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Doctor insights on: Enlarged Spleen And Fatty Liver

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Dr. Tony Ho Dr. Ho
1 doctor agreed:
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I've read enlarged spleen from fatty liver only occurs after extensive liver damage. Can a "mildly fatty liver" cause a painful enlarged spleen?

Dr. Tony Ho Dr. Ho
1 doctor agreed:
I've read enlarged spleen from fatty liver only occurs after extensive liver damage. Can a "mildly fatty liver" cause a painful enlarged spleen?

Shouldn't: Cirrhosis causes splenomegaly through portal hypertension and splenic congestion; a mildly fatty liver should be well before this stage, and should not be the cause of a painful enlarged spleen. You should see a doctor for further evaluation and testing. ...Read more

Dr. Mark Pack
2 Doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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What could cause an enlarged spleen and a fatty liver?

Long standing: Fatty liver can lead to cirrhosis, and the associated portal hypertension can produce splenomegaly. ...Read more

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How is an enlarged spleen different from a fatty liver?

How is an enlarged spleen different from a fatty liver?

Different organs: A fatty liver is a condition where excess fat cells build up in the liver and can negatively affect the function of the liver. In bad cases it can sometimes cause a type of cirrhosis. An enlarged spleen can be caused by significant liver damage from a variety of causes, or an enlarged spleen can be caused purely from spleen or blood disorders. ...Read more

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I am experiencing abdominal pain, diarrhea, tender abdomen. I have had stool tests done to rule out all basic stuff, fecal fat test, blood work, ultrasound which showed cholelithiasis, enlarged spleen (14.3cm), and fatty liver. Surgeon not worried.

I am experiencing abdominal pain, diarrhea, tender abdomen. I have had stool tests done to rule out all basic stuff, fecal fat test, blood work, ultrasound which showed cholelithiasis, enlarged spleen (14.3cm), and fatty liver. Surgeon not worried.

Many possibilities: There are many possible causes for your symptoms. The most helpful clues will come from a very detailed interview by a knowledgeable physician, preferably a gastroenterologist. Shooting first with lots of tests and skipping the questions usually wastes a lot of money and often results in chasing lots of dead ends. If careful history and directed testing are reassuring, then IBS is the most likely. ...Read more

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What can you eat if you have an enlarged spleen and liver? Are fatty foods prohibited?

Enlarged spleen: Most people don't know they have an enlarged spleen because symptoms are rare. People usually find out about it during a physical exam. These are the most common symptoms of an enlarged spleen:being unable to eat a large meal.
Feeling discomfort, fullness, or pain on the upper left side of the abdomen; this pain may spread to your left shoulder. ...Read more

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I have been diagnosed with a fatty liver and recently I had an ultrasound confirming enlarged spleen spleen is painful pain regulates to shoulder?

I have been diagnosed with a fatty liver and recently I had an ultrasound confirming enlarged spleen spleen is painful pain regulates to shoulder?

Splenomegaly: Yes, splenomegaly can cause referred pain to the left shoulder due to irritation of the adjacent diaphragm and the anatomic course of the associated phrenic nerve. If the pain is acute, it can be a sign of splenic rupture (Kehr's sign), which can be spontaneous in the setting of slpenomegaly. If this is the case, seek medical attention emergently. ...Read more

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I'm 31 yrs old, I have a fatty liver & a enlarged spleen I weight 196 I'm currently trying to loose weight my? Is canola oil cooking spray healthy?

I'm 31 yrs old, I have a fatty liver & a enlarged spleen I weight 196 I'm currently trying to loose weight my? Is canola oil cooking spray healthy?

Ok: It is find as long as not used in excess. Remember that oil is oil. You do need to find out why your liver and spleen are enlarged however. Have you seen any specialist yet? ...Read more

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I have an enlarged fatty liver, enlarged spleen, & 2nd stage kidney disease & I need to know if any one of those would cause a UTI & an ear infection?

I have an enlarged fatty liver, enlarged spleen, & 2nd stage kidney disease & I need to know if any one of those would cause a UTI & an ear infection?

