Since you have undergone a liver transplant
, the high bilirubin
levels, and the enlarged spleen is in all probability due to deranged liver function or an infection. While the spleen could be enlarged due to portal hypertension
, depending on the size, we would need to do give you propanolol ( a beta bocker useful for portal hypertension) , diuretics ( if there is ascites).
The bilirubin level can only be improved once the liver function improves.
If these features are due to an infection, we would need to give you appropriate antibiotic therapy
As of now, you should be seeing your transplant surgeon to get a liver function test, a complete blood count
and an ultrasound
of the abdomen done.
Meanwhile, abstain from alcohol, have a low fat, high protein diet and practice some stress reduction exercises.
Hope that helps