How to treat children with splenomegaly?

Patient's question:

My child had an ultrasound in October which revealed slightly enlarged spleen. At that time, the external examination did not detect it. Subsequently, blood tests and blood smears were also normal. How is the treatment for an enlarged spleen in children?

Doctor's answer:

There are many factors that can cause splenomegaly, such as schistosomiasis, chronic hepatitis, kala-azar, typhoid fever, malaria, portal hypertension, leukemia, malignant lymphoma, systemic lupus erythematosus, and so on. Splenomegaly can lead to hypersplenism, causing a decrease in blood cells and platelets in the blood. First, it is important to consider whether the child's splenomegaly is sudden or gradually increasing. Does the child have symptoms such as fever, anorexia, vomiting, or nausea? In daily life, it is advisable to communicate more with the child and minimize their anger.

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