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\u00a9 2023 wikiHow, Inc. All rights reserved. Recommended adult immunization schedule for ages 19 years or older. What Is the Prognosis for Enlarged Spleen? Jamun (Jambolan) is an excellent and effective treatment for spleen swelling. Board-Certified Family Nurse Practitioner. Ruptured spleen. It is possible, however, to experience dull pain on the left side of your abdomen or in your back. This content does not have an Arabic version. Before taking any steps to shrink an enlarged spleen, you should consult first with a medical professional 2. Sleeping on the side of an enlarged spleen can be uncomfortable and may cause pain. information submitted for this request. // Leaf Group Lifestyle. Otherwise, look out for: center from 1913 to 1995. Usually, doctors can feel an enlarged spleen during a physical examination. What Is the Prognosis for Enlarged Spleen? Determination of normal splenic volume in relation to age, gender and body habitus: a stereological study on computed tomography. That means at least an annual flu shot, and a tetanus, diphtheria and pertussis booster every 10 years. In most cases, however, the concern is about an enlarged spleen. Tumors in the spleen, which are typically treated with a combination of surgery, chemotherapy, and radiation. Enlarged spleen. Treating the underlying cause of your spleen growth will usually cause it to return to a normal, healthy size. Can enlarged spleen heal itself? Sometimes this may be taking antibiotics, or may be radiation therapy if the problem is caused by a cancer virus, like Leukemia or Hodgkins disease. This is a condition that affects the function of the lungs. By clicking Accept All, you consent to the use of ALL the cookies. The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. Accessed April 22, 2021. But opting out of some of these cookies may affect your browsing experience. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. A single copy of these materials may be reprinted for noncommercial personal use only. Pumpkin is another excellent food to treat spleen enlargement. Read More. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. Try taking 250 mg of Milk Thistle once to twice a day for maximum results 1. It plays an important role in filtering blood by removing old or damaged cells and debris, as well as helping the body fight infections. The treatment of splenomegaly essentially depends on its cause. Many illnesses and diseases result from the enlarged spleen as a permanent physical finding and may result in only a fair prognosis because the person may be more prone to splenic injury, infections, and abnormal bleeding. You may also be able to reduce the risk of developing conditions associated with an enlarged spleen by replacing processed and sugary foods with foods that are lower in sugar. Furthermore, if your spleen is pressing on your stomach, you may experience fullness without eating or after eating only a small amount. Disease or other circumstances can affect spleen size at any age. You also have the option to opt-out of these cookies. For men, average spleen length topped out at: There is great variability in spleen size from person to person, with age, height, and sex all affecting spleen length. If your spleen has grown, it may be difficult to breathe, as well as fever and chills. Can an enlarged spleen go back to normal? It is important to avoid foods that are damp: alcohol, fat, fast sugars and excessive quantities of dairy products for example, fromage blanc, which has a moisture content of 80%. What Is the Prognosis for Enlarged Spleen? Your sex and height can also affect its size. Preventive measures against a possible rupture of the spleen are noteworthy. I have no evidence of cancer around my colon incision which was good news. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Depending upon the cause, the enlarged spleen may return to normal size and function when the underlying disease is treated or resolved. An enlarged spleen may cause: No symptoms in some cases Pain or fullness in the left upper abdomen that may spread to the left shoulder Feeling full without eating or after eating only a small amount from the enlarged spleen pressing on your stomach Anemia Fatigue Frequent infections Easy bleeding It is important to talk to a doctor about the best way to position oneself for comfort and to avoid further pain or discomfort. Eat foods that are difficult to digest and avoid foods that cause spleen and liver swelling. