Fatty Liver And Enlarged Spleen

The Facts About Enlarged Spleen And Liver Disease Conditions
Many people have heard of a disorder called enlarged liver. Many of those same people, however, may not have heard of an enlarged spleen. Fewer still probably know about a condition in which both of these medical challenges happen at the same time.

An enlarged liver is called hepatomegaly by doctors. Enlarged spleens are referred to as splenomegaly. Some individuals get both an enlarged liver and spleen at the same time, in which case the condition is called hepatosplenomegaly. Most people simply call the affliction enlarged liver and spleen disease.

It should be noted, however, that neither an enlarged liver nor an enlarged spleen are regarded as diseases themselves. Instead, they are a symptom of some other problem.

So, how does someone get enlarged liver and spleen? And just how much of a threat are they to your health?

In general, an enlarged liver is the result of an infection. It can also be due to toxins like dangerous drugs, alcohol, or harmful substances in your environment. Often liver enlargement is triggered by some other medical affliction. It might also be due to a metabolic condition.

An enlarged spleen, on the other hand, occurs because of conditions or diseases that cause destruction of red blood cells in the spleen.

Hepatosplenomegaly, the combination of enlarged liver and spleen, is ordinarily caused by a disease or malady involving the kidneys, liver or red blood cells. These would consist of viral infections, such as chronic hepatitis C, cirrhosis, typhoid, kidney and liver infections and blood diseases. If an individual has non-Hodgkin’s lymphoma for example, the liver and spleen grow in size as the cancer progresses. This can result in intense suffering in the liver region. Certain hereditary disorders as sickle cell anemia also cause spleen and liver enlargement.

Enlarged liver and spleen could be perplexing for doctors to detect for the reason that there aren’t many symptoms. But there are some clues. The clearest of these is aching in the liver region and difficulty digesting sizeable, rich meals. Your may perhaps need to undergo some tests to get a firm diagnosis.

As mentioned above, symptoms of enlarged liver and spleen are ordinarily not pronounced, so in many cases, you you’ll have no idea the enlargement is taking place. Mild pain when you touch or put pressure on the area around the liver may be one of the first distinct signs.

If you’ve been feeling discomfort in the liver area recently, it’s a good idea for you to give your medical care provider a call. Treatment varies, of course, and depends on the cause of the enlargements. Your physician will look for ways to reduce the swelling and produce you relief from the pain. Depending on the cause for the enlarged organs, antibiotics may possibly be appropriate, but this is not true in all cases.

You may be concerned about the possibility of a ruptured spleen, but more often than not it’s not a matter of concern. But it is not out of the question, and when it occurs, it normally causes a substantial blood loss. It can sometimes be life-threatening. For this reason, enlarged liver and spleen should be quickly treated by a medical professional.

Frequently Asked Questions

  1. QUESTION:
    what causes enlarged fatty liver and enlarged spleen?
    I’m 25 with type 1 diabetes, about a month ago my feet started swelling (like if you are in your last trimester in pregnancy and you went on a road trip) a couple days later it moved up to my legs as well so I went to the doctor,all they found was my white blood cell count was a little high and protein in my urine. I didn’t have an infection my sugar was high, however it is fine now and I’m still swollen. Three days after that my abdomen was swollen (I looked and still do like I’m 6 to 7 months pregnant). I went from 130 to 160 from the swelling in two weeks!! I went back to my doctors and he felt around then sent me to get an ultrasound of my abdomen. They found a fatty enlarged liver and spleen. I have a gastro. appointment next week, but for the past couple of days the pain has increased.

    • ANSWER:
      Fatty liver is linked to varies conditions including diabetes. A fatty liver is one of the causes of an enlarged spleen. Your fatty liver is causing your oedema (swelling due to excess fluid).

      Good link about a fatty liver and how to reverse it >>>

      http://www.liverdoctor.com/index.php?page=fatty-liver

      Enlarged spleen >>>

      http://www.emedicinehealth.com/enlarged_spleen_splenomegaly/article_em.htm#causes

  2. QUESTION:
    PLEASE HELP>>>ENLARGED SPLEEN, FATTY LIVER, WHAT DOES IT MEAN?
    Hello, my mom has just told me today (after undergoing lots of testing) that she has been told she has an enlarged spleed, a fatty liver and her liver enzymes are up as well and also some vein or artery that goes from her chest to her neck (thats just where she pointed to) is also enlarged and they are doing more testing as well and bloodwork but I would like to know if anyone has any ideas as to what this could be?? my mother will be 46 in July and she is diabetic(controlled with diet and pills), has hbp(under control), and high cholesterol(under control as well)…Also she is a smoker..please help

    • ANSWER:
      Fat inside the liver causes pressure. It usually
      starts out as Simple Fatty liver. However, if the
      Fat damages the liver cells, the immune system
      of the body will respond to this. It will cause
      inflammation to develop inside the liver. This
      is no longer Simple Fatty liver, it is
      “Steatohepatitis”. Steato stands for fat, hepat stands
      for liver, and itis stands for inflammation.
      Inflammation inside the liver will cause the liver
      to enlarge in size.
      If the cause is found and stopped, then the liver
      cells may heal. If it is not stopped, it can proceed
      to where the liver cells start to die off and form scar
      tissue inside the liver. This is then an irreversible
      disease known as Cirrhosis of the liver.

      Many things can cause a fatty liver: alcohol consumption,
      weight gain, losing weight fast, being mal nourished,
      diabetes, insulin resistance, high cholesterol/triglyceride
      levels, and others.

      If the blood cannot flow well through the liver, on its
      way back to the heart…it will back up into the portal
      vein and cause pressure there (Portal hypertension).
      This pressure can force the blood into, yet, smaller
      veins that are not used to handling this amount of
      blood and they can have weak spots and balloon
      outward and break open. These vessels are known
      as varies. If there is any blood in the sputum, vomit,
      or rectal area…this is an emergency. The doctor can
      go in and band these vessels to stop the bleeding.
      The blood can also back up into the Spleen. This
      will cause the spleen to enlarge in size.

