Doctor insights on:
Can You Rupture Your Spleen During Weightlifting
Go to hospital: You should go to the hospital immediately. The spleen is very vascular and if it ruptures, the abdominal cavity can fill with blood very quickly leading to a rapid drop in blood pressure, loss of consciousness, and possibly death. After being evaluated by the emergency physician and possibly having surgery, a few vaccines may be necessary to prevent some infections. ...Read more
Usually: Ruptured spleen causes intra abdominal hemorrhage and shock within a few hours of injury. In some cases, a small tear can cause limited bleeding, which can even stop. The only way to know for sure whether you have a splenic injury or not, or its extent, is to do an imaging study, such as ultrasound or ct scan. ...Read more
Abdominal Pain: The spleen is a very vascular organ. Significant trauma may cause internal bleeding within the abdominal cavity. Blood is an irritant to the lining of the abdomen, causing pain wherever the blood may be. While the spleen resides behind the rib cage in the left upper abdomen, the pain can occur wherever the blood goes. If severe, the anemia can cause a rapid heart rate and/or lightheadedness. ...Read more
Pain AND BLEEDING: Left upper quadrant and left shoulder pain probably present, due to bleeding. It depends on the extent of injury whether surgery is needed. Bedrest and observation under medical care necessary until stable. Unstable or continuous bleeding requires surgery and removal of spleen. After splenectomy, then vaccines for some bacteria would be necessary. ...Read more
Ultrasound or CTscan: There is no way to know yourself or by simple xray if your spleen is ruptured. Need an imaging study like an ultrasound or ct scan to tell for sure. Limited damage to the spleen can often be managed without an operation but you should be watched carefully as late severe rupture can happen, with sudden internal bleeding. ...Read more
Variable: The answer depends on the severity of the injury. Minor injury to the spleen can sometimes be managed without surgery by monitoring the patient for on-going bleeding, and operating only if bleeding persists. More severe injury to the spleen, or if it is associated with other injuries, is usually managed by removing the spleen surgically. ...Read more
A few days.: If the spleen is only minorly injured and there is only minimal or no bleeding a couple of days is usually enough, as long as it is the only injury. If it is a more major rupture and there has been some bleeding it may be several days. If it has to be removed it will depend on how you do postoperatively but will likely require at least 2 days after surgery and likely more than 2. ...Read more
Contact sport mostly: Just about all contact sports have been associated with splenic trauma. Some are obviously worse than others (football, rugby, martial arts...). Your spleen is usually protected within your thoracic cage but if your spleen is enlarged or the rib cage is damaged (rib fracture - contact sport or fall - as in track and field...) it becomes vulnerable. ...Read more
Yes, good question: Mononucleosis can cause enlarged and engorged spleen, which is more prone to rupture with any blunt injury. Rarely, it can rupture spontaneously. So don't engage in any contact sports or any activity that might cause any injury. It does get smaller as you overcome your illness. ...Read more
5-10 days: For a ruptured spleen your doctors will make sure no bleeding occurs. Next you need to be able to eat food and hold it down. They should have removed your ng tube by now. You may have staples in your skin. Those stay in until follow up. Be well and always wear your seat belt. ...Read more
Depends: A ruptured spleen can range from very serious, even life threatening to relatively minor event depending on the reasons for the rupture and the initial care. In general, your team of docs wants to see that your blood counts are stable, your bowels are working, you are willing and able to care for yourself at home, pain is under control. Ok to ask your care team. ...Read more
Splenic injury: The length of time required for a splenic injury to heal will invariably depend on the grade on the injury (i.e. Severity of the injury). It can take six weeks to several months for a complete recovery. ...Read more
YES & NO: Traumatic ruptured spleen is now managed expectantly in the hospital meaning 'watch and wait'. So if the patient is stable with no signs of hemorhage then it is safe to not do surgery and then send the patient home after observation. If there are signs of major hemorrhage soon after injury then immediate surgery is indicated. Complications of emergency surgery are related to overall health. ...Read more
Ok I had a spleenic infarction the dr told me basically it was a ruptured spleen and should get better and it still hurts after 8 months?
Why infarction?: You should find out why you had an infarction. For ex - if you have blood clots in the heart they can continue to cause problems to your spleen. If you now have a cyst in the spleen it may be growing and causing pain. In the absence of fever it is unlikely to be an infection. I would get a ct scan to see if anything has changed in your spleen. It may give clues to your pain or underlying problem. ...Read more
A 37 yr old friend died very unexpectedly. He turned out to have guienne barie (sp?). He died suddenly from a ruptured spleen. No trauma. Why?
Guillain-Barre is: An autoimmune polyneuritis seen in younger adults. It occurs after viral diseases such as mononucleosis, herpes but also after le and hodgkin disease. Non traumatic rupture of spleen can happen in diseased spleen usually cancers. The 2 conditions (mono and hodgkin) involve the spleen so this could be the link. Only an autopsy could have shed full light on the tragedy. Very sad...And very rare.... ...Read more
Three years ago I had a virus that caused my spleen to rupture. They didn't do surgery, just observation. Is it normal to still have pain in that area?
Well: You have to be very careful here if you have pain or do not feel right see your doctor and get checked out. ...Read more
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