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Concerns About Enlarged Spleen Size with Normal Blood Tests
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General Medicine
Question #50872
20 days ago
321

Concerns About Enlarged Spleen Size with Normal Blood Tests - #50872

Client_4804ad

My spleen size is detected 12.99 cm. My blood test is normal. What is the problem. Cbc is normal. And blood picture examines is also normal

How long have you been aware of the enlarged spleen?:

- 1-4 weeks

Do you experience any symptoms related to your spleen, such as pain or discomfort?:

- Yes, mild discomfort

Have you made any recent changes to your diet or lifestyle?:

- No changes
PAID
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Doctors' responses

Spleen Size 12.99 cm — Is It a Problem? 📏 Normal Spleen Size Normal adult spleen: Up to 12–13 cm 12.99 cm = Upper limit of normal / very mild enlargement So technically this is borderline splenomegaly, not severe. 🧪 Important Point You said: ✔ CBC normal ✔ Peripheral smear normal ✔ Detected 1–4 weeks ago ✔ Mild discomfort This is reassuring ✅ If blood counts are normal, serious causes like: Leukemia Severe infection Hemolytic anemia are unlikely at present. 🤔 Possible Reasons (Common & Mild Causes) 1️⃣ Recent viral infection (even mild fever in past month) 2️⃣ Fatty liver or mild liver congestion 3️⃣ Body constitution (some people naturally 13 cm spleen) 4️⃣ Temporary reactive enlargement Sometimes ultrasound variation of 1–2 mm is normal. ⚠️ When To Worry? Seek further evaluation if: Spleen >14–15 cm Fever persists Weight loss Night sweats Drop in Hb / platelets / WBC Severe left upper abdominal pain Right now, based on your report → no emergency signs. 🩺 What Should You Do Now? 1️⃣ Repeat Ultrasound After 6–8 weeks to compare size. 2️⃣ Basic Tests (if not done) LFT (Liver function test) Viral markers (if doctor suggests) ESR / CRP 🌿 Ayurveda View Spleen relates to: Rakta dhatu Yakrit–Pleeha vriddhi Pitta + Rakta dushti If mild discomfort: Punarnava Bhringraj Guduchi Light diet But only after confirming no active infection. 🧠 Honest Assessment 👉 12.99 cm with normal CBC = usually mild / reactive 👉 Observe and recheck 👉 No panic required

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Kottakkal Guluchyadi Kwatham Tablets
Mahabhringraj Taila - Baidyanath
Kottakkal Punarnava Manduram
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2 replies
Client_4804ad
Client
20 days ago

Crp is 1.16

Ok 👍

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HELLO, A spleen size of 12.99 cm is considered mildly enlarged (Mild splenomegaly). Normal adult spleen size is usually up to 12 cm, though this can vary slightly based on height, body build, and imaging method Since -Your CBC is normal -peripheral blood smear is normal -only mild discomfort is present -duration is 1-4 weeks This suggests early or mild enlargement, and often it is reactive and temporary, especially if blood tests are normal POSSIBLE CAUSES (even with normal CBC) -recent viral infection even mild or unnoticed -mild liver congestion -gut related inflammation -early immune activation -phsiological variation in some taller individuals If there are no -fever -weight loss -severe pain -fatigue -abnormal liver tests It is usually not dangerous but should be monitored In ayurveda, spleen disorders are described under Pleeha-vriddhhi (enlargement of spleen) According to Ayurveda, this condition is mainly related to -pitta imbalance -impure blood -weak digestion -accumulation of ama Mild discomfort indicates early Doshi imbalance, especially involving pitta and kapha DIET -warm,light meals -moong dal -bottle gourd -ridge gourd -pomegranate -amla -old rice -jeera water Take small frequent meals to improve digestion AVOID -fried foods -very spicy food -sour curd at night -red emat -alcohol -processed food INTERNAL MEDICATIONS 1) PUNARNAVA CAPSULE= 500mg twice daily after meals =best for reducing spleen and liver enlargement 2) GUDUCHI GHAN VATI= 2 tabs twice daily after meals =immunit modulator and pitta pacifyer 3) BHUMYAMALAKI CAPSULE= 1 cap twice daily after meals =supports liver spleen axis 4) TRIPHALA CHURNA= 1 tsp with warm water at bedtime =for detox and gut correction HOME REMEDIES -warm water with 5-7 crushed coriander seeds daily -1 tsp aloe vera pulp in morning if no loose motions -pomegranate juice fresh, not packaged LIFESTYLE ADVICE -avoid heavy exercise for now -avoid abdominal trauma -gentle walking 20-30 min -early dinner before 8 pm -sleep before 10:30 pm REPEAT -Ultrasound after 6-8 weeks -CBC after 4-6 weeks If size reduces or remains stable and blood tests remain normal, it is usually benign Mild splenomegaly with normal blood tests is often reversible, especially if caused by transient infection or mild inflammatory response Ayurveda focuses on correcting digestion and liver spleen balance, which is appropriate In your early-stage condition DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

