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What Causes Splenomegaly When Suffering From Fatty Liver?

Posted on Tue, 8 Jul 2014

Question: I have been diagnosed with fatty liver disease and have borderline splenomegaly as observed on an ultrasound. I am being followed by a ARNP. Should I be seen by a gastroenterologist? I also have type 2 diabetes. I am on Metformin 500 mg daily and Welchol. I more than likely have XXXXXXX I am being followed up with LFT's and A1C along with cholesterol. Do you have any suggestions? I am also a retired nurse who became sedentary after retirement. I have been told to exercise so my triglicerides will decrease. Retirement has not been what I expected. Any suggestions?

Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)

Brief Answer:
Yes you need to see a gastroenterologist

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Splenomegaly is not associated with a simple fatty liver. But XXXXXXX over a period of time can lead to cirrhosis of liver and portal hypertension.
Splenomegaly is a feature of portal hypertension.
So you need to undergo tests for portal hypertension. A portal doppler scan and an upper GI endoscopy are to be done.

You can consult a gastroenterologist to rule out portal hypertension.

I hope that answers your question.
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