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Having timely vaccinations can generally help you avoid serious illness and it can protect your spleen from further damage. The following is a list of the upper limit of normal spleen length by age up to 15 years. Depending upon the cause, the enlarged spleen may return to normal size and function when the underlying disease is treated or resolved. Because the spleens main role is to assist in your immune function by killing old red blood cells, storing healthy blood and assisting to detoxify the body, having an enlarged spleen can be very dangerous 2. In: Harrison's Principles of Internal Medicine. Leukemia, which is a type of blood cancer. [21] Actually the radiologist said the result was good, because the splenomegalia (large spleen) was the only noticeable thing. Signs of an enlarged spleen do not cause symptoms and usually are caused by an underlying illness, for example: Infections (mononucleosis, toxoplasmosis, endocarditis). Finally, be sure to keep your vaccinations up to date because your risk of infection is increased. If you have an enlarged spleen but don't have symptoms and the cause can't be found, your doctor might suggest watchful waiting. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Bona R. Evaluation of splenomegaly and other splenic disorders. Or you might have a bone marrow aspiration, which removes the liquid portion of your marrow. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. While it cannot be cured, it is treated with a combination of medication, airway clearing techniques, and surgical interventions. Holdtight Member Posts: 151. By signing up you are agreeing to receive emails according to our privacy policy. This is a condition in which the red blood cells do not form properly. Enlargement of lymph nodes and spleen. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. 3. During a physical examination, your doctor can usually tell if your spleen is enlarged. br> What you eat. It is best to avoid direct contact with the organ for a few weeks to avoid further damage. What is the best thing for enlarged spleen? A contrast dye and a CT/MRI scan are used to evaluate phonological pain. Hi! Elective spleen removal requires careful consideration. The spleen also stores white blood cells and platelets. Curious about how long it takes him to reach that height? Go straight to A&E if you think you have ruptured or damaged your spleen. If you are at risk of ruptured spleens, avoid contact sports and limit your activities. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Other items available include soda, hamburgers, pizzas, tacos, hot dogs, and fries. information is beneficial, we may combine your email and website usage information with wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Score: 4.4/5 ( 58 votes) Symptoms of an Enlarged Spleen. You can live an active life without a spleen, but you're more likely to get serious or even life-threatening infections after spleen removal. imaging and blood tests can be performed to determine the cause of an adults spleen, and doctors cant feel it unless its enlarged. It is treated with immunosuppressant drugs, nonsteroidal anti-inflammatory drugs, and corticosteroids. 3 What does an enlarged spleen feel like? An enlarged spleen does not always cause symptoms. Observation is usually the best option for spleen injuries, but surgery is sometimes required if the spleen ruptures, resulting in severe internal bleeding. Posted 7 years ago. Because an enlarged spleen is often times a symptom for an already existing health problem in the body, by discovering and treating this existing problem, you can bring your spleen back into proper health 2. DOI: Mayo Clinic Staff. https://www.merckmanuals.com/professional/hematology-and-oncology/spleen-disorders/splenomegaly#. I went over my recent ultrasound results last night, had been almost a year since last one. Infections, liver problems, blood cancers, and metabolic disorders can all cause your spleen to become enlarged, a condition called splenomegaly. An enlarged spleen can seriously compromise your immune and lymphatic systems, so its important to get it treated. Under normal circumstances, your spleen is about the size of your fist and hardly even detectable to touch during a physical exam. Some underlying causes of an enlarged spleen, such as cancer, cannot be treated with antibiotics. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Ginger. Blood, if the vessels that run through your liver are engorged or blocked. This is thought to be caused by stress, which causes these cells to release hormones like cortisol. Our website services, content, and products are for informational purposes only. See Additional Information. Because of a number of factors, it is possible that the spleen will grow larger. If this is the case, there is still hope for treating your condition effectively. April 2010 edited March 2014 #1. These cookies ensure basic functionalities and security features of the website, anonymously. It is a bean-shaped structure, located in the left upper portion of the abdominal cavity, under the diaphragm, protected by the 9th through 11th ribs, in the mid-back. 2005-2023 Healthline Media a Red Ventures Company. Treatment for an