How to determine hypersplenism

summary

Recently, I always feel bad appetite, and there will be pain in my upper abdomen. A friend said that I may have hypersplenism. Now I'll share with you how to determine hypersplenism.

How to determine hypersplenism

First, splenomegaly is usually asymptomatic, often found in physical examination. Sometimes the symptoms of splenomegaly are also very mild, patients may feel abdominal discomfort, stomach reduced or uncomfortable when sleeping to one side. If there is pain and friction related to respiration in the left intercostal region, it often indicates the possibility of splenic infarction.

Secondly, the degree of hemocytopenia caused by hypersplenism is different in splenomegaly caused by various reasons. Usually, the decrease of blood cells is more obvious in congestive splenomegaly. When splenomegaly is caused by infiltration, such as chronic leukemia, hypersplenism is often not obvious. Clinically, the degree of splenomegaly is not necessarily parallel to hypersplenism.

Third, hypersplenism is a kind of syndrome. There are many causes of splenomegaly, such as infectious mononucleosis, subacute infective endocarditis, miliary tuberculosis, brucellosis, schistosomiasis, Kala Azar and malaria. The clinical manifestations are splenomegaly, hemocytopenia, anemia, infection and bleeding tendency. After splenectomy, the hemogram was normal or nearly normal, and the symptoms were relieved.

matters needing attention

Hypersplenism patients in the diet should eat more high protein content of food, but also low-fat, easy to digest and absorb food, these foods are: lean meat, fish, eggs, vegetables, fruits and so on. For patients, especially those with hepatic coma, they should stick to low protein diet. For those with severe edema or ascites, they should eat less salt or no salt diet.