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Suggest Treatment For Enlarged Liver And Spleen

Posted on Mon, 7 Apr 2014

Question: I AM A MALE OF WEIGHT OF 57 KGS. MY HEIGHT IS 5"3'(160CM.)..I HAVE HEPATOMEGALY AND SPLINOMEGALY DIAGONOSED BY USG..MY HEMOGLOBIN LEVEL IS ONLY 8.1.. DOCTOR HAS PRESCRIBED ME IRENTIA-PLUS(AFTER LUNCH) AND GOLBI 300(BD) AND FOL 5(AFTER DINNER)..IS IT OK FOR ME? OR, I SHOULD TAKE ANY OTHER MEDICATION..I USED TO DRINK 3 TIMES IN A WEEK..CAN I CONTINUE WITH THAT? PLEASE, GUIDE ME..

Answered by Dr. Dr.P.Ratnakar Kini (4 hours later)

Brief Answer: Need more information Detailed Answer: Hi, Thanks for posting your query. I am Dr.Ratnakar Kini and I am pleased to assist you. I need some more information before I can give my opinion. 1. Was liver function test done? If yes, kindly upload the report. 2. Was endoscopy done? 3. Was portal vein doppler scan done? Kindly get back to me with these information and I would give my opinion. Regards, Dr.Ratnakar Kini

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (6 hours later)

Yes. At lft unconjucated bilirubin shows little bit high. Doctors told, it's XXXXXXX & told to lead normal life..it's 5 years back..endoscopy report also reveals hepatomegaly,spleenomegaly & no such other complications..I have no jaundice..doctors told it's XXXXXXX syndrome & suggested- golbi 300, irentia plus & fol 5..told as i have less hemoglobin level due to spleen problem..but, i have still abdominal discomfort and lots of weakness. Loss of appetite also..please, suggest medicine..

Answered by Dr. Dr.P.Ratnakar Kini (4 days later)

Brief Answer: Answer given below Detailed Answer: Hi, Sorry for the delay. Since you have low hemoglobin and also having enlarged liver and spleen, more tests are to be done before treatment plan is finalized. The following tests are to be done - 1. Peripheral blood smear test 2. Reticulocyte count 3. Upper GI endoscopy 4. Portal vein doppler scan 5. Stool routine test and occult blood test. You can consult your physician for these tests. Let me know if I can assist you further. Regards, Dr.R.K

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar