Doctor insights on:
Will My Spleen Rupture If I Laugh Too Hard
Generally, no: The spleen may become mildly to grossly enlarged during the course of having mono. In general, your physician will recommend no "rough physical activity" such as football or skiing. A hearty, robust laugh should not be enough to rupture spleen and it may in fact be good for the healing process. Just be aware, don't let the laughter get you too riled up though. ...Read more
It has been reported.
http://journal. Publications. Chestnet. Org/article. Aspx? Articleid=1083768. ...Read more
I bumped my left side where my spleen is with my fist. Not too hard and I don't feel anything. My spleen was slightly enlarged at the docs. Did it rupture or should I be okay?
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
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
Go to hospital: You should go to the hospital immediately. The spleen is very vascular and if it ruptures, the abdominal cavity can fill with blood very quickly leading to a rapid drop in blood pressure, loss of consciousness, and possibly death. After being evaluated by the emergency physician and possibly having surgery, a few vaccines may be necessary to prevent some infections. ...Read more
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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