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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Reason For Spleen Pulsating Almost Like An Irregular Heartbeat With Tenderness And Stiffness

Hi, my spleen has been pulsating for about a day now, almost like an irregular heartbeat. The area is tender and stiff as well. I had a severe case of mono in January, and I was wondering if that's what it could be? Though it's a different feeling than when I had mono.
Thu, 4 May 2017
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General Surgeon,  's  Response
Hi, I had gone through your question and understand your concerns.

This is pretty unusual symptom and I am not sure if this is caused by spleen issue. This may be an aorta puslating as we can see in aortic aneurism. However, splenomegaly may occur as a consequence of mono infection and this is known mechanism. SO it would be good:

1. to do ultrasound and measure spleen size and presence of aortic aneursim
2. do liver and lab tests including presence of Ebstein bar antibiodies
3. Do heart ultrasound to check for arrihmias

After you do these tests, the condition will be more clear and further treatment depends on it.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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Reason For Spleen Pulsating Almost Like An Irregular Heartbeat With Tenderness And Stiffness

Hi, I had gone through your question and understand your concerns. This is pretty unusual symptom and I am not sure if this is caused by spleen issue. This may be an aorta puslating as we can see in aortic aneurism. However, splenomegaly may occur as a consequence of mono infection and this is known mechanism. SO it would be good: 1. to do ultrasound and measure spleen size and presence of aortic aneursim 2. do liver and lab tests including presence of Ebstein bar antibiodies 3. Do heart ultrasound to check for arrihmias After you do these tests, the condition will be more clear and further treatment depends on it. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.