Splenomegaly is an enlarged of the spleen

The spleen has to be two and a half times its normal size to become palpable, therefore an enlarged spleen is not always palpable. In ptosis of spleen, it is palpable, though not enlarged.

Evidence of enlarged of spleen

Predominant left sided abdominal distension,of massive splenomegaly.

Splenic mass moves downwards on inspiration

A notch is felt on the anterior border

Left abdominal pain if massive splenomegaly.

Causes

1. Infective

Septicemia

SBE

Typhoid

Syphilis

Infective hepatitis

Malaria

Kala Azar

Histoplasmosis

2. Congestive

Congestive cardiac failure

Constructive pericarditis

Budd Chiari syndrome

Cirrhosis

Schistosomiasis

Sarcoidosis

Congenital hepatic fibrosis

Portal vein thrombosis

3. Blood disease

Polycythemia rubra Vera

Hemolytic anemia-Thalassemia

Leukemias

Lymphoma

Myelofibrosis

4. Infiltrative and degenerative disorders

Amyloidosis

Gaucher's disease

5. Neoplastic

Hemangiomas

Sarcomas

Cysts

Metastasis

6. Miscellaneous

Connective tissue disorders

Rupture of spleen and hematoma.

Types of splenomegaly

Massive splenomegaly

Moderate splenomegaly

Mild splenomegaly

Acute splenomegaly

Hepatosplenomegaly

Hepatosplenomegaly with lymphadenopathy

Splenomegaly With Pallor and Icterus

Splenomegaly With Petechiae and Ecchymosis

Clinical Feature

Weakness

Weight loss

Fatigue

Frequent infection

Bleeding

Jaundice

Aneamia

Differential diagnosis

Viral hepatitis

Cirrhosis

Malaria

Leukemia

Amyloidosis

Kala Azar

Pyemic Liver Abscess

Hemolytic Anemia

Polycythemia Vera

Felty's Syndrome

SLE

Investigation

Ultrasound

MRI

CT scan

Homoeopathic Remedies For Splenomegaly

1. Hydrastis can
2. Ceanothus
3. Calc flour
4. China
5. Bryonia

Hydrastis Can

Hydr is especially active in old, easily tired people, cachectic individuals with great debility.

Its action on the liver is marked.

Liver torpid, tender.

Jaundice.

Dull dragging pain.

Weak digestion.

Bitter taste.

Sore feeling in the stomach more or less constant.

Pulsation in epigastrium.

Ceanothus Americans

This remedy seems to possess a specific relation to the spleen.

Splenitis, pain radiates up the left side.

A left sided remedy.

Anaemic patients where liver and spleen are at fault.

Enormous enlargement of the spleen(splenomegaly).

Deep seated pain in left hyponchondrium, Hypertrophy of spleen.

Unable to lie on the left side.

Pain in the liver and back.

Worse - motion, lying on left side.

The selection of homoeopathic remedies based on symptom similarities and doses according to the Susceptibility of patient.

Don't take homoeopathic medicine without any prescription / without any advise of physician