Spleen enlargement, I don t know how?

Hello, the spleen of a normal person cannot be touched from the undersides. In cirrhosis, due to portal hypertension, the blood return of the spleen is blocked, the spleen gradually enlarges, and the spleen also undergoes proliferative enlargement. The spleen is enlarged, mostly 2 or 3 times of normal, and the lower edge of the spleen can reach the level of the flat umbilicus or subumbilicus, and the general spleen is enlarged to a certain extent and then no longer enlarged.

The spleen may shrink if there is massive bleeding in the upper gastrointestinal tract or if portal venous pressure drops after surgery. An enlarged spleen is hard and nontender. However, a small number of patients with cirrhosis and portal hypertension remain without splenomegaly.

Hypersplenism refers to the destruction and isolation of blood cells by the enlarged spleen, the number of red blood cells, white blood cells and platelets in the blood is reduced, the general blood is small in the normal state generally can not touch the spleen, if the supine or right decubitus position may touch the edge of the spleen, it can be considered splenomegaly, in recent years, B ultrasound has been widely used in clinical practice, and a large number of "splenomegaly" that can not be touched by hand have been found, and about 15 people with splenomegaly are found in the health examination, most of which can not be touched by hand, B-ultrasonography shows that splenomegaly is actually measured, that is, it is truly large, and it can show that the spleen is enlarged earlier, and when the spleen can be palpated by hand, the spleen has more than doubled in size.

The causes of splenomegaly are:

1) Infectious splenomegaly. All kinds of acute and slow infections such as typhoid, paratyphoid, kala-azar, schistosomiasis, malaria, viral hepatitis, sepsis, late syphilis, etc.

2) Bloody splenomegaly. Spotik's syndrome, cirrhosis, cardiogenic cirrhosis due to chronic heart failure, chronic constrictive pericarditis, portal or splenic vein thrombosis.

3) Proliferative splenomegaly. It is seen in certain blood diseases such as leukemia, hemolytic anemia, malignant lymphoma, etc.

4) Miscellaneous. Malignant tumors of the spleen are rare, spleen cysts, disseminated lupus erythematosus, dermatomyositis, polyarteritis nodosa, and Gaucher's disease.

Due to the complexity of the cause of an enlarged spleen, except for a few artificial physiology, it should be searched for under the guidance of a doctor, and it should be reviewed regularly. The plate reduction is most noticeable.

It's best if you go to the hospital**.

As far as I know, if you have liver disease, or if you have lymph node tuberculosis, leukemia, your spleen will be enlarged, and you have to go for an exact examination. Blood test.

What to do if you have an enlarged spleenWe generally think that a normal spleen is within a certain range of length, thickness and weight. Therefore, you need to go to the hospital for B ultrasound to check whether the size and thickness of the spleen are normal, but there is no need to worry and be nervous anyway.

What to do if you have an enlarged spleenThe spleen is a relatively soft and fragile organ in the human body, and it is a substantial organ rich in blood supply.

There are many common causes of splenomegaly, and if you can find the trigger first, you can find the most suitable way to solve the problem. The first possibility is splenomegaly caused by acute infection, such as bacterial infection, parasitic infection, etc. The second is slow ** infection, such as chronic schistosomiasis.

The third is congestion, such as chronic congestive right atrial failure. Fourth, blood diseases, such as acute leukemia. Trapped in the fifth connective tissue disease, such as lupus erythematosus.

But in the case of understanding the condition, it is still best to look for ** under the guidance of a doctor.

As a solution, you should first check the blood routine to see if there is any problem with the blood. Because the spleen is an immune organ, it will devour those unhealthy blood cells, and this is also combined with whether you usually have symptoms that are more prone to bleeding. The second is to check liver function, because if you have hepatitis, the spleen is the first thing to be affected, and the typical symptom is splenomegaly.

Third, do B ultrasound to check whether there are lesions in the spleen.