely to be splenic?
Doctor :   to rule out any chronic problem

Doctor :  
with spleen
User :   ok
User :   thanks again for your help
User :   bye for now
Doctor :   welcome
Doctor :  
bye
Doctor :  
take care
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