Doctor insights on:
Is Dark Urine A Sign Of Ruptured Spleen With Mono
Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...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
May have mild ruptured spleen. Pressed area yesterday w/sharp pain+bp drop. Now slight pain in area and tired. Have mono dr said no swelling past 3 weeks?
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
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
I have mono and my spleen is ridiculously enlarged and I'm afraid it is going to rupture. How can I decrease the inflammation?
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
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
If the spleen is enlarged by a disease process it become more susceptible to injury.
Otherwise, a normal spleen shouldn't have problems with streaching. ...Read more
I have mono and can't have sex, so can I "take care of business" by myself, or will my spleen rupture?
I wouldn't worry: I would not be concerned that your efforts would put your spleen at risk. ...Read more
My son has a ruptured spleen. Was sent home from er. What are some side effects while healing like maybe chills etc.?
Watch for bleeding: In children every effort will be made to save the spleen, to avoid the future life threatening infections of pnemococcus, meningococcous. Acts as filter of damaged rbc, & vital immunological roll. Need to watch rebleeding, dizziness, rapid pulse, looking pale less common infection, yes chills follow doctor instruction, any doubt take back to er to prevent life threatening re-bleed. ...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
Having severe pain in the area where my spleen is whenever I move or breathe. Ultrasound came back ok but is there still chance of ruptured spleen?
Life: Potentially a full life if bleeding is effectively controlled. Not having a spleen is very unlikely to change ones life span. ...Read more
Depends: Splenic injuries are graded for severity. Less severe injuries may be treated non-operatively. More severe injuries may require emergency surgery. ...Read more
Depends: Most of the time ruptured spleen is a result of significant trauma and the abdominal pain would be very noticeable, and the person is evaluated and diagnosed quickly in an emergency room setting. But, I have also seen torn spleen that ruptures days after a neglected injury in someone who did not seek medical evaluation immediately after a significant traumatic injury. ...Read more
Often heals: Most lower grade injuries and a select few higher grade injuries will heal without surgery. Real factors determining course are whether the bleeding can be stopped--- if you continue to bleed, surgery is required, or in a select few cases radiology can be used to emboli ze bleeding vessels. If you are unstable, out it comes. ...Read more
Maybe: Not wearing seat-belts in a car accident can result in many severe injuries. The worst injury would be a brain injury. Other injuries would be rib fractures, heart injury, torn aorta or major vein, lung contusion, liver fracture, kidney fracture, intestinal rupture, spleen fracture, etc, etc, etc. ...Read more
It depends: If it was treated with surgery then you are probably OK with flying but ask your surgeon. If your ruptured spleen was managed nonoperatively then it depends on the degree of injury to the spleen but it would be prudent to wait to travel by plane for a few to several weeks after injury. Discuss it with a doctor who has seen your xrays and knows the degree of splenioc injury. ...Read more
Splenic Trauma: The spleen is a relatively fragile organ but it is tucked away & protected by the left lower rib cage in the abdominal cavity. It takes a pretty strong force to rupture a normal spleen, typically due the ribs breaking in that area (car crash, bad fall). The spleen is very well-vascularized--if the trauma is significant, life-threatening bleeding can occur, requiring emergency rx. ...Read more
Be cautious: Follow the hospital discharge instructions which should include avoiding strenuous activities, and definitely no contact sports. If you did not receive any discharge instructions, contact you discharging physician for further instructions. ...Read more