Not per se: The conditions you described do not cause UTI by themselves. You should be under the care of a doctor to manage these illnesses so that you may prevent deterioration of liver and kidney function. ...Read more

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I had an upper abdomen scan and have to go for MRI as shadows showed up and fatty liver and slightly enlarged gall bladder. I am worried tho my gp noy?

I had an upper abdomen scan and have to go for MRI as shadows showed up and fatty liver and slightly enlarged gall bladder. I am worried tho my gp noy?

It is normal: To be concerned. There is not enough information for me to speculate about the 'shadows' on the liver, if you have a fatty liver it is not unusual for small areas of non-fatty liver to look abnormal on ultrasound, so hopefully that is all it is. ...Read more

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What did you do if you have an enlarged spleen and liver?

What did you do if you have an enlarged spleen and liver?

Alcohol: There are many causes of enlarged liver and spleen, however, the most common thing people do intentionally that causes this abnormality is drink excessively that causes fatty liver and cirrhosis. Other diseases, like infections, leukemias, lymphomas can also cause enlargement of these organs. ...Read more

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What can you do if you have an enlarged spleen and liver?

See your doctor: It is important to determine the cause of the abnormality. Enlargement of both liver and spleen is not a trivial matter. Please see your doctor for a check and lab tests to determine the cause. ...Read more

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My brother has an enlarged spleen which is pressing on his liver. What does this mean?

Splenomegally: An enlarged spleen might not be normal and this should be evaluated by a physician to determine the cause. One of the most common and temporary causes of enlarged spleen is mononucleosis (mono). ...Read more

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Hey I just found out I have an enlarged spleen and liver what is the best thing to take?

Hepatosplenomegaly: Lymphoma, Burkitt
Alpha-1-Antitrypsin DefFiciency
Hemolytic Disease of the Newborn
Cystic Fibrosis
Wiskott-Aldrich Syndrome
Toxoplasmosis
Tuberculosis
Anemia, Sideroblastic
Torch Infections
Wilms Tumor
Cardiomyopathy, End Stage
Cirrhosis, Primary Biliary
Leishmaniasis
Myeloproliferative Neoplasms
Histoplasmosis
Typhoid Fever
Leukemia, Acute Myeloid
Candidiasis, Invasive
Psittacosis
HIV
EBV


etc ...Read more

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Have enlarged spleen and liver. Could I get some treatment?

Hepato-splenomegaly: Hi Keith: an enlarged liver and spleen (also called, hepatosplenomegaly) has many potential causes. Broadly: infections and cancers. For someone in India, a few possibilities that must be considered include TB and malaria - there are other infections too. For malignancies, evaluations for lymphoma's and leukemia's. She must seek care as soon as possible. ...Read more

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Enlarged spleen, liver and increased numbers of \nsmall lymph nodes present what can this mean?

Enlarged spleen, liver and increased numbers of \nsmall lymph nodes present what can this mean?

It can be many thing: There are many conditions which can cause enlarged liver, spleen and lymph nodes
you need to have thorough history/physical exam, and blood test to find the cause.
It may be anything like infectious mononucleosis, or another infectious process to lymphoma
so have it checked asap. ...Read more

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I have an enlarged spleen for over a year. And now also have an enlarged liver. I would like to know can these be related and how so. Treatmnt option?

I have an enlarged spleen for over a year. And now also have an enlarged liver. I would like to know can these be related and how so. Treatmnt option?

Probably: There is probably a related reason that your liver and spleen are enlarged. You need to see someone who deals with liver disease; a gastroenterologist or hepatologist. Treatment options can be discussed once the cause of the enlarged organs is determined. ...Read more

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I have enlarged spleen and enlarged liver and sugar count was 375. Typ 2 diabeties, tx includes med every day. The enlargements just started 2 weeks?

I have enlarged spleen and enlarged liver and sugar count was 375. Typ 2 diabeties, tx includes med every day. The enlargements just started 2 weeks?

Not the spleen: By itself, uncontrolled diabetes can cause a 'fatty' liver with enlargement but splenomegaly is not generally associated with diabetes per se. ...Read more

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Would an enlarged spleen or liver increase ESR and CRP levels on blood test? If so- to what levels approximately?

