Spleen is a ductless organ located in the upper
left quadrant of the abdomen just below diaphragm protected under the
lower left ribs. It filters the blood and maintains healthy red and
white blood cells and platelets.
>> Bacterial infections
Because this sensitive organ is normally tucked away underneath the
ribcage, it is protected from potential dangers that could cause it to
tear, which would lead to serious internal hemorrhaging (bleeding).
Normally, the spleen is a small organ about the size of a small fist or
orange. Splenomegaly describes the situation where the spleen enlarges
Hypersplenism is the name given to the condition where the spleen
becomes overactive and destroys more blood cells than it should.
Symptoms depend on which blood component is lacking. For example, if
red blood cells are deficient, anaemia will result (with symptoms
including fatigue and pallor). Most cases of hypersplenism are caused
by disorders somewhere else in the body, such as cirrhosis of the liver.
An enlarged spleen can be caused by infections, cirrhosis and other
liver diseases, blood diseases characterized by abnormal blood cells,
problems with the lymph system, or other conditions.
>> Cat scratch disease
>> Infectious mononucleosis (EBV or CMV)
>> Other viral infections
>> Parasitic infections
>> Biliary atresia
- Diseases involving the liver
>> Cirrhosis (alcoholic cirrhosis, portal
vein obstruction, portal hypertension)
>> Cystic fibrosis
>> Sclerosing cholangitis
>> Hemolytic anemia due to G6PD deficiency
>> Idiopathic autoimmune hemolytic anemia
>> Immune hemolytic anemia
>> Hodgkin's disease
>> Felty syndrome
>> Sickle cell splenic crisis
An enlarged spleen often causes no symptoms. Some people, however, may
experience one or more of the following symptoms of enlarged spleen:
- Pain in the left upper abdomen that may spread to the left
- Feeling full without eating or after eating only a small
amount - this can occur when an enlarged spleen presses on your stomach
- Frequent infections
- Easy bleeding
- Diaphragm irritation may refer pain to the left shoulder
- An enlarged spleen also can push toward the stomach and
cause anorexia or a loss of appetite and a sense of early fullness when
1.Computed blood cell count- looking for abnormal red blood cells and
white blood cells.
2.Peripheral smear to assess at the types and shapes of blood cells or
a monospot, if the diagnosis of infectious mononucleosis is being
3.Radiological findings- X-ray, ultrasound, CT scan and MRI of abdomen
to detect enlarged spleen.
When your spleen is enlarged, the possibility of rupture is far
greater. A ruptured spleen can cause life-threatening bleeding into
your abdominal cavity.
Symptoms of rupture of spleen-
In some cases, a spleen may have a
small tear resulting in a much slower loss of blood. However, this can
lead to low blood pressure and an insufficient supply of oxygen to the
brain and heart, which may become apparent through these symptoms:
- Pain on left side of upper abdomen
- Pain radiating to left shoulder
- Pain worsens when you breath
- Troubles breathing
- Blurred vision
Treatment for an enlarged spleen is usually directed at the underlying
medical condition that resulted in the splenomegaly.
These treatments are for the underlying disease and may allow the
spleen to reduce in size; however, in some cases, the spleen will
On occasion, the spleen may need to be removed surgically as part of
the disease treatment.
Role of homoeopathy-
Homoeopathy shows good results in treating spleenomegaly. The medicine
is selected on the basis of focusing on the whole organism giving
importance to each and every alteration in the patient from healthy
state to diseased state.
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