Enlarged Spleen and Liver

Hello. I am a 23 year old male, and do not drink. For the past 4-5 months I have been having upper right quadrant pain . In June I had bloodwork done, which showed elevated liver enzymes, but only slightly elevated. I was then instructed to have an ultrasound, which showed a midly enlarged spleen and liver. I had a Cat-scan done a week later, which stated that my liver was within the normal range but at the upper limit, and that the spleen was still enlarged. I had blood-work done again on July 31, which showed normal liver enzymes and everything else normal. I then saw a GI specialist, who went over the results, ordered a blood protein test ( which came back negative) and he has now referred me to a hematologist. My question is, what could be causing my symptoms? I have also had a Hep A, B, and C test which was negative as well. The pain is so so minimal, and more of a mild sensation at times, but the anxiety is what is getting to me. Thanks a lot, and I appreciate any feedback, as I cannot see the hematologist for some time as I have just relocated and am extremely busy.

[Ratnakar Kini, MD]

Hi,
Enlargement of liver and spleen could be due to various causes like - liver problems, infections, hematological problems, metabolic problems and malignancy. The first three are common causes. Since liver problem is ruled out and infection is less likely in your case, it could be more of a hematological problem. Consulting a hematologist would be appropriate.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.