Hepatosplenomegaly is not a death sentence. Proper and timely treatment will allow to get rid of this syndrome permanently

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2019-09-28 08:20:32

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The Liver and spleen are closely interlinked system of neck veins and have a common path of lymph flow and innervation. If the problem occurs in one body, this inevitably affects the other. Hepatosplenomegaly –enlargement of the liver and spleen occurring simultaneously.

Hepatosplenomegaly in a child

Diagnostics

Diagnosis of this syndrome is based on patient's complaints. It is the age, the time when any pain or discomfort, causes, genetic factors.

Then the doctor performs the examination by percussion and palpation. Hepatosplenomegaly may be detected by visual inspection. She looks like a swelling under the right costal margin, which moves when you inhale.

To confirm the diagnosis, necessary laboratory diagnostics, which reveals the functional state of the liver. For this conduct various tests such as checking the levels of ceruloplasmin, serum iron and other factors.

As the instrumental examination used echoscope, and then assigned a CT scan. But the precise size of the liver allows to identify only angiography, it also allows to determine the nature of the lesion and to identify possible obstacles to the blood flow.

Hepatosplenomegaly causes

Causes

Hepatosplenomegaly – it is a syndrome developing in a number of diseases. Enlargement of the liver and spleen is not a concern in itself, although that is what is most troubling the patient. Whatever threat may appear hepatosplenomegaly, the reasons should be clarified in the first place. Depends on the efficiency and effectiveness of the treatment. All the causes can be divided into five groups:

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  • Acute liver disease in which impaired blood flow in the portal vein. These include hepatitis, cirrhosis, lesions of blood vessels.
  • Chronic infection and parasitic infection. It's malaria, infectious mononucleosis, syphilis, leishmaniasis, brucellosis and others.
  • The third group includes disorders of metabolism – hemochromatosis, amyloidosis.
  • To the fourth group includes systemic diseases of the blood – anemia, leukemia, Hodgkin's disease.
  • In the fifth group include diseases of the cardiovascular system with the development of chronic heart failure: hypertension, congenital and acquired heart defects, ischemic heart disease.

Hepatosplenomegaly in children

Hepatosplenomegaly in a child can occur at any age, including newborn. Increase as well as adults, is determined by palpation. Usually hepatosplenomegaly in children of early age is accompanied by jaundice, anemia, fever. For proper diagnosis you must first determine the nature of jaundice (hemolytic or parenchymal). This will allow to develop correct tactics of treatment.

hepatosplenomegaly is

In the first hours of life hepatosplenomegaly in combination with jaundice is often the result of intrauterine infection with tuberculosis or syphilis. Hepatosplenomegaly often becomes a consequence of congenital hepatitis or cirrhosis. The liver surface irregular, consistency firm. A strong increase in very young children observed in anomalies of the biliary tract. In this case, jaundice is quite fast growing, accompanied by meleney, umbilical bleeding. Quickly there are signs of biliary cirrhosis with portal hypertension.

The older children simultaneous enlargement of the liver and spleen can be associated with a viral or bacterial infection, and the basic violation of proper nutrition. Fatty foods, rich in carcinogenic substances, is a serious burden on the internal organs. First hit takes the liver, which performs in the body as a filter. As a result, unable to cope with a large number of harmful components, the liver increases in size and entails changes in the spleen.


Treatment

After a thorough examination and determine the reasons for the treatment of the underlying disease. Hepatosplenomegaly is not a disease but a syndrome. Special or universal treatment is not required. As supportive therapy for the liver are assigned holespazmolitiki (medicines "Papaverine", "no-Spa", "Platifillin"), choleretic drugs ("I", "Xylitol"), hepatoprotectors (medicines to "Silibor", "Essentiale", "counts", "Karsil", "Riboksin" and others). Parallel to the therapy of hormonal drugs such as the "Prednisone" and multivitamin complexes.

If there is such a phenomenon as hepatosplenomegaly, treatment is accompanied by normalization of intestinal biocenosis. Doctors may prescribe drugs containing lactobacilli and colibacteria, for example, "Linex", "Primadophilus", "Bifiform", "hilak-Forte" and others.

hepatosplenomegaly treatment

Diet

Fatty foods, preservatives, dyes and carcinogens found in many products, adversely affect the liver, stomach, spleen. To help the internal organs to overcome the disease, it is important to follow a strict diet at least at the time of treatment. The diet should consist ofdietary, low-fat and fresh food. No sausages, chips, yoghurt shelf should not be. The basis of the diet are diet soup, porridge without butter, low fat cottage cheese. Tea, coffee and juices with a long shelf life are replaced with simple mineral water, homemade compatible and jelly. Cakes, pastries and other desserts is also contraindicated. It is better to refuse from sweet or limited to green tea with honey and crackers. Hepatosplenomegaly is a phenomenon amenable to elimination only with the joint efforts of the doctor and the patient.


Article in other languages:

AR: https://tostpost.com/ar/health/19430-hepatosplenomegaly-is-not-a-death-sentence-proper-and-timely-treatment.html

BE: https://tostpost.com/be/zdaro-e/36880-gepatosplenomegaliya---geta-ne-prysud-p-s-mennae-svoechasovae-lyachenn.html

DE: https://tostpost.com/de/gesundheit/36534-hepatosplenomegalie-ist-kein-urteil-kompetente-und-rechtzeitige-behand.html

ES: https://tostpost.com/es/la-salud/36351-gepatosplenomegaliya---esto-no-es-una-sentencia-competente-y-el-tratam.html

HI: https://tostpost.com/hi/health/21127-hepatosplenomegaly.html

JA: https://tostpost.com/ja/health/19089-hepatosplenomegaly.html

KK: https://tostpost.com/kk/densauly/37216-gepatosplenomegaliya---b-l-k-m-emes-sauatty-zh-ne-der-kez-nde-emdeuge-.html

PL: https://tostpost.com/pl/zdrowie/38586-powi-kszenie-w-troby-i-ledziony---to-nie-wyrok-w-a-ciwe-i-terminowe-le.html

PT: https://tostpost.com/pt/sa-de/38299-gepatosplenomegaliya---n-o-uma-pena-competente-e-oportuna-de-tratament.html

TR: https://tostpost.com/tr/sa-l-k/33688-hepatosplenomegali---bu-bir-c-mle-de-ildir-uygun-ve-zaman-nda-tedavi-i.html

UK: https://tostpost.com/uk/zdorov-ya/37537-gepatosplenomegal-ya---ce-ne-virok-gramotne-svo-chasne-l-kuvannya-dozv.html

ZH: https://tostpost.com/zh/health/37508-hepatosplenomegaly-is-not-a-death-sentence-proper-and-timely-treatment.html






Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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