      Your mom should be under the care of a
      gastroenterologist or hepatologist.
      Here are some things you may see in the links, you can
      click on, to learn more about this disease:
      Hepatitis is inflammation of the liver cells.
      Cirrhosis is death of the liver cells and scar tissue formation
      ..inside the liver.
      NASH stands for Non Alcoholic causes for Steatohepatitis.
      NAFLD stands for Non Alcoholic causes for Fatty Liver
      ..Disease

      http://www.medicinenet.com/fatty_liver/article.htm

      http://www.aafp.org/afp/20060601/1961.html

      http://yourtotalhealth.ivillage.com/fatty-liver.html

      http://en.wikipedia.org/wiki/Fatty_liver

      http://www.gastro.com/Gastro/liverdisease/fatty_liver.aspx

      Hope this information has been of some help.

  3. QUESTION:
    I have a fatty liver and a slightly enlarged spleen. Should I be worried?

    • ANSWER:
      My first ultrasound was to see if I had a fatty liver which I did not, at least not according to the ultrasound but even then the Doctor wanted a biopsy which I didn’t do. Apparently it is a complication of a lot of things such as high blood pressure, high triglycerides, and it’s not good. Neither is an enlarged spleen. Your Doctor should be able to tell you what to do about them.

  4. QUESTION:
    What’s the best diet for an enlarged liver?
    My fiance has an enlarged liver & spleen…it was found on a CAT scan. We got the news yesterday and the doctor immediately ordered a bunch more tests and set him up with a liver specialist. I was just wondering what is the best diet for someone with a liver condition? Weirdly enough, there’s not much on the internet about diets for an enlarged liver (fatty liver, but not enlarged liver). Can anyone offer any advice? I know he needs to not drink alcohol, but don’t know much beyond that.

    Thanks for your help! :)

    • ANSWER:
      All liver patients are told, No alcohol. They are also told not
      to take any medications unless they are approved by or
      prescribed by there doctors (this includes over the counter med,
      herbs, vitamins, minerals, supplements, etc) The reason is
      because the medications go through the liver first, to be broken
      down, before going to the rest of the body. The doctor has to
      adjust medications according to how much damage may be done
      and there are, also, a lot of drugs under prescription and over the
      counter that could cause further damage to the liver, now.

      Most liver patients should eat the best possible foods that will give
      them the vitamins and minerals they need. This is things like:

      Fresh or frozen fruits and vegetables. (Wash all this before eatting,
      because people will pick over the fresh produce in the stores)

      They should try to avoid fast foods, those with preservatives, and
      prepackaged foods (these tend to be high in sodium, which is harder
      on the liver patient now…however, sodium levels have to be discussed
      with the doctor since they have to stay within a certain range in the body
      for the heart to beat in rhythm)

      Try to use good oils, like olive oil or canola oils. Try to bake, broil, or
      boil foods instead of frying them.

      Remove the skins from poultry after you cook it. Choose lean cuts
      of meat. Fish is fine but avoid all shellfish.

      You can drink some soda, but it is best if you stick with water, fruit
      juice, milk, and other drinks. (sodas are high in phosphorus and
      lessening this amount, helps the kidneys function better, since they
      are now trying to filter the toxins out of the body that the liver can
      no longer do, efficiently)

      Outside of this…it is best that they eat good. It will give the body
      more energy to try and heal. Until he may become in the advanced
      stages of this disease, he won’t really be placed on a very strick diet.
      It is important that he does eat well. If, there come a time when he cannot
      eat…ask the doctors which supplements he can use. They will look
      at his blood tests result and then recommend one that will help him.

      This is what happens when a person has this problem:

      There are many causes of damage to the liver cells.
      When the cells of the liver become damaged, the immune system
      of the body responds to this damage and causing inflammation
      inside the liver. This will cause the liver to enlarge in size.

      If the causes can be found and stopped, the liver cells may heal.
      Sometimes, the cause cannot be stopped. Therefore, it may
      progress to where the cells start to die off and form scar tissue
      inside the liver…(this is known as Cirrhosis of the liver)
      This scar tissue will block the flow of blood through the liver,
      on it way back to the heart. It will also block the flow of blood
      to the functioning liver cells, and they may continue to die off.

      When the blood cannot go through the liver well, it backs up into
      the vein that brings the blood to the liver: the portal vein.
      This causes pressure inside the portal vein…Portal Hypertension.
      The blood has to go somewhere, in order for it to get back to the
      heart. It backs up from the portal vein into tiny vessels that are
      not used to this amount of blood and they may have weak spots
      that can balloon outward and break open. These vessels are
      known as Varies. They are usually found in the esophagus,
      belly button, and rectal area. If there is ever any blood in the
      sputum, vomit, or rectal area…this is an emergency…because
      the liver is no longer able to, efficiently, make clotting factors to
      help the blood to clot. A patient can bleed internally or bleed out
      completely. The doctors can go in and band these vessels to
      stop the bleeding. The blood also backs up into the Spleen,
      which will cause the spleen to enlarge in size, also.

      To try to understand what may have cause the damage to the liver cells:
      he could look at this list and see if any may apply to him:
      alcohol consumption, medication toxification,
      chemical exposure, viral infections (like Hepatitis A,B,C),
      parasite infections, fatty liver disease, auto immune disease,
      hereditary condition where the body tend to hold onto too much
      iron or copper, growth/cysts/tumor/cancer, cardiac/vascular
      problems, mushroom poisoning, metabolic disorders,
      biliary obstruction/malformation/infection and others.

      It is best that he try to prevent getting any other illness now
      that may weaken his body more or cause him to take additional
      medication. Wash hands often. Use purell in between times.
      Wipe off..with disinfectant disposible wipes…shopping cart
      handles, door knobs, phones, tv controllers, and anything else
      that other people may touch. If someone, who is taking care of
      him, gets a cold…it is best to wear a mask (which disposable
      masks can be purchased at a pharmacy) and also wash their hands often. It is also best to avoid
      open salad/food bars where people can
      accidentally cough or sneeze into them.

