Brief Answer: Hi and welcome to XXXXXXX Detailed Answer: Dear XXXXX,you may not find diagnosis at all since liver and spleen enlagement in this age can be normal or just sign of some systemic,even viral infection. If her lab findings (bilirubin, LFT, rbc and wbc) are fine,you dont have to be concerned at all. Just repeat abdominal ultrasound in 3 months and verify is there progression in size. As I said, it can be normal,but also some other disorders which manifest liek this are: hemolytic anaemia, trombocytopenia, congenital liver disorders or liver blood flow disorders. If condition doesnt improve and there are abnormal lab findings,you should do more detailed workp up incuding ct scan,hematologic tests and liver biopsy. I hope it wont be necessary. WIsh you good health. Feel free to ask. Regards

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Brief Answer: Hi. Detailed Answer: Dont worry about nose bleeding. this is minor bleeding and it cant cause some serious red blood count fall or any other consequances. If this is her only symptom then you really dont have to be concerned. Nose bleeding is seen in children commonly. However,somitmes it can indicate coagulation disorder which can be sign of liver disease. To rule this out you need to check all coagulation factors, protrombine time and trombocyte count. If this is normal,your daughter dont need any treatment.

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