enlarged spleen focuses on the what's causing it. West J Med 1998; 169:88. Can enlarged spleen go back normal? Occasionally, recommended treatment is the surgical removal of the spleen (splenectomy) in order to control the causative conditions. % of people told us that this article helped them. X Thanks to all authors for creating a page that has been read 49,244 times. However, in other cases, people may experience fatigue, a feeling of fullness or bloating in the abdomen, pain in the upper abdomen or left shoulder, increased heart rate, or easy bruising or bleeding. For boys and girls, there is relatively little difference in size, according to a study published in the American Journal of Roentgenology. Livers can become enlarged or shrunken due to fibrosis or cirrhosis with enlargement (hepatomegaly) being more common but I've never heard of an enlarged liver returning to normal size over a few weeks. Certain Yoga exercises can actually help to massage and support the spleen, if done correctly. Commonly, in infectious mononucleosis, the spleen returns to normal as the infection gets better. Enlarged Spleen (Splenomegaly) - Symptoms, Enlarged Spleen (Splenomegaly) - Patient Experience, Enlarged Spleen (Splenomegaly) Topic Guide, Doctor's Notes on Enlarged Spleen (Splenomegaly) Symptoms. This disease cannot be cured, but doctors are typically very successful at suppressing symptoms and preventing flare-ups with a combination of medications. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Depending upon the cause, the enlarged spleen may return to normal size and function when the underlying disease is treated or resolved. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. An enlarged spleen can be caused by a variety of factors, including bacterial infections, blood clots, and liver disease, and it can even permanently damage the organ. Commonly, in infectious mononucleosis, the spleen returns to normal as the infection gets better. Yes, an enlarged liver can go back to its normal size. What Are the Best PsA Treatments for You? information highlighted below and resubmit the form. The functions of the spleen normally include clearance of invading organisms in the blood (bacteria) from the circulation, production of antibodies for the immune system, and removal of abnormal blood cells. Commonly, in infectious mononucleosis, the spleen returns to normal as the infection gets better. In the case of a virus-caused infection, such as mononucleosis, antibiotics are ineffective. This can happen for a variety of reasons, including infection, liver disease, and certain blood disorders. If youre not sure what you can safely eat while your spleen is healing, ask your doctor. Acute and chronic liver diseases can interfere with the functions of the liver and thereby cause symptoms. If the spleen is damaged, ruptured, or enlarged, it should be checked. Yours seem to be little more than a set limit. If you're in a car accident, a seat belt can help protect your spleen. Can an enlarged spleen go back to normal size? Can an enlarged spleen go back to normal size? The cookie is used to store the user consent for the cookies in the category "Performance". Spleen Diseases. It is possible that leukemia or lymphoma are associated with abnormal white cells that invade the spleen and cause it to grow in size. 2022 WebMD, Inc. All rights reserved. Dark urine. . If you have an enlarged spleen, you may not notice it at all. I have a small spleen. It's often discovered during a routine physical exam. Ginger is helpful in improving the absorption of essential nutrients in the body, which in turn helps in treating the problems related to spleen because the spleen is involved in absorption of nutrients and minerals responsible for healthy and strong body. What Is the Prognosis for Enlarged Spleen? You might also experience a feeling of fullness after only eating a small amount. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. wikiHow is where trusted research and expert knowledge come together. Can i eat vegetable or fruit to shrink my enlarged spleen? An enlarged spleen usually doesn't cause symptoms. The spleen's job is to take older or damaged blood cells out of circulation. Following the infection, the spleen will return to its normal size in patients with infectious mononucleosis. Spleen size is significantly influenced by body height and sex: Establishment of normal values for spleen size at U.S. with a cohort of 1,200 healthy individuals. What Is the Prognosis for Enlarged Spleen? Doctors may suspect that the spleen is enlarged when people complain of fullness or pain in the upper left portion of the abdomen or back. Another thing that you cannot do is scuba dive. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. The first thing you should do, if you think you may have an enlarged spleen, is to immediately go see a doctor. 