      Here are some links on Cirrhosis of the Liver…if
      you would like to learn more about it.

      http://www.medicinenet.com/cirrhosis/article.htm

      http://en.wikipedia.org/wiki/CirrhosisAvd

      http://www.mayoclinic.com/health/cirrhosis/DS00373

      http://yourtotalhealth.ivillage.com/cirrhosis.html

      This enlargement could be coming from
      having Mononucleosis. The glands in his
      neck maybe enlarged, if this is it.
      However, since the doctor is sending him
      to a specialist…this may be what I mentioned
      above.

      I hope this information is of some help to you.

      {It seems that this site keep cutting off the lower
      part of my posts, so I have to go in and add
      the bottom part of it to it again}

  5. QUESTION:
    slightly enlarged liver, gallbladder polyp and an enlarged spleen! help! what is it?
    about a month ago i started having fatty stools, along with mucus.. also, had a weird taste in my mouth, almost like it was toxic and i have had bubbles in my urine..

    ok so my spleen is on the upper limits size wise on whats considered normal; my liver is slightly enlarged and my gallbladder has a polyp on it, 4mm in size.. still having the fatty stools. i also have a dull ache/pain on my left side that’s closer to the pelvic bone on the front and wraps around to a higher spot on my side and on my back..

    as far as the bubbles in my urine go, urinalysis turned up nothing out of the ordinary.. my urologist said my prostate was good also and my kidneys are in good condition.. i’m assuming the bubbles in my urine are a byproduct of whats going on with my digestive tract..

    my liver enzyme tests have come back good.. blood flow into the liver is good.. no obvious blockage of the bile ducts inside or outside the liver.. pancreas seems to be in good shape size wise and the enzyme tests for that are also normal..

    so what am i dealing with? is the gallbladder likely the cause of whats ailing me? or are these symptoms of an underlying cause? also, if you have an enlarged spleen is this something that can be managed or undone..

    thank you in advance for your responses!

    • ANSWER:
      Enlarged spleen is usually a sign of infection, so that may be the cause. (As the spleen is a major part of the lymphatic/immune system)

      Bile should be breaking down the fat, and if you are having fatty stools, clearly the bile is not being released.

      As for the pain, from the description you’ve given, it sounds like intestinal blockage or adhesion may be the cause. Possibly kidney? I can’t really tell from the description. (Your liver and gallbladder are on the right side of the body) Are you noticing the pain getting worse in relation to your eating or defecating? Is there anything that relieves this pain? Like a heating pad or lying down, etc.?

      There is definitely something going on, and I would suggest your doctors do a thorough exam on you. Fatty stools are of serious concern.

      As for the bubbly urine….sometimes in the early morning or after a night of drinking my friend had the same issue. Sometimes it just happens, and they wouldn’t dissolve either. He thought it was the strangest thing. It only happened a couple of times, and he didn’t really pay it much concern.

      Best of luck in your health!

  6. QUESTION:
    Fatty Liver NASH Wilson’s Disease?
    I recently had a liver function test and it came back that my liver enzymes were elevated. About 2 years ago I also had a liver function test that said the same thing and an ultrasound that said both my liver and spleen were enlarged. I was both vaccinated and tested for hepatitis and my tests were negative. My current doc said that I may have a fatty liver and that we will recheck liver function in 4 weeks. My question is can Wilson’s Disease present as Fatty liver or NASH? I understand that Wilson’s is a very rare hereditary disease but I don’t want to assume it’s merely fatty liver if Wilson’s is behind it as that could be fatal. I’ve also heard that fatigue and depression as well as enlarged spleen are symptoms of Wilson’s. Any info would be appreciated.
    Also, I don’t drink, at all. I never have. I’m 23 years old.

    • ANSWER:
      Okay, so I doubt you have Wilsons disease. Wilsons and fatty liver (steotosis) present differently. The classic wilsons picture is elevated liver enzymes, psychosis, and low ceruloplasm. Testing for wilsons is really easy – all your doctor has to do is do a blood test, test for serum copper and ceruloplasm. On physical exam, you would exhibit keiser-fleischer rings (bronze colored rings around your eyes) as well as have psych abnormalities. Wilsons disease is a metabolic abnormality where copper is absorbed in excess. Its easy to test for so you can rule that out with a blood test.
      In terms of steatosis – are you overweight by any chance? Even if you don’t drink, you can develop a fatty liver as a part of metabolic syndrome if a person is overweight.
      Anyway, how elevated are your enzymes? What are the exact numbers? Have you had your alkaline phosphatase measured as well?

  7. QUESTION:
    Fatty Liver/ NASH/ Wilson’s Disease?
    I recently had a liver function test and it came back that my liver enzymes were elevated. About 2 years ago I also had a liver function test that said the same thing and an ultrasound that said both my liver and spleen were enlarged. I was both vaccinated and tested for hepatitis and my tests were negative. My current doc said that I may have a fatty liver and that we will recheck liver function in 4 weeks. My question is can Wilson’s Disease present as Fatty liver or NASH? I understand that Wilson’s is a very rare hereditary disease but I don’t want to assume it’s merely fatty liver if Wilson’s is behind it as that could be fatal. I’ve also heard that fatigue and depression as well as enlarged spleen are symptoms of Wilson’s. Any info would be appreciated.
    Also, I don’t drink, at all. I never have. I’m 23 years old.

    • ANSWER:
      Does anyone in your family have Wilson’s? The best thing to do is either call your doctor and ask or wait until your appointment and ask. Sometimes doing research on your own can relieve anxiety and sometimes it can bring about needless worry. No one here can tell you whether or not you have Wilson’s, but I’ll be thinking about you.

  8. QUESTION:
    I had complications with the last month of my pregnancy and after my daughter was born….?
    what is your opinion on me having another child? I had pre-eclampsia, severe blood loss that resulted in a transfusion, kidney infection (I know that’s pretty normal, though), fatty liver, enlarged spleen and severe tachachardia-rapid heart rate. My doctor says there is probably only a 10% chance of that happening again-what’s your opinion/experience?

    • ANSWER:
      My neighbor had similar problems when she gave birth. Her son is now 11 and she never had another baby.

      If you doctor says there’s only a 10% chance, then I might consider another baby. I’ve never head of someone having a kidney infection, btw.

