Hi, Welcome to HCM, I am Dr. Das
In thalassemia intermedia
, it is unlikely to have such a huge spleen. Are there any other symptoms like gum bleeding, chronic infection etc?
For thalassemia intermedia basically you only need Folic acid supplementation. And if Hemoglobin
level fall below 9 then blood transfusion
is the treatment of choice.
In my opinion go for a complete blood test
(CBC) with a query for abnormal cells.