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Doctor insights on: Enlarged Spleen And Fatty Liver

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Dr. Tony Ho Dr. Ho
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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. Patricia Foster
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 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

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. Gerald Mandell
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