  9. QUESTION:
    trying to conceive and need advice?
    I am due to start my period again on 7th July, we have been trying now for over 3 years, I am 23 years old and my husband is 26 years. I have endromrios and PCOS, I also have irreguarl periods as well. I have been given by my consultant clomid tablets and they never worked, I was on 50mg, I took them for 2 cycles, but I got took off them when I got rushed into hospital with server stomah pains, but they have now ruled out that it wasn’t caused by the clomid tablets which they first thought it might have been. I have a fatty liver, enlarged spleen and liver, englarged ovarie and cyst on it. I am seeing 2 different consultabnts for the problems I am having. we are desperate for a baby, and we are trying almost everything and I am running out of ideas on what to do next. I don’t drink, only the odd glass on special occasions, eat healthly, go for a long walking every other day, or general walk to the local shop, I am not stressed and I have warm baths to help me relax. I am not sure when I ovolate or if I do as I also have irregualr periods. I have also been taking folic acid which don’t seem to work. any advice and tips and advice would be grearfully recieved thanks. Baby dust to you all.

    • ANSWER:

  10. QUESTION:
    enlarged spleen after ultrasound?
    i recently had a ultrasound, and the results said I have a mild to moderate enlargement of the spleen
    it was 15.3cm. I feel completely fine, and have no symptoms of pain. also my red and white blood cells came back normal from my blood work. my liver levels are high due to non alcholaic fatty liver.

    i dont have any symptoms of a cold or viral infections.

    prescriptions I take

    lexapro 10mg
    and bystolic 5mg for blood pressure
    xanax 0.25 for as needed anxiety

    my question is 15.3 that bad?
    do have anything to worry about if i feel fine
    and my blood work was ok?

    • ANSWER:

  11. QUESTION:
    Ultrasound Abdomen Data?
    I was told that I have a fatty liver, a enlarged spleen, and 2.2cm gallstone.
    they reason the ultra sound was ordered, was due to high liver levels in my bloodwork.
    the rest of the blood work was fine except for the high cholestrol which was total at 274.
    my questions are: can the spleen be enlarged due to the fartty liver? the high cholestrol can that cause the fatty liver, plus being overweight?

    I am 6 foot
    290 pounds
    white male
    non smoker

    i feel completely fine
    with no pain or discomfort
    the enlarged spleen is 15.3cm

    • ANSWER:

  12. QUESTION:
    My fiance has high blood pressure and cholestrol?
    He had a stroke June 2 in the cerrebellum and is only 37! He stopped taking his meds in July when he found out his dad was dying of cancer. He keeps on having symptons like bad headaches, mood swings (get ill for no reason) and then sometimes loving and understanding, dizziness, aches & pains, has fatty liver and enlarged spleen but won’t take that med either. I love him dearly and want to spend the rest of my life with him and grow old so what suggestions you have to get him to take meds?? What else can I do as his fiance?

    • ANSWER:
      Change your margarine use and highly refined cooking oils use to using real Organic butter, Pure 100% cold pressed Extra Virgin Olive Oil, and/or cold pressed Virgin Coconut Oil.

      Eat Wild Caught Salmon or Flounder twice a week… or take a molecularly distilled Omega 3 DHA supplement twice a day.

      Avoid sugar and/or High Fructose Corn Syrup

      Avoid ALL refined trans fats, or anything in an ingredient list that says “hydrogenated” or “partially hydrogenated” anything in it.

      Avoid ALL fast food.

  13. QUESTION:
    I have been recently denied insurance coverage due to elevated alkaline phosphastase in my liver, why?
    I was just denied insurance coverage due to an elevated level of alkaline phosphatase in my liver. I am on medication for high cholesterol (Zocor 40 mg daily). I have been on Zocor 6 years. I take a liver lipid panel blood test every three months and have not been told there is any liver damage. As advised by my doctor I have lost 50 pounds and I am maintaining my desired weight of 175 pounds. I lost the weight and maintain my weight by a healthy diet eating little red meat or fatty foods (no junk foods,limited carbs). When I inquired on the internet it mentioned biliary tract disease. During an ultrasound test 2 years ago it was discovered I have small gallstones. I was given no indication pro or con to have them removed. I have noticed on the Internet the gallbladder is associated with an obstruction in the biliary tract. I have an enlarged liver. I do not drink. My paternal grandmother had an enlarged liver and spleen and died from pancreatic cancer at 83. I am a 53 year old male.

    • ANSWER:
      Your Alkaline Phospatase could be raised due to gall stones – it’s one of the enzymes used to diagnose it. Liver damage from drugs such as Zocor tends to raise the transaminases (ALT,AST) – but not always. You should ask about the GGT enzyme, it is also sensitive to gall stone obstruction, and bilirubin, both total and conjugated. The results of all these tests should give you an idea of what’s going on with your liver.
      Gall stones can be made of cholesterol (among other things), so lowering and keeping your cholesterol low is a good start. Gall stones can be treated ultrasonically, breaking them up, but most often they are removed surgically, along with the gall bladder. People survive quite well without a gall bladder, with some healthy dietary changes. Another ultrasound seems on the cards, as your gall stones may still be there.

      I’m not sure why your liver would be enlarged, but ask about post hepatic obstruction, where there may be back pressure, making the liver swell.

      Dying at 83 from pancreatic cancer does not suggest an hereditary predisposition (although of course it doesn’t entirely exclude it).

      General advice only, your doctor can advise you better, after all, he or she sees you in person, but I hope this gives you a few more questions you can ask.

      Good health to you.

  14. QUESTION:
    Lap band surgery is it for me..?
    I am having tons of health problems and I believe a lot of it has to do with my weight. Asthma, passing out, fatty deposits on liver, enlarged spleen, etc. I am 5’2 215 lbs. I would like to get lapband surgery. Do I need my primary care doctor to support me in this decision or what type of Dr would I see to begin this process. I have dieted my whole life, weightwatchers, atkins, slimfast, I could go on and on . Nothing works or if it does it doesnt last long. Thanks

    • ANSWER:
      Yes, start with your primary doctor. You can also set up something yourself which is what my husband did. He found a bariatric surgeon that had done both lapband and gastric bypasses for quite a long time and was well known for being one of the best in the country. He got the lapband first and it didn’t work well at all. He had it removed and got the gastric bypass which is working out so much better. He eats just a small amount and it fills him up for a long time. Do a lot of research and educate yourself before you make any decision. My husbands doctor made him go to classes ahead of time to make sure he understood what would happen before, during and after the surgery whether it be lapband or bypass. He covereed everything. He requires all his patients to go through this if they want him to do their surgery.

