Doctor insights on:
Fighting Infection After Splenectomy
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more
Can Coumadin levels be accurately monitored by a finger stick instead of a blood draw? Following a roux-n-y gastric bypass I suffered a perforated ulcer, splenectomy, collapsed lung, disconnected bowel, numerous septic infections, 18 months of picc lines,
Yes. A finger stick: It sounds like you have suffered some real problems. I know it seems hard to believe, but you will likely have a full recovery. There is a bright light at the end of the tunnel. ...Read more
Is my daughter at risk of infection if she gets her belly button pierced and she has had a splenectomy?
Small risk: There are certain types of bacteria that she is more susceptible to with a spleenectomy. The main types are NOT ones that are typically associated with wound infections, but I am not going to say it never could happen. It actually may be to her benefit to prophylactically take a course of penicillin before and during her recovery from the piercing, I would talk this option over with her doctor! ...Read more
Prednisone 5 years. Aiha;splenectomy recommended/rituxan did not work/worried about susceptibility to infection/wound healing if surgery/suggestions?
I am getting a splenectomy because I have ITP and I wanted to know if I get my spleen removed will my body still be able to fight off my acne & worts?
Adopt clean lifestyl: A splenectomy may be required due to multiple types of underlying disease states, preparation should be centered around your underlying disease. As the spleen functions as a filter, helping minimize infection, you may be more susceptible to infection. Flu shots should become routine, especially in the elderly. Avoid contact with those who are ill from infection. ...Read more
Three main and flu: Three main vaccines apply significantly for people with surgical or functional (sickle cell, etc) asplenia. Haemophilus, pneuomoccus and menigococcal vaccines. Each should be given 14 days before splenectomy if possible, and if not at least 14 after surgery. You should also get the flu shot yearly as well. ...Read more
2-5 days: It depends on whether the operation is performed via minimally invasive surgery (2-3 days) or via traditional "open" surgery (4-5 days). Of course, these are just averages, and situations can arise that may delay discharge. ...Read more
May vary: It has been suggested that the spleen harbors stem cells that act as precursors to insulin-producing pancreas cells, and post-splenectomy patients may have worsening hyperglycemia. Splenectomy does not "cause" diabetes, but may aggravate blood sugar control over the long term. ...Read more
I had a partial splenectomy. Can the spleen can regenerate and how can I know if it's been regenerated?
Yes, it can: Regenerate, both in function and size, but it would depend on the volume of splenic tissue you have left and its blood supply. In order to assess size, an imaging test such as ultrasound would be necessary. In order to assess function, sometimes blood work can help, but immune function cannot be assessed readily. Ask a hematologist for specific advice. ...Read more
Splenectomy in june. Told when sick if I had a fever to immediately go to the dr. How high of a temp and why is it so important to go immediately?
No spleen: You need a lower threshold to see a dr because persons without a spleen are more predisposed to certain bacterial infections (particularly encapsulated ones). Most say a temperature over 100.4f is worthy of a check over by your dr or an urgent care--next time you see him/her, clarify. Also, be sure you got your pneumonia shot (probably before hospital discharge). ...Read more
Good morning I had an emergency splenectomy 20 years ago and now have a work opportunity in a high malaria area of Mozambique. What are the risks?
Better not go:
And I hope that you are taking all the precautions as regards infections risks otherwise: immunizations, low dose antibiotics, etc. It might be a good opportunity for your career, but the risks are high, check the following link for general information, you may contact the CDC as well for advice,
http://patient. Info/health/preventing-infection-after-splenectomy-or-if-you-do-not-have-a-working-spleen ...Read more
Good afternoon I had an emergency splenectomy in 1997 and due to the dangers involved in contracting Malaria when traveling to other African countri?
Please clarify your question.
Follow this link for more information about splenectomy http://www. Childrenshospital. Org/conditions-and-treatments/treatments/splenectomy ...Read more
I had an emergency splenectomy 4/21/12. I used to be an energetic person & now I can hardly make it through the day. Is this a side effect?
Not from splenectomy: It's not unusual to have fatigue after surgery, not specific to splenectomy, but not typical to last more than 2-3 months after surgery. Why was the splenectomy done? If not from trauma, it's possible it is related to the underlying condition, or it may be unrelated. ...Read more
Signs of infection: Usually an infection in an incision occurs within a week or two of surgery. Most people have signs like increasing pain and swelling, redness, fever or pus. If you are worried, you should call your doctor. He/she is the best one to determine if you are developing an infection. ...Read more
Since my splenectomy last year, I will have hot flashes at night when lying still trying to sleep, and when it happens, I feel like I might explode?
No: There are open and laparoscopic options for some people who need splenectomy. There are a variety of reasons of blood disorder, some cancers, and sometime traumatic injury that may need splenectomy surgery. Your surgeon would discuss and review specific surgical risks for your own specific situation. ...Read more
Depends: Most of the time there are no complications. A pneumococcal vaccine is used before surgery to help with your immunity after surgery. Risks of bleeding or infection after surgery are low. Open and laparoscopic surgery options are available for some people, and recovery after laparoscopic surgery may be quicker. ...Read more
Not too common: Removal of the spleen is generally reserved for conditions such as trauma or accident with spleen rupture. Other conditions could be from disease called itp causing low platelets. There are some rare lymphoma cancers than may need splenectomy. Also rarely is severe spleen enlargement from uncommon blood or bone marrow disorders. ...Read more
Yes: You will need to be immunized against encapsulated bacteria. The three vaccines you should get are against strep pneumonia (pneumovax), hemophilus influenza (not the flu vaccine), and neisseria meningitidis. If your spleen was taken out electively, you should have gotten the vaccines before surgery. You should get these at least every five years. ...Read more
Accessory spleen: About 10 percent of people have an accessory spleen. In some cases, this can also be due to part of the original spleen taking hold and growing as an autotransplant, also called splenosis. These accessory spleens can be functional, and depending on the reason for the original splenectomy, this may be of clinical significance or not. ...Read more
Not much regeneration occurs.
The function of the remaining part is likely quite adequate.
With full splenectomy, followup, is important. ...Read more
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