My teenage daughter (16yo) has been diagnosed with NF1, both
Enlarged spleen could be many causes
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
Splenomegaly and resultant abdominal pain is more commonly seen in chronic infections. I am sure that doctors have sent the blood work to find any such causes.
Leukemia is a remote possibility in any patient. I would not worry about leukemia if white blood cell (WBC) count is in normal limits. I am sure WBC count has already been done and no such alarm was raised.
The causes of splenomegaly can be:
- infections (hepatitis, leptospirosis, malaria, gastro-intestinal infections etc)
- Blood related (RBC destruction, increased platelet count, increased RBC count)
- Rheumatologic conditions (SLE, etc)
- Any lump inside the spleen
- Malignancy (leukemia, lymphoma, etc)
Until a cause is found, we as parents can do our part. Give her cleaner food and water (with low TDS). Most abdominal pains clear up with clean food and water. Clean environment and stress free life. I will not worry about NF1 also as its common to show up on genetic testing. Many genetically diagnosed patients may not develop any symptoms.
Hope this helps. Let me know if I can assist you further.