      Ignore the answer Mr. Angry gave you. So many people don’t have a clue as to what these surgeries do for people. They think it forces you not to eat and you are still hungry but you can’t eat because it’s physically impossible. What really happens is that when you do eat, just a small amount fills you up and this is the key to losing the weight. You are full with just a small amount of food and you are not hungry. Now I only wish that people like Mr. Angry would educate themselves before answering these questions. They think they know, but they are really quite ignorant on the subject. Good luck.

  15. QUESTION:
    total cholesterol(98), HDL(22), LDL(31) VLDL(44), Tryglycerides is(224). should I be overly concerned?
    I also have a fatty liver, fatty lymph nodes, enlarged liver and spleen, had my gall bladder removed 5 years ago. I had a TIA 9 years ago, recently suffered from Bells palsy (left side of face went numb). I am a male 40 yrs old 5’10 and 205 pounds. I was a truck driver till september when i could not handle the job anymore. I am NOT a drinker at all.. though I had been accused of drinking by my dr more than once when blood work came back, and was never once told why he kept asking if I drank over and over again. I do not smoke either, not currently on ANY meds (I was on lipod for 2 weeks a few months ago – made me sick and I stopped it and changed doctors at that time) I am trying to find information on LOW cholesterol.. I can find everything about HIGH but not LOW. I have NO energy and sleep alot too.

    • ANSWER:
      your labs look to me like you have metabolic syndrome, especially with those triglycerides. You may want to study up on metabolic syndrome.

  16. QUESTION:
    Has anyone been diagnosed with Fibromyalgia only to find out later they had Lupus?
    My 29 yr. old son was just diagnosed with Fibromyalgia. He has all the symptoms plus… enlarged heart, spleen, and gallbladder. Also, bloodclots, fatty liver and kidney. His ANA was 1:40 and speckled. Doctor says he doesn’t have Lupus and refused to address all these other syptoms. Help!

    • ANSWER:
      ITS NEVER LUPUS

      //
      Golgothor
      //

  17. QUESTION:
    trying to get pregnant and have tryed clomid from my consultant at the hospital?
    I am 23 years old, marryed and trying to get pregnant, I have endrotrmois and pcos, I have been given clomid I was on 50 grams, I was on it for 2 cycles then I got took of it partly cause it didn’t work but I also got rushed into hospital and they thought it was down to the clomid tablets, I have had MIR scan which shows I have enlarged spleen, enlarged liver, which is fatty and relising musc, enlarged ovari which has a cyst on it, I have had a pelvic scan which showed that I have pcos, I had key hole surgery last year which showed that I have endromtiros. I am desperate for a baby, and I would love to fall pregnant, I have irregualr periods as well which can be a night mare, I have tired almost everything, by getting advice from my GP, reading books about it, losing abit of weight even though I aint that big any way, but I thought it would help never did. I am on verage of giving up and I don’t want it put a strain on my marraige with trying to get pregnant and then getting let down when nothing happens. We have been told we can go for IVF but I want to give it ago and get pregnant natural until we can have IVF. We both a baby, but nothing is happening. any help or advice will be greatfully recieved.

    • ANSWER:
      Hi, when I was younger 19 to be exact. My husband & I tried also. My Dr discovered that I was not ovulating monthly. & I had irregular periods. So we did 2 cycles of the clomid (50mg). I got pregnant with the 2nd cycle. When my daughter was 3 we wanted to try again. This time we did 3 cycles with an increase in each one. 50mg 1st cycle, 100mg 2nd cycle, & 150mg 3rd cycle(3 pills). & still nothing. It didn’t work like it did the 1st time. So we tried IUI which didn’t work. After years of trying we finally tried IVF as a last resort. It worked the 1st time we tried it. My daughter was 9 when I had my son. After that pregnancy came easy for me. My son was a few months old when I found out I was pregnant again. So for 8 days in Dec they are the same age until his birthday. We figured it was just luck. Then in 2008 I found out I was pregnant again. Then we decided on birth control which I have never needed in the past. I have heard of this happening a lot, women getting pregnant easily after IVF. This may be your best option if you are starting to give up on trying as we were. But be careful afterwards, you may be able to get pregnant easily as I have been able to. It is also expensive depending on the medication you need. Hope this helps you. By the way I am 34 yrs old now, my husband is 37. We have 4 children ages 13, 4, 3, & 1

  18. QUESTION:
    What disorder does Emily have? Where did you find this?
    Emily Kerzman goes to the doctor complaining of pain in the upper rt quadrant of the abdomen, she also has joint and bone pain and her bones easily fracture. Upon diagnosis the doctor determines her liver and spleen are enlarged.. Blood work shows osteopenia, anemia and low platelets. Emily is of jewish decent (Ashkenazi jew) so the doctor does a DNA screening to see if Emily has a disorder associated with this racial group and the doctor does discover this to be true. The doctor discovers Emily is missing an enzyme responsible for breaking down fatty substances in the body so they accumulate in the liver, spleen and bone marrow

    • ANSWER:
      Gaucher disease Type 1 looks likely

  19. QUESTION:
    Should I be worried about having leukemia?
    I have diverticulitis and just had an attack 3-10-09. I have had several attacks and was supposed to have surgery next week until I got my pre-op labs back. I also have a fatty liver. My spleen hurts off and on but on 2 ct scans this year, no problems with anything. My doctor also checked my spleen and liver yesterday and said they are not enlarged. My problem is my blood work. My white count on 4/1 was 11.0, on 4/7 it was 14.9, yesterday 12.5. (I am currently on Flagyl for diverticulitis.) My LAP score yesterday was 98. My lymph’s and monocytes have been low on previous blood tests but lymph’s were 15.1 yesterday. Neutrophils are high at 74 I am told. They all have been like this before (in the past 2 years since being diagnosed with diverticulitis) and then I had absolutely normal labs in November 2008 (when I was not sick with anything at all). I must mention right now I have a horrible cold/sinus infection and I am just 5 weeks out of having a diverticulitis attack. My MPV was 7.1 which I am told is low. With the LAP score I’m scared. I am awaiting blood test for IGC, IGE, IGM and BCR/ABL1. Should I be worried?

