Doctor insights on:
How Can I Know If My Spleen Is Ruptured After Falling Down Stairs
Go to ER for CT scan: The most sensitive and specific test to diagnose injury to the spleen is a ct of the abdomen. Blunt trauma to the abdomen, like what can occur when falling down stairs, should be taken very seriously. This requires emergency room evaluation. ...Read more
Listen to body: Maximal healing is reached somewhere between 3-6 months... Your body usually tells you what you can and can't do.... Consider starting small stairs when ready and listen up your body (and your doctor). ...Read more
Pain: I would believe most cases of splenic ruptures would be trauma such as a car accident or participating in contact sport as football. There are medical conditions that cause enlargement of the spleen and could possible cause a rupture. Pain would be the most common symptom. The pain most likely would be in the abdomen but pain can be referred to other areas such as the back, chest, or pelvis ...Read more
I have mono and mild pain under my ribs on the left side. Does this mean my spleen is ruptured, or could it just be enlarged?
Mono/spleen: You are likely having your spleen monitored. Unless it was large and traumatized; it is not ruptured. Continue to be assessed as required. All the best for a good recovery. ...Read more
Depends on quality:
Of the spleen.
If its a healthy, then considerable amount of force would be needed, or a rib fractured in that area can puncture it. A fall onto left side causes the left elbow hitting the splenic region is a known way of splenic rupture.
If the spleen is diseased (weakened) from any cause, then a minor trauma can certainly rupture it. ...Read more
Uncommon: The medical literature suggests that splenic rupture occurs in about 2% (2 out of 100) of malaria cases. This occurs more often during the early phases of the malaria attack and is more common in malaria strains found in turkey. The most common symptom is pain the the left upper abdomen. ...Read more
I have a splenic cyst that measures 4.4 cm. Would exercise put me at any risk for a rupture of the spleen?
Potentially...Very: The spleen is a very vascular organ and, though well protected by the rib cage, is susceptible to blunt trauma. Minor injuries may usually be managed by "watchful waiting", but rupture can lead to life-threatening bleeding. In the past, this meant splenectomy. Nowadays, we can often stop the bleeding nonsurgically by internally closing off the bleeding vessels via interventional radiology. ...Read more
Sure: A ruptured spleen can be fatal depending on the extent of the injury. Imho that is the worst thing it can do to you. However even removing the spleen (and saving your life) can lead to overwhelming infections. Most of us try nonoperative therapy first followed by surgery if this fails. Most of the time a repair can be done, but sometimes it must be removed. ...Read more
Painful: The spleen lies just under the diaphragm on the left side so when it ruptures the blood gets under the diaphragm causing significant pain with each breath and sometimes into the left shoulder blade area additionaly blood will run down left side causing pain along left side even into pelvis. It is usually very painful. ...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
Perhaps 6-12 months: Most ruptured spleens are due to trauma, in which case most of the time they are surgically removed. You can live without a spleen, though it does have some impact of immune function. Iron storage (also done in bone marrow and liver), and old red blood cell destruction (life of an RBC is 100 days). Must avoid any contact sports or further trauma to that area (left upper quadrant of abdomen). ...Read more
Medical Care Needed: The spleen is a very vascular organ and, though well protected by the rib cage, is susceptible to blunt trauma. Minor injuries may usually be managed by "watchful waiting", but rupture can lead to life-threatening bleeding. In the past, this meant splenectomy. Nowadays, we can often stop the bleeding nonsurgically by internally closing off the bleeding vessels via interventional radiology. ...Read more
Splenic injury: Splenic rupture is rupture of the spleen capsule. The spleen is located in the left upper abdominal area. The symptoms can range from left upper abdominal pain to shoulder pain and pleuritic chest pain. In advanced situations tachycardia and hypotension will develop as signs of shock. I hope this is of help. ...Read more
At least 3 months: We recommend to maintain precautions for at least three months, and in high risk patients (like someone playing contact sports) to obtain a repeat scan before being cleared to resume the risky activity. ...Read more
Life: Potentially a full life if bleeding is effectively controlled. Not having a spleen is very unlikely to change ones life span. ...Read more
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