Hello dear, Thank you for your contact to health care magic. I read and understand your concern. I am Dr Arun Tank answering your concern. You should remove the spleen. Your platelets are low. Which puts you on risk of bleeding. But you can take platelet concentrate. This will increase the platelet count and your bleeding risk will decrease. Your low platelet is because of the enlarged spleen. This much enlarged spleen is at the risk of rupture. Even slight injury can cause rupture and life threatening injury to the spleen. In my advice you can take the platelet transfusion and than go for surgery. Once the enlarged spleen is removed you will be free from threat of the rupture. Till you go for surgery please avoid the heavy exercise and the thing which can cause injury to the abdomen. I will be happy to answer your further concern on bit.ly/DrArun. Thank you, Dr Arun Tank Infectious diseases specialist, HCM.