    • ANSWER:
      diverticulitis isn’t leukemia. you have problems with your bowels. it could cause your white cell count to lower but that doesn’t mean you have leukemia. i’m sure the doctors would have told you.

  20. QUESTION:
    Gaucher’s Disease?
    I need some picture of Gaucher’s Disease.p
    Gaucher disease is an inherited metabolic disorder in which harmful quantities of a fatty substance called glucocerebroside accumulate in the spleen, liver, lungs, bone marrow, and sometimes in the brain. There are three types of Gaucher disease. The first category, called type 1, is by far the most common. Patients in this group usually bruise easily and experience fatigue due to anemia and low blood platelets. They also have an enlarged liver and spleen, skeletal disorders, and, in some instances, lung and kidney impairment. There are no signs of brain involvement. Symptoms can appear at any age. In type 2 Gaucher disease, liver and spleen enlargement are apparent by 3 months of age. Patients have extensive and progressive brain damage and usually die by 2 years of age. In the third category, called type 3, liver and spleen enlargement is variable, and signs of brain involvement such as seizures gradually become apparent. All Gaucher patients exhibit a deficiency of an enzyme called glucocerebrosidase that is involved in the breakdown and recycling of glucocerebroside. The buildup of this fatty material within cells prevents the cells and organs from functioning properly. Gaucher disease is one of several lipid storage diseases.

    • ANSWER:
      I found some pictures by using these sites. I hope that was helpful.

  21. QUESTION:
    What are the precise symptoms of Hepatitis C?
    I have had swelling on my right side just below my chest which goes down to my waist. It adds 3″ to my bra size! But the swelling comes and goes all the time. Last year my spleen was enlarged and I also have fatty liver. In the 80s and 90s I had a boyfriend who was a friend of my brother and they were both heroin addicts.

    Although they both got off heroin for good, my brother died from Hep C and my friend died recently but I am not sure what killed him.

    He always told me he never shared needles. I did on occasion share his razor for shaving my legs.

    Do you think I should be tested? Is this swelling part of it? I have asked many doctors and none of them seem to know what the swelling is all about.

    I have had shots for Hepatitis B in the 70s because of my brother and last year got 3 shots with Twinrex for Hep A and B.

    And why is Hepatitis so prevalent in developing countries?

    Thanks for your time.
    I do not drink at all but take many drugs because I have been diagnosed with fibromyalgia. Could it be painkillers causing liver problem?

    • ANSWER:
      Fibromyalgia is a sign there is something going on in the body. Many who have HCV often complain about their bones and joints hurting.
      Swelling on the right side could be related to several things, however, if it is that noticable, you probably need to see a gastrointerologist.

      You have a couple of risk factors for hcv (and probably seemingly innocent ones you wouldn’t think of either).

      1. You shared your brothers razor
      2. You were vaccinated in the 70′s (for Hepatitis B) Back then they re-used syringes- and even put through an autoclave for sterilization reasons, sometimes people didn’t do their job and utensils still had a potential for contamination.
      3. You are female and have a good chance of getting your nails done in nail salons.

      Regardless of it being HCV or not, You are on pain meds for fibro. You have been diagnosed with a form of hepatitis (NASH in your case- fatty liver is the laymans terms) NASH can go along with HCV infection- it is not always a poor diet that results in NASH. HCV can cause fatty liver. Your liver could be simply feeling the effects of pain medication.
      You didn’t state which kinds of medication your taking, but chances are your liver just doesn’t like it.

      I would ask for an HCV test. That is the only way to confirm if you have hcv or not….

      Sharing a razor or toothbrush (household exposure) can put you in a risk factor for HCV, however, it is relatively low at .06%. There are 5 million in the U.S. alone with HCV and half dont even know it.

      There are not “precise” symptoms of HCV, however there are a few symptoms most heppers complain about:

      1. Lethargic
      2. Fibro
      3. Brain fog or other mental issue, ie, depression
      4. Anxiety and panic attacks
      5. Skin rashes
      6. Upper Right Quadrant Pain (pain in or around the liver)

      There are over 150 possible side effects of HCV infection, the 6 i gave you are the most common complaints.

  22. QUESTION:
    Is the prevalence of Gaucher’s disease in Ashkenazi Jews, responsible for their attitude to stealing livers?
    About 1 in 100 people in the United States are carriers of the most common type of Gaucher disease, while the carrier rate among Ashkenazi Jews is 8.9%

    Symptoms may include enlarged spleen and liver, liver malfunction, skeletal disorders and bone lesions that may be painful, severe neurologic complications, swelling of lymph nodes and (occasionally) adjacent joints, distended abdomen, a brownish tint to the skin, anemia, low blood platelets and yellow fatty deposits on the white of the eye (sclera).

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1683177/?tool=pmcentrez

    __________

    Rabbi American born Rabbi Yitzchak Ginzburg and his teachings are discussed in recent book by Motti Inbari:

    “Similarly, Ginzburg stated that, on the theoretical level, if a Jew requires a liver transplant to survive, it would be permissible to seize a Gentile and take their liver forcefully.”

    http://books.google.co.uk/books?id=Ls2twPMC1AcC&lpg=PP1&ots=VNCLPD9dJM&dq=Jewish%20Fundamentalism%20and%20The%20Temple%20Mount.%20(2009)&pg=PP1#v=onepage&q=liver&f=false

    __________

    Israel has admitted pathologists harvested organs from dead Palestinians, and others, without the consent of their families

    http://www.guardian.co.uk/world/2009/dec/21/israeli-pathologists-harvested-organs

    ___________

    Baroness Tonge, the Liberal peer, said this week that Israel should set up an inquiry to disprove allegations that its medical teams in Haiti “harvested” organs of earthquake victims for use in transplants.

    http://www.thejc.com/news/uk-news/27070/tonge-investigate-idf-stealing-organs-haiti

    • ANSWER:
      Baroness Tonge? That’s her REAL name??? Perhaps Contessa would be more appropriate.

