A member asked:

I have a perforated spleen and i have noticed in the last several days that my hypoglycemia is acting up. can the two be connected?

6 doctors weighed in across 4 answers

The hypoglycemia: Can be coming from the body using more resources and thus requiring more sugar/energy to heal the spleen. There are no correlations b/t a spleen laceration and hypoglycemia itself.

Answered 11/21/2012

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No direct connection: There are some situations in your situation that need to be excluded exp. A mismatch in your hypoglycemic therapy and your caloric intake as a result of decreased food intake.Or broad spectrum antibiotics which may be treting an undiagnosed inflammatory process exp peridontal disease which might have been responsible for higer drug requirements before the perforation, no informaton is provided.

Answered 11/9/2015

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Indirectly: Often the stress of any event, both physical, and/or mental can cause a bump in your cortisol levels, which can then cause a change in your glucose levels. There are articles written talking about folks having splenectomies (taking spleen out) who develop complications ( like bad infections or sepsis) who then have problems with maintining normal glucose levels. Hope this helps you. Dr. P.

Answered 3/11/2016

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Dr. George Klauber answered

Specializes in Pediatric Urology

Unlikely directly: Perforated spleen should heal without problem and thus no longer be perforated. Pancreas may have been injured if spleen injury causing perforation was caused by a penetrating abdominal injury. This or other problems like psychological stress, cortisol production by adrenal gland or an Insulin producing growth could amongst others be cause of your hypoglcemia.

Answered 9/28/2016

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