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Is There A Need For Hepatosplenomegaly When Having 12cm Liver Size?

Posted on Mon, 9 Feb 2015

Question: Hi doctor. I was having hepatosplenomegaly when i was at the age of 13.. After that doctor had given some medicines. Later size of liver and spleen became normal. Before it was 16.5cm n spleen size was 11cm.. Now it s 12cm and 8.5cm.My question is am i have the chances of getting hepatosplenomegaly in future? Are there any serious actions need to take? Whate kind of food i need to avoid?

Answered by Dr. Tushar Kanti Biswas (1 hour later)

Brief Answer:
Hepato-splenomegaly

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
There are many causes of mild hepato-splenomegaly-commonest are the infective causes (Immune hyperplasia in response to systemic infection) which regresses with recovery from infection-viral,bacterial,protozoal etc.

Since your liver and spleen sizes are normal and you have not mentioned any recurrence of symptoms,you are not having any hereditary or Infiltrative diseases or passive congestion which can give rise to hepato-splenomegaly.

Only a follow-up complete blood count and abdominal sonography is required , if you develop fresh symptoms.
Dietary restriction can only be advised ,if you can tell the cause of hepato-splenomegaly from medical record at 13 years of age,if available.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Tushar Kanti Biswas (30 minutes later)

I can not have much food.. My stomach feels full. Hunger is rare in me.After intake of oily food sometimes i feel like vomitting only if i think about that i am gonna vomit. No pains while breathing o while having food since i have read in internet the symptoms of that. I do not know the reason of hepato splenomegaly.

Answered by Dr. Tushar Kanti Biswas (7 hours later)

Brief Answer:
Intolerance to oily foods

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Intolerance to oily foods nay be due to hepato-biliary disorders ,Non-ulcer dyspepsia etc. Do your complete liver function tests and let me know the reports.
You can avoid fatty/oily foods for the time-pending further investigations.

Regards,

Dr. T.K. Biswas M.D. XXXXXXX

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Above answer was peer-reviewed by : Dr. Raju A.T