Spleen Inflammation: Symptoms, Causes, and Care Tips - Internal Medicine

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Questions about splenitis?


Hello, Doctor: I have had stomach pain since I was young, and doctors have diagnosed me with chronic gastritis.
Whenever I experience stomach pain, I take antacids.
Recently, the frequency of my stomach pain has increased, and it has been severe enough that I had to visit the emergency room.
The doctor there surprised me by suggesting that I might have splenitis.
I am not very familiar with the spleen, and I couldn't find relevant information online.
Could you please provide me with some information related to the spleen and how to take care of it? Thank you for your help!

Liu, 30~39 year old female. Ask Date: 2000/12/19

Dr. Li Huixiong reply Internal Medicine


I think you may have misheard; it should be pancreatitis rather than splenitis.
The spleen is located on the left side of the body, towards the back, above the left kidney.
It does not have sensory nerves, so it does not produce sensations; clinically, there are very few cases of spontaneous splenitis causing pain.
Additionally, the area where you feel pain is different from its location.
The pancreas, on the other hand, is located just behind and below the stomach, and when it undergoes pathological changes such as inflammation or cancer, it is often difficult to distinguish from gastric lesions.
Based on this, it should be pancreatitis rather than splenitis.

Reply Date: 2000/12/19

More Info


Hello! It's great that you're seeking more information about the spleen and its potential inflammation. The spleen is an important organ located in the upper left part of your abdomen, and it plays several critical roles in your body, including filtering blood, recycling iron, and supporting your immune system. Understanding spleen inflammation, also known as splenitis, is essential, especially since you've been experiencing increased gastric pain.


Symptoms of Spleen Inflammation
Spleen inflammation can manifest through various symptoms, which may include:
1. Abdominal Pain: This is often felt in the upper left quadrant of the abdomen, where the spleen is located. The pain can be sharp or dull and may worsen with movement.

2. Swelling: An enlarged spleen (splenomegaly) may be palpable during a physical examination.

3. Fatigue: General feelings of tiredness or weakness can occur due to the spleen's role in blood filtration and immune response.

4. Fever: Inflammation often accompanies infections, leading to elevated body temperature.

5. Nausea or Loss of Appetite: These gastrointestinal symptoms can also be associated with spleen issues.

6. Frequent Infections: Since the spleen is crucial for immune function, its inflammation can lead to a compromised immune response, making you more susceptible to infections.


Causes of Spleen Inflammation
Several factors can lead to spleen inflammation, including:
1. Infections: Viral infections (like mononucleosis), bacterial infections, or parasitic infections can cause the spleen to become inflamed.

2. Autoimmune Diseases: Conditions like lupus or rheumatoid arthritis can lead to inflammation of the spleen as part of a broader immune response.

3. Liver Disease: Conditions affecting the liver, such as cirrhosis, can lead to splenomegaly and inflammation.

4. Blood Disorders: Certain blood disorders, including hemolytic anemia or leukemia, can also result in spleen enlargement and inflammation.

5. Trauma: Injury to the spleen can cause inflammation and swelling.


Care Tips for Spleen Health
To maintain a healthy spleen and manage any inflammation, consider the following tips:
1. Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health and immune function. Foods high in antioxidants, such as berries and leafy greens, are particularly beneficial.

2. Stay Hydrated: Proper hydration is essential for overall health and can help your body function optimally.

3. Limit Alcohol Consumption: Excessive alcohol can stress the liver and spleen, so moderation is key.

4. Regular Exercise: Engaging in regular physical activity can improve circulation and support immune function.

5. Avoid Infections: Practice good hygiene, such as regular hand washing, to reduce the risk of infections that could impact your spleen.

6. Regular Check-ups: Since you have a history of gastric issues, regular visits to your healthcare provider can help monitor your condition and catch any potential problems early.


When to Seek Medical Attention
If you experience severe abdominal pain, persistent fever, or any other concerning symptoms, it's crucial to seek medical attention promptly. Given your history of chronic gastritis and recent emergency room visit, it would be wise to follow up with your healthcare provider for further evaluation and management.

In conclusion, understanding the spleen's role and how to care for it can significantly impact your overall health. If you have any further questions or concerns, don't hesitate to reach out to your healthcare provider for personalized advice and treatment options. Take care!

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