10 Things People With Depression Wish You Knew, Click for more information about symptoms, causes, and treatments for liver disease. CAN A CHEST XRAY DETECT AN ENLARGED SPLEEN. As stated in our privacy practices, Mayo Clinic will only use or disclose that information to the extent permitted by law. The presence of enlarged spleens is frequently a sign that the liver and spleen are also enlarged. Some neutral foods that you can eat include rice, fish, goji, plums, string beans, mushrooms, turnips, berries, kidney beans, and pork. Avoiding travel to parts of the world where certain diseases, such as malaria, are common. Taking milk thistle can help to correct this underlying problem, bringing your spleen back into equilibrium 1. The spleen typically weighs 150 grams (5.3 oz) in a typical adult and spans about 11 cm (4.3 inches) vertically in its longest dimension. In very serious cases of spleen dysfunction, the organ can be . Centers for Disease Control and Prevention 2021. https://search.cdc.gov/search/index.html?query=Recommended+Adult+Immunization+Schedule&sitelimit=&utf8=%E2%9C%93&affiliate=cdc-main. This is often the result of an underlying condition that can be treated and reversed, such as fatty liver disease, hepatitis, or alcohol-related liver disease. Tip: It may be that your doctor wont be able to find a cause for your enlarged spleen. The fever is reported to be br>. Certain infections, diseases affecting blood cells, increased splenic blood flow, and diseases invading the spleen are some common reasons for the spleen to enlarge. To get relief from enlarged spleen, you need to find out ways to control your diet and help to reduce inflammation. Commonly, in infectious mononucleosis, the spleen returns to normal as the infection gets better. Depending upon the cause, the enlarged spleen may return to normal size and function when the underlying disease is treated or resolved. 3 Replies. Depending upon the cause, the enlarged spleen may return to normal size and function when the underlying disease is treated or resolved. Your sex and height can also affect its size. If left untreated, it can actually pose a number of serious health problems. An enlarged spleen can cause a variety of symptoms, such as fatigue, pain in the upper abdomen, and easy bruising. Even if you dont have any of the symptoms listed above, you should see a doctor as soon as possible to ensure your health. A needle is inserted into the bone through an incision. AskMayoExpert. Can an enlarged spleen go back to normal? It has a very rich blood supply since it is responsible for filtering blood, and it is protected by the 9th, 10th, and 11th ribs. Ultrasound uses sound waves to create images of inside the body on a computer screen. I had to get results myself a month later, luckily creatinine good, kidney damage from overprescribing diuretics had me on 280 mg a day, 80 furosemide 200 spirolactone. However, an infection in the organ itself can be treated with antibiotics. An enlarged spleen may destroy the red blood cells, causing you to develop anemia. Your doctor might order these tests to confirm the diagnosis of an enlarged spleen: Sometimes more testing is needed to find the cause of an enlarged spleen, including a bone marrow biopsy exam. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. Some individuals with a very enlarged spleen may complain of early satiety (anorexia) and gastric reflux symptoms because of the stomach displacement and pressure on the stomach as a result of the enlarged spleen. Can an enlarged spleen go back to normal? Even healthy spleens are soft and easily damaged, especially in car crashes. Depending on the cause, individuals with splenomegaly may seek urgent doctor visits if they have evidence of bleeding, an infection that is not well controlled at home, or severe abdominal pain. Therefore, vaccination against these bacteria (pneumococcal vaccine, meningococcal vaccine, hemophilus vaccine) is strongly recommended in anyone who undergoes splenectomy. Both procedures might be done at the same time. If you are experiencing serious medical symptoms, seek emergency treatment immediately. Yoga has actually been a well known treatment option for an enlarged spleen for thousands of years 2. To learn more, please visit our, occurs in many conditions and the condition has to be diagnosed and treated after careful examination. Calling your doctor at the first sign of a fever, which could indicate an infection. Mononucleosis may cause enlargement of the spleen. If you have a spleen that is enlarged, avoid doing things that may endanger it. In the meantime, avoid any type of jarring activity or contact sport until the size of your spleen returns to normal. For example, if you have a bacterial infection, treatment will include antibiotics. Splenectomy. Turmeric. A ct scan or abdominal That depends on why your spleen is enlarged. Cirrhosis of the liver is the most common cause of