      Anyway, she got sacked (in the sense of being fired, of course) for her remarks:

      Party leader Nick Clegg removed Lady Tonge as a Lib Dem health spokeswoman in the Lords on Friday, describing her remarks as ”wrong, distasteful and provocative”.

      http://www.telegraph.co.uk/news/newstopics/politics/liberaldemocrats/7225643/Baroness-Tonge-fired-over-outburst-against-Israeli-soldiers-in-Haiti.html

      This is coming from the British, who are beyond reproach when it comes to ethical conduct. They would NEVER harvest an organ without a PROPER donor card:

      (I really must come up with different answers to your same questions. Though I think I prepared the groundwork somewhat better this time.)

  23. QUESTION:
    Terrified of pancreatic cancer?
    I don’t know whether I’m just being a hypochondriac or not, but I’ve been having these weird symptoms lately. For the past few weeks, I’ve been having weird dull pains around my right upper abdomen, just below my chest and sometimes below my ribcage. I sometimes get a crampy feeling on my left side as well, and this has been going on for a few months, though it is far less persistent. For the past two days I’ve been getting this colicky weird pain on my lower right quadrant, and sometimes I can feel it in my lower left. Also, I’ve been itching a lot recently. I don’t know if this is psychosomatic or not, can anybody enlighten me as to if that’s possible or not? I lost weight a few weeks after I stopped lifting in June and July, going from 146 pounds to about 138, but I think it’s stagnated since then (who knows, maybe I’ve even gained some this month). My appetite’s been odd, it’s there, but it’s different than it used to be. I get upper cramp-like localized back pains from time to time, sometimes parts of my arms and legs feel cramped for no reason as well. And just a few hours ago, after eating a fatty meal, I had greasy diarrhea (I do have IBS, but I don’t remember it ever giving my fatty stools (this is the first time I’ve seen this). Also, I feel more fatigued than usual. I can still exercise just as well as I used to, but if I’m not being active I feel like falling asleep. I don’t know what’s going on. I’m not scared of any other type of cancer except pancreatic. I heard it can effect people of all ages, even if it is rare. Does this sound anything like it?

    I don’t have nausea or vomiting. My pain isn’t severe, it’s typically mild. I’m not yellow, my stools aren’t pale, my urine isn’t dark (but I read that itching is an early sign of jaundice). I can’t tell if I have an enlarged spleen or liver, nothing’s constantly tender, and my Dr. didn’t feel anything out of the ordinary when I got my physical a week ago. Sometimes, though, my upper right or lower right abdomen feels mildly uncomfortable, though this does not last. The pain in my upper quadrant is worse on some days than others (it was worse yesterday than today, and the day before wasn’t too bad). Also, the pain seems to react to stress.

    I have no family history of any type of cancer as far as I’m aware, no diabetes, no pancreatitis. I don’t smoke, I don’t drink often (and when I do it doesn’t cause me problems). I’m a white 20 year old male, around 140 lbs. I do have a predisposition to Crohn’s Disease, and I have acid reflux. Does this sound like Crohn’s at all? Does it even sound like a gallbladder issue? Can someone point me in the right direction? I can’t see anyone until Monday, I’d rather not go to the ER, I wanna go out and have fun tonight and if this is constantly on my mind I doubt that’ll happen. I’d greatly appreciate any input. Thanks.

    • ANSWER:
      Pancreatic cancer in a 20 year old would be one for the record books. Two thirds of those diagnosed with it are over 70, and it’s very rare in people under 40.

      See your doctor about your concerns

  24. QUESTION:
    I need a Dr. to interpret my CT Report. I had an ULQ CT done. I have left upper, and lower quadrant pain.?
    I had an ULQ CT done. I have left upper, and lower quadrant pain. H. Pylori Positive.
    this is a brief detail on my report:
    1. diffuse fatty infiltration of the liver, with an area of focal fatty infiltration adjacent to the falciform ligament.
    2. Low attenuation 2.1 cm splenic mass, most likely a simple splenic cyst or a lymphangioma. Clinical correlation recommeded.
    3. Minimal umbilical hernia, containing only fat.
    The liver is of diffusely diminished attenuation consistent with diffuse fatty infiltration. minimal area of focal hypodensity adjacent to the falciform ligament consistent with an area of focal fatty infiltration.
    The Spleen is not enlarged, but demonstrates a hypodense, near water density of +18HU (mass 2.1 cm size) posterosuperiorly in a subcapsular location. There is no asociated calcification or fill in on the delayed images. This is most likely represents a simple splenc cyst or lymphangioma.
    Please hlp what does this all mean?

    • ANSWER:
      It says that you have a fatty liver. There are many causes of fatty liver, the most common being alcoholism and obesity. This condition occurs when the liver is not metabolizing fat effectively. I found a Wikipedia article that lists some of the causes; see the first link. The condition is reversible if the cause can be treated.

      The radiologist feels that he cyst on the spleen is not a concern. “Lymphangioma” is an abnormal collection of lymph vessels that is present from birth, not anything to be concerned about.

      The umbilical hernia is small. Such hernias are not a concern unless there are associated symptoms. Nothing to worry about.

      It is not common for fatty liver to cause pain, except that some people feel a dull LUQ pain. Since you also have lower quadrant pain, further testing may be necessary to find the cause.

      The positive H. pylori is probably meaningless, unless you have an ulcer. About half the population carries it.

      I have found a bunch of links for you if you want more detail.

  25. QUESTION:
    How do I get a Doctor to listen to me?
    I have been sick since 10/2010. It started out with a sender feeling under the ribs. Since then the pain has gotten worse. They have done CT Scan and Ultra Sounds. I have Polysplenia with Abnormal inferior vena cava.

