6. Enlarged Spleen – An Internal Indicator of ET
An enlarged spleen, medically known as splenomegaly, is a common symptom in ET. The spleen may become enlarged due to the excessive production of blood cells, including platelets. This enlargement can lead to discomfort or a feeling of fullness in the left upper abdomen. It might also cause pain or discomfort, especially after eating.
Patients with an enlarged spleen may also experience early satiety. They feel full after eating only a small amount of food. This can contribute to weight loss and general weakness. Regular monitoring of spleen size through physical examinations and imaging studies is an important aspect of managing ET.
In some cases, an enlarged spleen can lead to complications. These include the rupture of the spleen or an increased risk of infections. Patients are advised to avoid activities that could risk injury to the spleen area. They should also be aware of signs of potential spleen-related complications, such as severe abdominal pain.
Treatment for an enlarged spleen in ET focuses on managing the underlying condition. This often involves medication to control blood cell production. In severe cases, surgical intervention might be necessary. However, this is generally considered a last resort due to the potential risks and complications. (6)
