Download FREE Practo app
Get ₹200 HealthCash
Enlarged spleen and high ESR
I’m a 29-year-old woman who recently had a routine check-up and abdominal ultrasound. Most of my reports were normal (CBC, LFT, KFT, thyroid), except that my ESR was in the 50s (it had been around 40 six months ago). The ultrasound showed grade 1 fatty liver and a borderline enlarged spleen measuring 11.9 cm. I don’t have any symptoms at present. My doctor said there’s nothing to worry about and advised me to eat healthy and stay hydrated.
However, I tend to worry a lot about my health and can’t stop thinking about conditions like lymphoma, since I know it can sometimes cause splenomegaly and high ESR. Do these findings actually require further investigation, or is it safe to leave them alone and move on?
Answers (9)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine.
Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS .
Jai hind. 🇮🇳
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+121
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Already answered.
Spleen if recurrent fever is there.
As such no medicine as we don't know the cause eg recurrent material which can be treated by falcigo tab two per week for six weeks.
Esr denotes chronic inflammation any where in body. In your case one is Spleen.
No separate treatment.
Spleen not going to harm.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Hello Ma’am,
Your reports show grade 1 fatty liver and a borderline enlarged spleen (11.9 cm) with a slightly raised ESR. Since all other tests (CBC, LFT, KFT, thyroid) are normal and you do not have any symptoms, this does not immediately point towards a serious illness like lymphoma.
Grade 1 fatty liver is very common and usually reversible with lifestyle measures like maintaining a healthy weight, regular exercise, balanced diet, and avoiding excess fatty/sugary foods or alcohol.
Borderline splenomegaly can sometimes be seen in normal people, after infections, or due to mild inflammatory changes. If you are symptom-free and blood counts are normal, it is usually not worrisome.
ESR is a non-specific marker that can rise with minor inflammation, infections, stress, or even in some normal individuals. Alone, it does not confirm any disease.
At present, there seems to be no urgent need for extensive investigations. What you can do is:
Repeat ESR and an ultrasound after 3–6 months to check for changes.
Focus on diet, exercise, hydration, and stress management.
Watch for warning symptoms like unexplained fever, night sweats, weight loss, or persistent pain/swelling — if these occur, then consult your doctor immediately.
So yes, for now, it is safe to follow lifestyle advice and monitor rather than worrying about serious conditions.
I hope it helps you. For proper management and treatment, you can consult me, just go to my profile.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
High Esr only suggests some health issue for some time.
Borderline splenomegaly can be due to some infection or autoimmune disease.
Get a complete blood picture, liver function tests , ANA test, share results.
Follow a healthy life style.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Y Manasa
General Physician
5 yrs exp
Kadapa
ESR 50, mild fatty liver, and borderline spleen enlargement are nonspecific and usually not lymphoma, especially without symptoms. Repeat tests (CBC, LFT, ultrasound) and follow up with your doctor for reassurance.
Health Tips
Follow a healthy diet (less oily, fried, junk foods and have more fruits & veggies).
Exercise at least 30 min a day to improve fatty liver.
Stay hydrated.
Repeat ESR and ultrasound after a few months.
Manage stress, as anxiety can worsen health worries.
See a doctor if you develop unexplained fever, weight loss, or swollen glands.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
Answered
Flag this answer
2/2 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.