** 1. MDS [myelodysplastic syndrome] also known as pre leukemia or oligoblastic lukemia affects the bone marrow and the blood, and since case is diagnosed, this means she is under regular Supervision, but before opting for holistic treatment, keep in mind that since it is disease of bone marrow, thus the body will slow down/ STOP making three type of blood cells: i. Red blood cells: which will cause anemia [for which you have to look out for shortness of breath, unusual paleness, weakness, and since anemia in such condition is refractory to any treatment thus Erythropoietin injection is mainstay of treatment ii. white blood cells: will cause frequent fever and infections iii. platelets: easy bleeding/bruising. PS. infection or uncontrolled bleeding can be life-threatening and requires immediate medical attention, thus keep a check on her physical appearance and symptoms. 2. since she is receiving supportive care for her disease, thus in enlarged spleen [especially when associated with myeloproliferative disorder] make sure to check with her blood tests especially platelet count, blood smear. 3. since splenomegaly is a symptom and not a disease, thus management should be directed towards treating the main pathology., since splenectomy [removal of spleen]can be done to alleviate the symptoms of discomfort and pain. for Prophylactic management: . Limit Activity/sports that may result in falling. [Bending, dancing and cleaning are examples of activities that might further irritate thew spleen.] . Avoid chocolates,mints,coffee,meat, alcohol & carbonated drinks, spicy food. Since spleen is a part of our immune system thus try using himalayan goji juice which helps in improving the immune system. . You may ask for prescription medicines like: rohitak arishta , capsule capsicum, cinchona Off., . Talk to a yoga instructor about exercises that can help massage and support the spleen, like The Pigeon, Seated Angle and Bound Angle poses can be good for spleen. Make sure you have the instructor show you each pose, as proper form is very important in yoga.