A 25 yr old male c/o pain in abdomen since 5 days Reports show mild splenomegaly Line of treatment?

3 Likes

LikeAnswersShare

Mild splenomegaly could be caused due to - Leishmaniasis Malaria Myeloproliferative disease Portal vein obstruction/portal hypertension Schistosomiasis Niemann-Pick disease Mucopolysaccharidosis Lymphomas Gaucher disease Hereditary spherocytosis Thalassemias – major, alpha or beta Histiocytosis X Conditions to consider in the differential diagnosis of mild to moderate splenomegaly include all of the above, as well as the following: Infective endocarditis Sickle cell anemia Splenic abscess Acute infectious illnesses (eg, typhoid, malaria, other tropical diseases) Acute viral infections (eg, infectous mononucleosis) Systemic lupus erythematosus Tuberculosis Angioimmunoblastic lymphadenopathy Banti disease Congestive heart failure Drug reactions with serum sickness syndromes Hyperlipidemias Idiopathic splenomegaly Immune hemolytic anemias Immune thrombocytopenic disorders Leukocyte disorders Ovalocytosis Splenic vein obstruction Symptomatic human immunodeficiency virus (HIV) infection Trypanosomiasis

Number of conditions, including liver disease and some cancers, can cause your spleen to enlarge. Your spleen is an organ located just below your left rib cage. Many conditions — including infections, liver disease and some cancers — can cause an enlarged spleen, also known as splenomegaly.. Infections, such as mononucleosis, are among the most common causes of splenomegaly. Problems with your liver, such as cirrhosisand cystic fibrosis, can also cause an enlarged spleen. Treatment for an enlarged spleen focuses on the underlying problem. In rare cases Splenectomy.

Causes of massive splenomegaly Hematological disorder like cml Moderate splenomegaly Like glycogen storage diseases Mild splenomegaly Infection CLD Infectious mononucleosis Typhoid Malaria Splenitis

Spleenomegaly is insignificant Check cbc also for platelet count Give PPI and Itopride Antispasmodic SOS

Thanks@Rajendra Rai sir
0

Treatment can not be guided only on usg findings it need to be supported by lab workout and corelation with clinical history

Thanx dr Rajendra Rai
0

Hematologist consultation is warranted Thoroughly work up before initiating treatment

.WE NEED TO CONCENTRATE MAINLY ON VATA DOSHA AND THEN ON PITTA. PLAN MATRAVASTI WITH ASWAGANDHA 50ML + MAHANARAYANA TAILAM 50ML FOR A CONSIDERABLE LENGTH OF TIME. ADVISE AMRITHAPRASHAGHRITA 10GM, BID, WITH MILK, BEFORE FOOD.

रोगी प्लीहा वृद्धि से पीड़ित है। चिकित्सा संबंधी योग,,, यकृत प्लीहा दारी लौह 4 रत्ती ताप्तयादि लौह 4 रत्ती। शहद में मिलाकर सुबह-शाम सेवन कराएं। ऊपर से ताजा गिलोय का काढ़ा बनाकर पीने को दें। अविपत्तिकर चूर्ण 5 ग्राम, शंख भस्म 4 रत्ती सुखोष्ण जल से सेवन कराएं।

Cases that would interest you