Would an enlarged spleen or liver increase ESR and CRP levels on blood test? If so- to what levels approximately?

Whoa: Elevations in the ESR and CRP are famously nonspecific and are helpful only in zeroing in on already-identified health problems. However, I'm concerned about your enlarged liver and spleen. This will require a proper workup -- it'd be a great shame to miss smoldering hepatitis, wilson's, hemochromatosis, or medication / alcohol effects. ...Read more

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Would an enlarged spleen or liver increase ESR and CRP levels on blood test? If so- to what levels approximately? (please a swee question)

Depends on the: Cause of enlargement of the liver or spleen. Both can result in increase in ESR and crp. It is not the enlargement per se but the underlying pathology that increases the serum markers. The more the inflammation, the higher the levels. ...Read more

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Would 2 nights of heavy drinking cause an enlarged spleen? If the liver is perfectly healthy? If so would it go back to normal not drinking alcohol?

Would 2 nights of heavy drinking cause an enlarged spleen? If the liver is perfectly healthy? If so would it go back to normal not drinking alcohol?

No: And am not sure how you know your spleen is enlarged. If you had some kind of scan or ultrasound, you need to be asking the doctor who ordered that test. The spleen does not enlarge in alcohol-related disease until the liver is very very sick (cirrhosis). Many things can cause splenic enlargement, and only your physician can figure it out with full history, examination and appropriate tests. ...Read more

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What causes enlarged spleen&liver, severe hypocholesterolemia, heterogenious thyroid w/ heterogenious nodule all at once? Are these related or no?

What causes enlarged spleen&liver, severe hypocholesterolemia, heterogenious thyroid w/ heterogenious nodule all at once? Are these related or no?

Probably not: Get a doc to be the captain to sort out where to start and priorirtize the most serious or symptomatic issues to start with. I seriously doubt there is one unifying diagnosis. ...Read more

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I had blood work done & my a/g ratio & my sgot were low but my globulin count was high. I also have enlarged spleen & liver. What could cause this?

I had blood work done & my a/g ratio & my sgot were low but my globulin count was high. I also have enlarged spleen & liver. What could cause this?

Very complicated: Too many illnesses to discuss in this forum. If you have hepatosplenomegaly you need to be seen by a pcp and perhaps referred to someone with expertise in this area. Obviously you must be seeing somebody now and being evaluated. Ask them... ...Read more

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Abdomen usg says: fatty liver, mild splenomegaly, diffuse bowel wall thickening at right illiac region. Possibility of distal iletis. Is it serious?

Abdomen usg says: fatty liver, mild splenomegaly, diffuse bowel wall thickening at right illiac region. Possibility of distal iletis. Is it serious?

Does not: Sound good. Hard to say how serious without more information. Could be from an infection of some site that is treatable, but you should not have any of these issues especially so young. ...Read more

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Hi I am a 26 f with two kids 4&1.I have itp but also a fatty liver. I'm obese and have just lost 8 kg in 4 wk Having spleen removed what's survival rate?

Hi I am a 26 f with two kids 4&1.I have itp but also a fatty liver. I'm obese and have just lost 8 kg in 4 wk Having spleen removed what's survival rate?

Good: Like you know the fatty liver will improve with weight loss. Good diet and healthy lifestyle is important including avoiding alchol. If the ITP is responding to treatment that is good. Though periodic CBC, monitoring for treatment adverse effects, hematologist and hepatologist visits are indicated ...Read more

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2.5 yr old fever of 104 for 2 days no other symptoms took to doc said he has an enlarged spleen & liver. Possible causes?

A number of causes: Fever with enlarged spleen and liver (hepatosplenomegaly) in a child can be a variety of things. Many viral infections--Epstein-Barr and CMV in particular--could do this. Some animal-borne bacterial infections or even TB can do it as well. Finally, there are more dangerous things like leukemia and lymphoma that can present this way. Consult with your pediatrician or possibly an ID specialist. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


Dr. Ihab Ibrahim
1 Doctor shared a insight

Fatty Liver (Definition)

A condition where fat makes up more than 5% to 10% of the weight of your liver/ In some cases, this disease can ...Read more