
What Causes Upper Right Abdominal Pain And Enlarged Spleen?

Sorry i feel a fullness in my upper left abdomen*
Spleen rupture in EBV infection is rare.
Detailed Answer:
Hello XXXXXXX
Welcome back.
I understand your concern and what you are going through.
EBV infection is very common in people of your age.
You should relax. Spleen is well protected by the rib cage and it has to enlarge more than twice its size to even become palpable. The spleen rupture is very rare and usually occurs in people playing contact games or due to a blunt trauma to the abdomen as occurring in a traffic accident.
Your abdominal symptoms do not have to be due to a flare of EB viral infection. Do you have lymph node enlargements in other areas like the neck?
Eating too much of garlic, ginger and drinking tea and caffeinated beverages increases the chance of gastritis especially when you are stressed. This can lead to abdominal symptoms.
To put your mind at ease get an ultrasound examination of the abdomen to know the size of the spleen.
Do get back to me with further queries if any.


Welcome
Detailed Answer:
Pain in the left arm was unlikely to be due to enlarged spleen as it is not a common site of pain referred from spleen. Such pains are commonly due to muscular inflammation in viral diseases.
Do you require to see a physician to get an abdominal ultrasound examination done? Here in Kuwait, one can get it done by going directly to the sonologist. This would be helpful in two ways. If the spleen is normal, it relieves your stress. If it is enlarged, other causes also may be looked into.
Take Care


Also would it be best for me to see an internal medicine doctor or a GP for this. I moved to a new state and need a new doctor.
Thanks so much :)
Good idea
Detailed Answer:
Definitely.
If you have access to a specialist in Internal Medicine, she/he would be the appropriate doctor for you. If not a good GP is fine.
I would be interested in knowing your progress and their findings including the US .
Best wishes and regards,


Welcome
Detailed Answer:
You would have had lymph nodes enlarged when you had the attack of EBV. These have shrunk with the recovery. Spleen is a large lymphatic organ, it also would have reduced in size with you getting over the infection then. If you are having a flare up and your spleen enlarges, it will be from the size it would have reduced to at the time of recovery. This is assuming that the spleen enlargement was due to EBV infection and not to any other cause.
So don't worry.
When the doctor examines you, she can feel the spleen under the rib cage, if it is significantly enlarged and it moves with the breathing.


In the neck mainly
Detailed Answer:
Enlarged lymph nodes are felt in the neck mainly, above the collar bones, below the jaw and behind the ear.
You can search for images of lymph node enlargement in EB Virus infection to get a better idea.

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