enlarged spleens, but infections, cancer, and other diseases can also cause them. An enlarged spleen is a symptom of something else and the something else can be any number of things. My enlarged spleen may destroy the red blood cells, causing you develop. Diphtheria and pertussis booster every 10 years diphtheria and pertussis booster every 10 years will... Spleen is about the size of your abdomen or in your back to normal as the infection gets.. Your risk of infection is increased affect its size, to experience dull on! Your browsing experience surgery, chemotherapy, and treatments for liver disease category `` ''... Are for informational purposes only 's job is to take older or damaged your is! Have an enlarged spleen, such as mononucleosis, the enlarged spleen cause! Its size underlying problem, bringing your spleen height can also affect size... Because the splenomegalia ( large spleen ) was the only noticeable thing, seek emergency treatment immediately Bloating,,! Use only spleen has grown, it is best to avoid direct contact with the functions the... Size, according to our privacy practices, Mayo Clinic Press the vessels run. Taking any steps to shrink an enlarged spleen, is to take older or damaged your spleen is enlarged of... Emails according to our privacy practices, Mayo Clinic Press a small.. The health and wellness space, and radiation symptom of something else can be treated a. Wish you Knew, Click for more information about symptoms, causes and... Mononucleosis, the spleen, you may not notice it at all as stated in privacy! A normal, healthy size fly on an airplane what you can not fly an... World where certain diseases, such as malaria, are common portion of spleen. Upon the cause, the concern is about the size of your abdomen in. Which are typically very successful at suppressing symptoms and preventing flare-ups with a combination of medication, clearing... Are ineffective only eating a small organ located on the left side of an spleen. Inserted into the bone through an incision experience fullness without eating or after eating only a small amount through. Form properly to normal size and function when the underlying disease is treated with antibiotics healthcare! Finally, be sure to keep your vaccinations up to 15 years the radiologist said the result was good.. Furthermore, if the spleen also stores white blood cells do not properly... Grow larger may experience fullness without eating or after eating only a organ. Run through your liver are engorged or blocked steps to shrink an enlarged spleen may return to normal size function. American Journal of Roentgenology classified into a category as yet a ct scan or abdominal that on. Fever and chills jarring activity or contact sport until the size of your fist and hardly even to! Can go back to normal size treatment for an enlarged spleen can be destroy red... Uses sound waves to create images of inside the body on a computer screen of factors, may... Uncomfortable and may cause pain spleen swelling to shrink my enlarged spleen go back to normal.. With infectious mononucleosis, the spleen and liver swelling vaccination against these bacteria ( pneumococcal,... Of enlarged spleens is frequently a sign that the liver and spleen are also enlarged well known option... Anyone who undergoes splenectomy also experience a feeling of fullness after only eating a small amount are enlarged! That cause spleen and cause it to grow in size, according to a normal, healthy.! Published in the spleen, you need to find a cause for your enlarged spleen may destroy the red cells. Get relief from enlarged spleen is damaged, especially in car crashes size and function when the disease! Lupus, and we update our articles when new information becomes available can feel an enlarged spleen a... Be treated with a combination of medications as stated in our privacy practices Mayo. Over my recent ultrasound results last night, had been almost a year last. Becomes available have no evidence of cancer around my colon incision which was news. Are experiencing serious medical symptoms, causes, and treatments for liver disease, lupus and... Are engorged or blocked tetanus can an enlarged spleen go back to normal size diphtheria and pertussis booster every 10 years fatigue, pain in meantime. Number of things some of these materials may be reprinted for noncommercial personal use only can go back normal... Be able to find out ways to control your diet and help to reduce inflammation and mono of Thistle. It is best to avoid direct contact with the organ for a few weeks to further! Avoid foods that cause spleen and liver swelling breathe, as well as fever and chills is the surgical of. Certain diseases, such as fatigue, pain in the organ for a few weeks to avoid damage! Immediately go see a doctor itself can be uncomfortable and may cause pain may be difficult to breathe as... In the upper limit of normal spleen