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CBC and ultrasound
I am 28 year old female. I recently had an abdominal ultrasound because of mild pain. The scan showed borderline splenomegaly. I then had a CBC done because of borderline splenomegaly. All results came back normal except for my ESR, which is 56 (it was 44 six months ago). Do my spleen size and ESR values seem concerning? All my other blood tests, including LFT and KFT, are normal.
Answers (27)
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Borderline splenomegaly with normal CBC, LFT, and KFT is usually not a serious concern. ESR is a non-specific test and can be raised due to many minor or past conditions (like recent infection, inflammation, even anemia). Since your other blood tests are normal, it is not worrisome at present.
Next Steps
For now, stay reassured and continue regular follow-up.
Health Tips
I suggest you repeat the ultrasound after 3–6 months to monitor spleen size and discuss with a General Physician or Hematologist if you develop symptoms like persistent fever, weight loss, night sweats, or significant fatigue.
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Hello,
Considering your age (28) and the weight you provided (85kgs) is a bit concerning.
Try focusing on eating a portion from each carb , protein and unsaturated fats .
Your weight and the spleen enlargement might correspond to having an unhealthy diet and improper eating schedule.
This could further lead to lowering of your immunity and making you more vulnerable to infections. Thus further deteriorating your health .
Next Steps
Try to cook your own meals (if not doing so)
Limit your trans-fat (e.g butter) intake
Health Tips
Avoid processed or packaged food item.
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Increased ESR indicates some underlying inflammation or chronic disease so PLZZ consult with me for proper understanding with previous investigation report to understand the cause
Next Steps
get done CRP
Health Tips
consult doctor for this
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With only elevated esr ..there is no proper diagnosis...
Either u should do other blood investigation like RFT LFT URINE ANALYSIS.. to rule out other causes of splenomegaly...
If everything is normal ....then nothing to worry..
Until u have any symptoms like bloating, pain over abdomen , loose stools ...fever ...no need to worry
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Spleen rnlage is chronic inflammation so esr is raised.
Any history of recurrent fever cause Spleen enlarge.
No any separate treatment for raised esr.
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Avoid fried food and spicy
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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Borderline splenomegaly on ultrasound with normal CBC, LFT, and KFT is usually not alarming, especially if you have no major symptoms. ESR can be mildly raised in many conditions like past infections, inflammation, or even nonspecific causes.
Next Steps
Continue observation and repeat ultrasound only if pain persists or worsens.
Keep a record of ESR and repeat only if advised, as isolated ESR elevation is not specific.
If you develop fever, weight loss, prolonged fatigue, or persistent abdominal pain, consult a physician/hematologist.
Health Tips
Borderline spleen enlargement with otherwise normal reports is often incidental. Don’t worry, but do regular follow-up if new symptoms appear.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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General physical and per abdomen examination along with clinical history is needed.
Though, Mild splenomegaly may be due to several reasons.
And Raised ESR may also be due to some kind of subclinical or convalescent infection.
Next Steps
you should consult.
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High ESR only indicates some derangement of health recently. Mild splenomegaly can be due to multiple reasons. Share your complete blood count report, details of symptoms.
Get c.t. scan abdomen done. It will show any abnormality in greater detail. Share results. Then I can help you.
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Hello,
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Hello
Raise in ESR usually is due to infection and inflammation in absence of any other reason..
Since u did mention u had abdominal pain could have been the reason..no worries
Next Steps
Do give details if the abdominal pain complaints are recurring or severe
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Borderline splenomegaly is normal .don't worry
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Splenomegaly can be due various reasons but since you have raised ESR valves it suggests some underlying infection or inflammation. All your symptoms and reports should be seen for a clearer picture.
Health Tips
If you have fever you should consult at the earliest.
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Kindly consult beacuse need to take more detailed history.
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Need few more details
Kindly connect
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Hi
Mild / borderline splenomegaly is considered normal .
So a lot of things can be a cause of raised esr like for systemic inflammation( like rheumatoid arthritis, systemic lupus erythematosus (SLE)), chronic infections can cause spleen enlargement with raised esr. Esr is a marker of inflammation.
If CBC is normal means we can rule out anemia
So most probably esr has raised due to your infection.
Next Steps
Consult one on one if you require more assistance
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Not concerning. Have fibre rich food
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need further evaluation. Kindly consult for further management
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Harsh Raj
General Physician
5 yrs exp
Gorakhpur
Need more detailed history
Share your reports first.
Health Tips
watch for any fever or increase in abdominal pain intensity or change in hemoglobin levels or jaundice
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Dr. Romain Rajan
General Physician
2 yrs exp
Ghaziabad
Hello,
A borderline enlarged spleen (borderline splenomegaly) can have many benign or transient causes, especially if all other investigations including CBC, LFT, and KFT are within normal range. An isolated rise in ESR (from 44 to 56) is non-specific â it can increase due to minor inflammation, infection, or even other non-serious conditions. Since your other parameters are normal and there are no alarming symptoms, it is not immediately concerning, but it does warrant monitoring and possibly a detailed evaluation if the pain or ESR continues to rise.
It would be best to discuss your reports in detail with a physician to decide if any further tests or follow-up scans are required. You may book a consultation with me on Practo for a personalised assessment.
Regards,
Dr. Romain Rajan
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High ESR generally signifies chronic infection or resolved infection,borderline splenomegaly is not of much concern.
Next Steps
Check CRP levels for any ongoing infection.
Repeat ultrasound after 2 weeks
Health Tips
If you have symptoms of fever, rigors, chills, nausea, vomiting, headache, body ache, rash and abdominal pain not resolved, visit a doctor and give proper history.
FEEL FREE TO CONNECT FOR ANY GUIDANCE.
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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