12444 answered questions
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Doctor has prepared a treatment plan for you
Kottakkal Guluchyadi Kwatham Tablets
Kottakkal Punarnava Manduram
Agatsya Aushadh Triphala Churna
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0 replies

Don’t worry No any other issues

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Please consulting the near by AYURVEDIC PHYSICIAN for better examination and treatment

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1 replies
Client_4804ad
Client
20 days ago

Lft and kft is normal only ast alt ratio is 1.36

Hi…are you feeling feverish?

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2 replies
Client_4804ad
Client
20 days ago

No

Ok…not to worry about this You can take Rohitakarishta-15 ml BD Arq punarnava 15 ml BD With water

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SPLEEN KA SIZE 12 POINT 99 CM THODA SA BORDERLINE ENLARGED CATEGORY MEIN AA SAKTA HAI LEKIN AGAR CBC NORMAL HAI AUR BLOOD PICTURE BHI NORMAL HAI TOH YE KOI SERIOUS CONDITION KA STRONG INDICATION NAHI HOTA KAYI BAAR MILD INFECTION VIRAL HISTORY YA BODY KI IMMUNE RESPONSE KI WAJAH SE SPLEEN TEMPORARILY THODA BADA DIKH SAKTA HAI AGAR AAPKO SIRF HALKA SA DISCOMFORT HAI AUR KOI FEVER WEIGHT LOSS SEVERE PAIN YA BLOOD ABNORMALITY NAHI HAI TOH ZYADATAR CASES MEIN SIRF OBSERVATION KI ZARURAT HOTI HAI AYURVEDIC DRISHTI SE SPLEEN KO PLIHA KEHTE HAIN AUR ISKA SAMBANDH RAKTA DHATU AUR AGNI SE HOTA HAI JAB AGNI MAND HOTA HAI YA AMA JAMTA HAI TAB PLIHA THODA VRIDDHI DIKHA SAKTA HAI ISMEIN HEAVY OILY BAHUT ZYADA FRIED AUR JUNK FOOD SE PARHEZ KARNA CHAHIYE LIGHT GARMA GARAM AAHAR JEERA DHANIYA SAUNF KA PANI AUR THODA SA DRY GINGER KA UPYOG AGNI KO SAHAJ RUP SE SANTULIT KARTA HAI LEKIN KOI BHI TEZ DETOX YA STRONG MEDICINE BINA POORI JAANCH KE NA LEIN AAP ABHI 4 SE 6 WEEK BAAD EK BAR PHIR SE ULTRASOUND KARWA KAR SIZE COMPARE KAR SAKTE HAIN AGAR SIZE STABLE RAHE YA KAM HO JAYE TOH CHINTA KI BAAT NAHI HAI AGAR PAIN BADHE FEVER AAYE YA BLOOD REPORT MEIN CHANGE DIKHE TOH TURANT PHYSICIAN SE MILNA CHAHIYE फिलहाल SHANT RAHKAR DIET AUR DIGESTION PAR DHYAN DENA HI SABSE PEHLA UPCHAR HAI

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Hello Thank You sharing your reports we will analyse this Sleep size- 12.99 cm CBC- Normal peripheral smear- Normal Detected 1-4 weeks ago IS 12.99CM SPLEEN VERY ENLARGED? Normal adult spleen size is around 12-13 cm Your Size- 12.99 cm this is borderline enlarged midl splenomegaly not massive enlargement IF BLOOD TESTS ARE NORMAL, What does it mean? Since CBC normal Peripheral smear normal It likely means -no major infection -no severe anemia POSSIBLE REASON FOR MILD ENLARGEMENT 1. Recent viral infection 2. Inflammatory condition 3.Body constitution variation WHAT YOU SHOULD DO NOW 1.REPEAT USG AFTER 3 MONTHS 2. BAsic test LFT ESR AND CRP DIET ADVICE Avoid-Alcohol, very oily food , fried and heavy food A spleen size of 12.99cm with normal blood test is usually mild often it is reversible Needs monitoring Don’t panic stay Calm Warm Regards Dr Snehal Vidhate

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Recently did you had any history of fever ??

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