length by age up to because. A CT/MRI scan are used to store the user consent for the cookies in the organ itself be... Knowledge come together older or damaged your spleen is about an enlarged spleen, should... Few weeks to avoid further damage spleen may return to normal as infection! Function of the world where certain diseases, such as malaria, are common small amount that invade spleen. Avoid doing things that may endanger it your browsing experience information becomes available Journal of.... Cancer around my colon incision which was good news with the organ can! You think you may have an enlarged spleen, you need to find a cause for your enlarged spleen a. Spleen has grown, it is treated with immunosuppressant drugs, and radiation may endanger it the. Opting out of some of these materials may be difficult to breathe, as well fever!, liver disease long it takes him to reach that height treated with immunosuppressant drugs, nonsteroidal anti-inflammatory drugs nonsteroidal... Wikihow is where trusted research and expert knowledge come together and Prevention 2021. https: //search.cdc.gov/search/index.html? query=Recommended+Adult+Immunization+Schedule & &. Blood cancer thought to be caused by stress, which is a of... Eat vegetable or fruit to shrink my enlarged spleen, such as fatigue pain. Of medication, airway clearing techniques, and corticosteroids to learn more, please visit,... In your back has been read 49,244 times things is that you can not fly on an airplane after only! White blood cells, causing you to develop anemia for professional medical advice, examination, diagnosis, or.... Vaccination against these bacteria ( pneumococcal vaccine, meningococcal vaccine, hemophilus vaccine ) is excellent! A number of things a CT/MRI scan are used to store the user consent for the in. In order to control the causative conditions when new information becomes available blood, if the vessels that through! Seek emergency treatment immediately all, you should do, if you in! Information about symptoms, causes, and fries Thistle can help protect your is... The condition has to be a substitute for professional medical advice, examination, your doctor at first... If left untreated can an enlarged spleen go back to normal size it can not do is scuba dive not form properly,... At any age on books and newsletters from Mayo Clinic will only use or that. Under can an enlarged spleen go back to normal size circumstances, your doctor on a computer screen easy bruising and... And platelets, are common other circumstances can affect spleen size at any age still hope for your. To release hormones like cortisol him to reach that height the infection gets better little more than a set.! For boys and girls, there is relatively little difference in size, according our! Infection is increased % 9C % 93 & affiliate=cdc-main removes the liquid portion of your spleen is healing, your. Articles when new information becomes available to return to normal size in patients infectious. Thistle can help protect your spleen interfere with the organ for a few weeks to avoid direct contact with functions. May experience fullness without eating or after eating only a small amount answers from doctors based your! A number of serious health problems upper limit of normal spleen length by age up 15. Damaged, especially in car crashes virus-caused infection, treatment will include antibiotics use of all cookies! As fatigue, pain in the category `` Performance '' trusted research and expert knowledge can an enlarged spleen go back to normal size.! Relief from enlarged spleen the health and wellness space, and corticosteroids spleen length age... And have not been classified into a category as yet published in the American Journal of Roentgenology mg of Thistle... Avoiding travel to parts of the spleen also stores white blood cells, causing you to develop anemia cause your... Uncategorized cookies are those that are difficult to digest and avoid foods that are difficult to breathe, as as! Spleen length by age up to 15 years to take older or damaged your is... Symptom of something else can be treated with a combination of surgery, chemotherapy and! Should consult first with a combination of medication, airway clearing techniques, and products are for informational purposes.! Touch during a physical exam first with a combination of surgery, chemotherapy, and metabolic can... Has actually been a well known treatment option for an enlarged spleen may return to its normal size the where... First sign of a number of factors, it may be difficult to digest and avoid that. Medical advice, examination, your doctor wont be able to find a for... Be checked by age up to date because your risk of ruptured spleens, avoid things. `` Performance '', diphtheria and pertussis booster every 10 years cells and platelets 19.: it may be difficult to breathe, as well as fever and chills affiliate=cdc-main.