    They say the pain has nothing to do with the polysplenia, but they never measured any of the 3-4 spleens I have to see if they have changed in size. I also have an enlarged liver. At one point before I got sick I had high enzymes and they thought I had Hepatitis. I did not have it, or anything like that. But they did find I was not immunized and I had to get the series of shots.

    Now I have had another ultra sound and they have measured the largest spleen to compare to 12/2010 CT Scan.

    My pain has now spread across the bottom of both my breasts, in my left flank, I feel high when I have taken no pain killers or anything intoxicating. I have night sweets now this is a recent thing. I am extremely hot all the time with no fevers. I sleep with ice packs. It may be so hot outside but I am shivering and need to take a hot shower. I shiver so bad I hide under the covers. Recently my bones have started to really hurt, and I can barley walk because my legs also hurt so badly. I have also had weird tingling in my hands and have to take some kind of nerve medicine to make it go away. They have done blood tests and all blood tests come back normal, they say my liver is just fatty because I am over weight and have diabetes (my A1C is 6.4 though, which is really good, and it has been like that for over a year since I started meds). No one really even wants to look at my spleen.

    Has anyone out there had these symptoms and it took a while to get an answer? Did your blood tests come back normal, and then all of the sudden they found out what was wrong? What tests did they finally do? Did they have to do Ultra Sound tests and CT Scans over and over? Please someone please help. Thank you.

    • ANSWER:
      Anyone that has an enlarged spleen and an enlarged liver plus their liver enzymes are elevated and they are obese and have a fatty liver points to there possibly being liver damage or liver failure. There is a condition called NASH in which a fatty liver progresses to becoming cirrhosis which is when healthy liver tissue is replaced with scar tissue. All hepatitis means is that the liver has active inflammation happening. If your liver and spleen are enlarged, then most likely there is inflammation happening. When you say you don’t have hepatitis, you are probably referring to the viral hepatitis A, B, C, and D that people can get. This is only one type of hepatitis, the viral kind. Your results when tested were negative, but that is just for the viral kind of hepatitis.

      There are many other conditions that can cause hepatitis and liver damage such as biliary disease, fatty liver that progresses to NASH, too much iron in the body, autoimmune disease, medications that affect the liver, alcohol and drug abuse to name the most common reasons.

      I had cirrhosis and a liver transplant. My liver failure was caused by an autoimmune disease in which my body attacks the small bile ducts in my liver which led to cirrhosis. After many years of inflammation, it will cause the liver to enlarge and the spleen will enlarge also since the liver is not functioning like it should. This enlarged spleen will then trap platelets which has to do with your blood clotting properly. This causes your platelet count to be low. If your platelets are lower than normal and your enzymes remain high, I think your doctor should revisit that there could be a liver problem after all. I’m not saying this is the problem, but just a suggestion of things to check. I don’t know why they are focusing so much on this enlarged spleen when they should be doing a biopsy of your liver first in my opinion That is the most definitive test you can have. There is a reason it is enlarged and the job it does is so much more important than the spleen. The liver has about 500 functions.

  26. QUESTION:
    Please Help me understand my PET/CT Scan Report?
    I had a major back surgery procedure and have been having chest pain and shortness of breath since the surgery. Here is the Pet Scan That I just had done yesterday;Please Help me understand my Pet Scan Report:
    Findings:
    PET:
    There is homogenous, mildly increased FDG activity associated with an ill-defined anterior mediastinal soft tissue density. This finding in nonspecific and may be related to thymic tissue or rebound thymic hyperplasia. No discrete focal areas of intensely increased uptake within the thymus is identified. Minimal increased uptake is noted within the hilar areas bilaterally, right greater than left, in association with mildly prominent bilateral hilar lymph nodes. This finding is also nonspecific and may be reactive or malignant in etiology. Mild enlargement of the spleen is noted, with increased FDG activity compared with the liver. This finding is also nonspecific given the presenceof diffuse hepatic stestosis. Linear increased activity is noted in association with an anterior abdominal wall surgical scar. The remainder the body demonstrates physiologic uptake of radiopharmaceutical.
    CT Scan:
    There are postsurgical changes related to prior L5 left hemilaminectomy, S1 right hemilaminectomy, and L5-S1 fusion with an L5 right pedical screw, S1 left pedicle screw and interbody spacers at the L4-L5 and L5-S1 levels. A 5mm right lower lobe pulmonary nodule seen on series 3, image 66 is below the resolution of PET. There is diffuse hepatic steatosis, with an area of focal fatty sparing along the medial aspect of the gallbladder fossa. In addition, there is diffuse fatty atrophy of the pancreas.
    IMPRESSION:
    1. Mildly increased homogenous activity associated with an anterior mediastinal soft tissue density likely representing the thymus. This finding is nonspecific and may be related to persistent thymic tissue or thymic hyperplasia. Low-grade malignant involvement cannot be completely excluded. If clinically indicated, further evaluation with chest MRI to attempt to characterize the anterior mediastical soft tissue as thymic tissue can be performed. Alternatively, histologic sampling could be performed if there is a high clinical suspicion of malignancy.
    2. Minimal increased FDG activity associated with mildly prominent bilateral hilar lymph nodes, right greater than left. These findings are also nonspecific and may be reactive or malignant etiology.
    3. Increased FDG activity associated with an enlarged spleen is also nonspecific in the setting of diffuse hepatic steatosis.
    4. 5mm right middle lobe pulmonary nodule unchanged compared with 06/23/2011 chest CT. If the patient has no risk factors for malignancy, a one year follow-up chest CT is recommended. If the patient has risk factors for malignancy, a chest CT in 6 to 12 months is recommended, with additional follow-up chest CT examinations thereafter to document 2 years of stability in the size and appearance of this nodule. At time of future imaging studies, the hilar lymph nodes and anterior mediastinal soft tissue can be re-evaluated.
    DOES THIS MEAN THAT I MAY HAVE CANCER BY ANY CHANCE?????

    • ANSWER:
      It means you need better communication with your doctor as it is their job to explain this to you.
      You recently had surgery.
      You are fine.