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Enlarged spleen size with portal vein is diated 16mm low platelate count
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Hematologic Diseases
Question #11250
229 days ago
364

Enlarged spleen size with portal vein is diated 16mm low platelate count - #11250

Pawan Kumar

I have low immune system also have 17cm spleen size with portal vein is diated 16mm low platelate count how to cure with these problems can you suggest any medicine and diet so i can take and cure with these problem

Age: 32
Chronic illnesses: I have low immune system also have 17cm spleen size with portal vein is diated 16mm low platelate count how to cure with these problems can you suggest any medicine and diet so i can take and cure with these problem
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
229 days ago
5

Hello dear As per clinical history it seems high level immunocompetence. See curative medications are to be taken from concerned physician only. Some good supplements iam prescribing for improvement and relief Vitamin d sachets once a day for 1 month Ashwagandha once a day for 1 month Triphala once a day for 1 month Zincovit multivitamin therapy for 1 month Limcee 500 once a day for 1 month Green leafy vegetables Hopefully you recover soon Please take any medications only after recommendation from concerned physician only Regards

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Considering your condition involves an enlarged spleen (splenomegaly), a dilated portal vein, and a low platelet count, these factors may suggest portal hypertension or potentially underlying liver disease. It’s essential to understand the underlying cause first since that will drive the management approach. Portal hypertension could stem from liver issues, such as cirrhosis. First, it’s crucial to pursue a detailed diagnostic workup, including liver-function tests and imaging studies, like an abdominal ultrasound or CT scan, to ascertain the root cause. Management of portal hypertension could include medications such as non-selective beta-blockers, like propranolol, to reduce portal pressure. In cases where bleeding risks are high, endoscopic interventions or more advanced procedures might be needed. Given the low platelet count, you need to be cautious about bleeding risks. Medications that enhance platelet function might be considered depending on platelet levels and symptoms. Dietary modifications might help your overall condition: focusing on a low-salt diet could assist in reducing fluid retention. Ensuring adequate protein intake while avoiding alcohol is key as it might worsen liver-related issues. Exercise gently, as overexertion might exacerbate splenomegaly or bleeding risk. It’s crucial you discuss any new symptoms or significant changes with your healthcare provider immediately, and coordinate your care through them to ensure safety and efficacy, given the potential severity of these issues.

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