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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hepatosplenomegaly And Anemia During Pregnancy

Hi, I am 30 years old and 27 weeks pregnant with my 3rd baby. I have high risk pregnancies d/t PIH and have HELP syndrome in the past. In addition I experience significant edema and fluid overload with each pregnancy. I have been recently been experiencing an increase of reflux/ heart burn, increase diastolic BP ( I have been started on labatelol which is helping and my BP has stabilized), sudden weight gain d/t edema, visual disturbances and RUQ pain++). I also feel SOB when laying down. I am bruising noticing increased bruising and bleeding noses too. I went to see a different doctor 2 days ago because mine is away and I expressed my concern over my RUQ pain as it is new this pregnancy and it has been present and increasing for the last 5 days, it is aggravated with eating as well. He ordered a STAT abd ultrasound and labs. I was diagnosed with a hepatosplenomegaly and anemia. Liver enzymes were not a concern. I am concerned with these findings, he is not. I would truly appreciate any advise on this matter.
posted on Thu, 13 Mar 2014
Twitter Tue, 3 May 2016 Answered on
Twitter Wed, 4 May 2016 Last reviewed on
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Infertility Specialist,  's  Response
Hello there, thanks for your query.
There are few things that is of concern that need to be discussed.
1. As you have previously experienced pre eclampsia and HELLP syndrome, you may expect it even this time and the following symptoms you mentioned should not be ignored and has to be monitored promptly.
2. Upper right quadrant pain is due to stretching of liver capsule and is worrisome. Moreover, visual disturbances, shortness of breath, sudden weight gain and bruising are all pointing towards HELLP syndrome.
Your blood pressure and urine protein, liver enzymes and renal function has to be monitored closely in a hospital setting and appropriate management has to be initiated depending on your condition. I suggest you to please go back to your obstetrician and plan for your further care. Hope this helps. Take care.
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Suggest Treatment For Hepatosplenomegaly And Anemia During Pregnancy

Hello there, thanks for your query. There are few things that is of concern that need to be discussed. 1. As you have previously experienced pre eclampsia and HELLP syndrome, you may expect it even this time and the following symptoms you mentioned should not be ignored and has to be monitored promptly. 2. Upper right quadrant pain is due to stretching of liver capsule and is worrisome. Moreover, visual disturbances, shortness of breath, sudden weight gain and bruising are all pointing towards HELLP syndrome. Your blood pressure and urine protein, liver enzymes and renal function has to be monitored closely in a hospital setting and appropriate management has to be initiated depending on your condition. I suggest you to please go back to your obstetrician and plan for your further care. Hope this helps. Take care.