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inflamed spleen

I have been diagnosed chronic hepB for 8 years now my spleen is inflamed what can I do pls
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446474 tn?1446347682
COMMUNITY LEADER
Aldactone, Furosemide and Propranolol treat the complication of cirrhosis. But since you are not taking them I can't comment.

You appear to have multiple medical issues not related to your cirrhosis which I can't comment on. Please talk to your doctor to find out what your medical issues are and get proper treatment.

If you have any questions about your cirrhosis we will be happy to answer them.

Good luck.
Hector
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Avatar universal
sir,let me add that my wbc is extremely high above 15000 and RBC is extremely low. boloni
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Avatar universal
Thanks Hector for this detailed explanations. My doctor prescribed aldactone,prepraderel and furosemide  tabs .my bp is bother line 90/60.after 3 days it crashed to 80/40 so I stopped the medication. my question: is their no drug I can use that will not bring down my bp? 2:do I still need viral load test now that Cirrhosis has manifested. or any alternative drug or diet that can help. thanks as usual. boloni
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446474 tn?1446347682
COMMUNITY LEADER
If you have cirrhosis of the liver it is not uncommon to have an enlarged spleen. Called "splenomegaly". Splenomegaly is a common complication resulting from cirrhosis.

Is this what you mean by "inflamed"?

If so an enlarged spleen is a complication that occurs because of the cirrhosis and the resulting portal hypertension. It is a condition that is the result of the cirrhosis and portal hypertension and not a condition of the spleen itself. There is no treatment for an enlarge spleen resulting from cirrhosis. Only when the cirrhosis is reversed can the enlargement of the spleen be resolved. Only by resolving the cause of your cirrhosis, hep B and its damaging effects on your liver, will the cirrhosis and its complications improve.

Do you have a low platelet count? Under 150,000? Many cirrhotics have platelet counts below 100,000 when they have cirrhosis and portal hypertension.

This will explain how a person with cirrhosis develops an enlarged spleen, portal hypertension and the other complications of cirrhosis.

Blood flows from the spleen...through the portal vein...then through the liver then back to the heart. Scar tissue in the liver (cirrhosis) can interfere with that blood flow, causing pressure to build up in the portal vein (portal hypertension), and the spleen to enlarge (splenomegaly). As the spleen enlarges, it traps more and more platelets. (The amount of platelets in the bloodstream is reduced because the spleen is busy trapping them).
So over time as a person's cirrhosis advances people develop an enlarged spleen and portal hypertension which can be seen on imaging (ultrasound, CT or MRI) and with reduced platelet count on lab results. The liver tries to repair itself from injury (by hep C, hep B and many other causes) by growing new cells. So over time people end up having more and more abnormal nodules and scar tissue forming which interferes even more with blood flow through the liver. Cirrhosis plus portal hypertension can lead in time to the more serious complications of cirrhosis. Ascites, bleeding varices, hepatic encephalopathy and other medical issues.

So only by properly managing your hepatitis B with treatment, who infection led to your liver disease and cirrhosis, will the resulting cirrhosis, enlarged spleen and other complications of the cirrhosis be able to improve.

Be well.
Hector



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