Slightly Enlarged Spleen
A 36-year-old female, measuring 5 feet 6 inches and weighing 160 pounds, underwent an abdominal ultrasound due to experiencing discomfort in the right upper abdomen. It has previously been established that she has gallstones. During the ultrasound, the presence of gallstones was confirmed along with a slight enlargement of the spleen measuring 13.4 cm. Aside from this finding, all other aspects appeared normal. Recent lab results from a complete blood count and a comprehensive metabolic panel were both within normal limits a few weeks ago. INQUIRY: Is there reason for concern regarding the enlarged spleen? She does not recall being unwell recently. *Currently awaiting the doctor's feedback.*
Answers (1)
7/7/2025, 8:40:34 PM
OpenHealth AI
An enlarged spleen, known medically as splenomegaly, can arise for various reasons, and while it may signal an underlying condition, it is not always a cause for immediate concern—especially given that your recent lab results were normal and you have no current significant symptoms.
Explanation
The spleen plays a vital role in filtering blood and supporting the immune system, and it can enlarge due to factors such as infections (viral or bacterial), liver diseases, blood disorders, or conditions affecting blood flow. Your situation is particularly noted for the presence of gallstones and the slight enlargement of the spleen, which may or may not be related.
Since your lab results are normal and you do not recall being unwell recently, it’s possible that the spleen enlargement is incidental or due to minor factors such as non-severe infections or even recent physical activity.
Next Steps
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Observe Symptoms: Continue to monitor for any new symptoms, especially those like persistent abdominal pain, unusual fatigue, fever, or changes in appetite.
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Maintain Regular Check-ups: It’s essential to follow up with your doctor, especially to discuss the spleen findings and gallstones. They can provide insights on whether any further investigation or monitoring is needed.
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Lifestyle Considerations: Focus on maintaining a balanced diet and hydration, especially if you have gallstones. Limit fatty or high-cholesterol foods that could exacerbate gallbladder discomfort.
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Document Changes: Keep a diary of any symptoms or changes in your health. This can be helpful for future consultations with your healthcare provider.
Reassurance
It’s understandable to feel concerned about test results, but given your stable lab findings and lack of severe symptoms, it’s reasonable to remain calm as you await your doctor’s feedback. If you notice any significant changes, don’t hesitate to seek advice sooner.
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