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Enlarged Spleen

I went to the ER a few days ago due to abdominal pain. They did a CT scan and said I had an enlarged Spleen and my blood work showed high liver function readings.

They called my Bariatric doc and he told them he was aware of the spleen being enlarged because it was when he did my sleeve back in February!!!

So a few questions.

1. Shouldn’t the surgeon have told me about it after surgery? I had no clue.

2. Has anyone else had this happen?

The ER dr was very concerned and not even 10 minutes after calling my bari dr she was discharging me!

He told her it was not related to anything bariatric but was probably a “female” issue.

How the hell does a “female” issue cause an enlarged Spleen and high liver function tests?!

Plus I had just seen my gyno a few months ago.

Needless to say I think my surgeon is a prick now. And it worries me that I’ve had an enlarged spleen for 9 months and am just now showing signs of it with pain and tenderness.

I can’t see my pcp until Tuesday but refuse to go back to the ER. The dr didn’t even come back in to tell me what he said, it was the discharge nurse that did. So I don’t think too highly of this dr either. And they gave no instructions except to see my pcp .

Just so frustrated and angry at my Bariatric surgeon and ER dr as well.

Has anyone else had to deal with this after surgery? Or know why my surgeon would not have told me about it?

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Looks like they should at least had a hematologist and GI consult with you. I have an enlarged spleen from a genetic problem that causes my blood cells to break down quickly. When that happens the spleen cleans up the material left behind. A normal person's spleen handles this because the cells die at a normal rate. The spleen acts as a filter so when it becomes enlarged there usually is a reason. Your PCP should take this more serious.

  • Author

I have an appointment to see my pcp on Tuesday and plan on getting some answers.

I feel my surgeon should have at least told me about it back in February when he noticed it during my surgery.

I know people can live without their spleen and I don’t think it’s quite that serious lol. Just worried is all And my alkaline phosphatase levels have been high every time blood work has been done the past two years.

Each time they say they’re watching it. Well after two years I want answers to that too!


I have an appointment to see my pcp on Tuesday and plan on getting some answers.

I feel my surgeon should have at least told me about it back in February when he noticed it during my surgery.

I know people can live without their spleen and I don’t think it’s quite that serious lol. Just worried is all And my alkaline phosphatase levels have been high every time blood work has been done the past two years.

Each time they say they’re watching it. Well after two years I want answers to that too!




I have the exact same issues with my liver function and both. my liver and spleen are very enlarged. All my liver function tests have been bad for a couple of years. My PCP said it was due to a fatty liver and it would go away when I lose weight


5' 5"
HW: 259
CW: 235
GOAL: Healthy and hard 140-ish?
  • Author

My liver tests except for the alkp are usually normal. That’s why this sort of confuses me too.

I’ve lost almost 110 pounds and while I still have a lot more to lose I’d think that would have helped at least some. [emoji17]


My liver tests except for the alkp are usually normal. That’s why this sort of confuses me too.

I’ve lost almost 110 pounds and while I still have a lot more to lose I’d think that would have helped at least some. [emoji17]




I agree your surgeon should have told you! How did your appt go today?


5' 5"
HW: 259
CW: 234
GOAL: Healthy and hard 140-ish?
  • Author

I haven’t gone yet. It’s at 3:00 this afternoon.


Good Luck today!

  • Author

Thanks.

He said the spleen had not gotten bigger since February and that some people have a genetic tendency to ha e larger spleens.

He said the way I described the pain it could be scar tissue from the surgery trying to move over or around itself. This does make sense as I scar badly as does most of my family. So I can only imagine what our insides look like.

He was not overly concerned with the blood tests and said it could be from the fatty liver stuff too and we’d keep an eye on it as it should go to normal as I continue to lose weight. Just like Sherry said above.

He did agree the surgeon should have told me about it.


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