Doctor insights on:
Gilberts Syndrome Enlarged Spleen
Immunodeficiency, enlarged spleen, enlarged liver, anemia of chronic disease, are these serious issues?
You bet: And I hope are you under the care of an immunologist and hematologist. ...Read more
Chances lymphoma with no noticeable enlarged lymph nodes? CBC, CMP normal. CT normal- mildly enlarged spleen 13cm
Very Low chance: It is reassuring that there aren't any enlarged lymph nodes, and you have a normalCBC. If there is a lymphoma, it is a very hard to detect one. And it is not causing any problems to the body. I would leave it alone. Get a check up maybe in 6 months- just labs, ldh and a physical exam or ultrasound for the spleen. Spleen sizes also vary quite a lot, but good to keep an eye on it. ...Read more
Have enlarged spleen&liver;low liver enzymes;hypocholesterolemia;pain in left shoulder front&back;extreme fatigue.Could liver disease cause this?
Serious: You should see your doctor asap. You are describing something serious, liver is mafunctioning secondary to something else. Pain in the shoulder is radiating there from something in the abdomen. Any weight loss, night sweats? You need an abdominal ct and blood tests. ...Read moreSee 1 more doctor answer
You're sick. Why?: You need to demand that your physician tell you what is wrong with your liver. To leave you without an answer is unacceptable. Do you have a medication allergy? Hopefully you're not drinking. Do you have cholestatic jaundice? A viral hepatitis? Missing wilson's or hemochromatosis would be bad but it happens. Nobody here can help you until you get a proper workup from a competent physician. ...Read more
Numerous: Not always. Multiple other reasons including blood disorder. Cirrhosis of the liver again that could be alcohol induced or other medical reason induced. Essentially multiple reasons key one is blood disorder. Seeing a hematologist is the key as underlying possibilities r numerous. ...Read moreSee 1 more doctor answer
A radiology finding: Usually something noted or commented upon by a radiologist on ultrasound or ct scan. An enlarged liver with excess fatty cells can be from obesity, poor diabetes management, or other medical or medication induced liver changes. May be an incidental and clinically insignificant finding. Ask your doctor. ...Read more
U/S Liver mildly enlarged (17.5 in MCL), spleen 14.5 cm mild hepatosplenomegaly? Gastroenterologist isn't concerned? BP 130/80 rare alcohol
Why was the: Ultrasound done? Do you have any hemoglobinopathy? If you do not have any symptoms then you may be okay ...Read more
Many: Viral hepatitis, portal vein thrombosis, congestive heart failure, cirrhosis of the liver (although liver can be small in cirrhosis) are a few of the many causes. Cirrhosis of the liver can be a result of alcohol abuse, long-term viral hepatitis, many other causes. ...Read moreSee 1 more doctor answer
Probably not GB: Gallbladder disease, most frequently cholecystitis, or inflammation of the gallbladder, does not cause enlarged spleen. Under very unusual circumstances, bacterial infection could cause some response or abscess in the spleen. More often, enlarged spleen or splenomegaly is a reflection of liver disorder, in which the gallbladder may also be affected. Check with your doctor. ...Read more
See your GI: You need to be seen by your gastroenterologist asap. There are several entities that could cause these findings. Pancreatitis is often a medication side effect from a crohn's disease medication. You could also have a stone in your bile ducts somewhere. You will likely need some imaging of your abdominal organs if you have not already had some. ...Read more
I've read enlarged spleen from fatty liver only occurs after extensive liver damage.Can a "mildly fatty liver" cause a painful enlarged spleen?
Many causes : The spleen's job is to take older or damaged blood cells out of circulation. Diseases that cause abnormal or disrupted cells, like thallesemias and hemolytic anemia cause enlargement to compensate for the increased work. Congestion due to cirrhosis/portal hypertension cause enlargement by limiting blood flow out of the spleen. Tumors especially lymphoma can grow in the spleen as well. ...Read more
Mildly Enlarged spleen 13cm mildly lobulated surface contour-homogenous parychema- on CT . Impression: mild splenmeolgy . Should I worry? Anxiety
Splenomegaly: Splenomegaly can be from many causes, including infections and liver disease, but also leukemia and lymphoma and other cancers. You should communicate with the physician who ordered your imaging. Your lab tests need to be correlated with your physical exam and medical history and review of systems to construct a differential diagnosis and determine what is going on. Good luck. ...Read more
Depends: Inflammation of the liver can be due to a number of causes like fatty liver disease (very common now a days) or from viral hepatitis, metabolic causes, alcohol, autoimmune disorders, medications, etc. Without knowing more, i would seek consultation from a liver specialist to discuss further on what the next steps are. Simple lab tests along with a detailed history can help aid with the diagnosis. ...Read more
Lymphoma vs. other: The spleen in hl may be heterogeneous/inhomogeneous/non-uniform due to lymphoma involvement, spleen infarction (death) due to cancer death in the spleen, or infection, or "other". The radiologist may or may not be able to determine that and your oncologist might be able to say more about it with knowing the clinical history. ...Read moreSee 1 more doctor answer
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