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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Removal Of Spleen Advisable For Heavy Bleeding For A 12-year-old?

My Daughter Suffering from ITP, the ITP noticed 1 ½ years old, now she is 12years, one month back first time menstrual and heavy bleeding, immediately admitted in the hospital, now doctor advice remove spleen and meantime fallow the medicine T.wysolone 20mg,azathioprine 50mg.Kindly advice
Thu, 28 Nov 2019
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General & Family Physician 's  Response
Hello,

Removal of spleen is necessary in case of your daughter. This is because while she is having ITP, her immune systems treats thrombocytes as foreign bodies, so starts to destroy them.

The spleen is our body organ responsible to remove these destroyed thrombocytes. So, by removing the spleen, more thrombocytes will keep circulating.

Now, in children, doctors will put on balance the benefits from severe complications such as heavy bleeding that would be life-threatening with the risk for infection on the other side.

If the benefits will outweigh the risks, then, doctors decide to remove the spleen before teenage. Otherwise, it is advised to weight until teenage is reached.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Albana Sejdini, General & Family Physician
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Is The Removal Of Spleen Advisable For Heavy Bleeding For A 12-year-old?

Hello, Removal of spleen is necessary in case of your daughter. This is because while she is having ITP, her immune systems treats thrombocytes as foreign bodies, so starts to destroy them. The spleen is our body organ responsible to remove these destroyed thrombocytes. So, by removing the spleen, more thrombocytes will keep circulating. Now, in children, doctors will put on balance the benefits from severe complications such as heavy bleeding that would be life-threatening with the risk for infection on the other side. If the benefits will outweigh the risks, then, doctors decide to remove the spleen before teenage. Otherwise, it is advised to weight until teenage is reached. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Albana Sejdini, General & Family Physician