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    What do delayed periods and headaches indicate?

Posted on Tue, 25 Jul 2017 in Lump
Question: Hi, a cousin of mine aged 22 yrs was suffering from delayed periods and head ache since 2-3 yrs. She had recently taken an USG abdomen which revealed as Spleenomegaly, Large PCOD, Mild pelvic inflammation. When she had taken an usg abdomen 7 months back, the spleen was "enlarged at 7.5 cm" . However in the current USG it shows that the spleen is enlarged as 12.5 cm. Can you pls suggest on this. Is this something fatal? should we undergo more tests
Answered by Dr. Bhagyesh V. Patel 37 minutes later
Brief Answer:
various causes narrated,not fatal if taken proper care,need more details.

Detailed Answer:
Hello dear
Thanks for using Healthcaremagic.com
I have evaluated your query thoroughly .

* Many conditions clinically are responsible for spleen enlargement as
- lymphoma - leukemia - hemolytic anemia - tumors of spleen or other organs
- viral , bacterial , parasitic infection - inflammatory conditions as lupus ,
rheumatoid - others .
* This is not fatal if taken care properly and evaluated properly .

Kindly provide some more information so that I can answer your query thoroughly
as there are series of investigations according to the symptoms .

1. Other systemic symptoms than narrated as fever , joint pains , dark urine ,
unexplained bleeding , rash ; sweating , lymph glands enlargement , easy
2. Change in general look since 7 months as weight loss , appetite alteration

Awaiting for your response .

Regards .

Above answer was peer-reviewed by : Dr. Nagamani Ng
Follow up: Dr. Bhagyesh V. Patel 1 hour later

She complains of head ache and irregular periods. Her periods is mostly delayed. She don't have complaints of Joint pain, fever, dark urine , rash etc.. However, she is complaints of easy fatigue.

No H/o weight loss.
Answered by Dr. Bhagyesh V. Patel 33 minutes later
Brief Answer:
Need consultation with expert Hematologist.

Detailed Answer:
Thanks for the details .

* Irregular periods and PCOS must be best managed by gynecologist .

* For Spleen enlargement , I strongly recommend to consult an expert
Hematologist & get further evaluations which include various parameters as

- Complete blood counts including hemoglobin , white , red blood cell ,
reticulocyte , platelet , neutrophils , lymphocyte counts .
- Smear studies for malaria .
- Coombs test for G6PD deficiency .
- Kala azar evaluation in microscopy .
- Serum IgM levels .
- Serology for viruses .
- Core needle biopsy ( Ultrasound guided ) in selected cases .

* These are certain evaluations as per the case narration , however complete &
perfect list can only be possible after clinical examination .

* Need of advance secondary level diagnostic requirements depend upon results
of the above .

Hope this will help you .
Welcome for any further assistance .
Thanks for keeping trust in our medical services .
Wishing her fine recovery from the same .
Regards .
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Answered by
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 15819 Questions


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