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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Enlarged Spleen.

HI I'M MALE,AGE 18. MY DOCTOR Said me that my spleen is enlarged.He said it is 13.7 cms. I have no fever but weak and I dont have hunger.. Plz tell if it is very harmfull?
Wed, 19 Oct 2011
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  User's Response
's  Response
Hi, thanks for the query. Enlarged Spleen is definitely not normal. It needs to be evaluated and further investigated. There are various causes for Enlarged spleen like it points to infection, injury, liver disease, autoimmune, neoplastic (CML, Myelefibrosis), or hematologic disorders like Sickle cell disease, Thalessemia etc. .Habits of alcohol/ smoking that you have? Were you suffering from malaria recently/are you living in a Malaria endemic area. People in these areas have large spleens. The common causes of massive splenic enlargement are Malaria, Infectious Mononucleosis, KalaAzar, Leukemia, Rheumatiod Arthritis, Aplastic anemia, Gaucher's disease. Tropical Splenomegaly. If you need further help you could chat with one of your doctors online between 9am-9pm IST (GMT+5:30) or speak to them between 12noon-6pm IST from Monday to Friday at 080-41743045.
Orthopaedic Surgeon,  Dr. Dr. Praveen Tayal's  Response
Hello.
Thanks for writing to us.
Enlargement of spleen to 13.7 cm is only a mild enlargement of spleen. It can happen due to chronic illnesses, repeated infections, gut infections like typhoid fever, parasitic infestations, etc. A detailed blood examination is needed to find out the cause. In some cases, an old illness might cause an enlarged spleen which subsides later after 3- 4 months of infection.
I hope this information has been both informative and helpful for you.
Regards,
Dr. Praveen Tayal
drtayal72@gmail.com
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Painful Enlarged Spleen.

Hi, thanks for the query. Enlarged Spleen is definitely not normal. It needs to be evaluated and further investigated. There are various causes for Enlarged spleen like it points to infection, injury, liver disease, autoimmune, neoplastic (CML, Myelefibrosis), or hematologic disorders like Sickle cell disease, Thalessemia etc. .Habits of alcohol/ smoking that you have? Were you suffering from malaria recently/are you living in a Malaria endemic area. People in these areas have large spleens. The common causes of massive splenic enlargement are Malaria, Infectious Mononucleosis, KalaAzar, Leukemia, Rheumatiod Arthritis, Aplastic anemia, Gaucher's disease. Tropical Splenomegaly. If you need further help you could chat with one of your doctors online between 9am-9pm IST (GMT+5:30) or speak to them between 12noon-6pm IST from Monday to Friday at 080-41743045.