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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Increased Size Of Spleen When Diagnosed With Saddle Pulmonary Embolism

yes please. I have had two major blood clots in the last three years, the latest being a saddle PE that nearly took my life. since then I am on xeralto and f/u ct scan showed increased size of my spleen and several lymph nodes in my abdomen with other stuff in the lungs(probably pieces of clots). Now my alk phos is low and my ast is low..........should I be concerned?
Mon, 25 Apr 2016
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General & Family Physician,  's  Response
Hello dear welcome to HealthcareMagic
Regarding your experience with 2 blood clot for the past 3yrs with a diagnosis of splenomegaly and saddle pulmonary embolism with associated low alkaline phosphatase and aspartate transaminase I am suggesting that you have possibly developed a liver cirrhosis which has led to development of the above complications

In view of this please do a an abdominal ultrasound and abdominal CT scan to rule out this liver disease

Meanwhile please see a cardiothoracic surgeon and hepatologist specialist for expert clinical assessment Councelling and possible surgical interventional procedures

Moreover you will benefit from the following treatments

Embolectomy
Invasive endoscopy

I hope this helps Regards


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Suggest Treatment For Increased Size Of Spleen When Diagnosed With Saddle Pulmonary Embolism

Hello dear welcome to HealthcareMagic Regarding your experience with 2 blood clot for the past 3yrs with a diagnosis of splenomegaly and saddle pulmonary embolism with associated low alkaline phosphatase and aspartate transaminase I am suggesting that you have possibly developed a liver cirrhosis which has led to development of the above complications In view of this please do a an abdominal ultrasound and abdominal CT scan to rule out this liver disease Meanwhile please see a cardiothoracic surgeon and hepatologist specialist for expert clinical assessment Councelling and possible surgical interventional procedures Moreover you will benefit from the following treatments Embolectomy Invasive endoscopy I hope this helps Regards