How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Thomas, MD Your Own Question

Dr. Thomas, MD
Dr. Thomas, MD, Board Certified MD
Category: Medical
Satisfied Customers: 63757
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
24257177
Type Your Medical Question Here...
Dr. Thomas, MD is online now

My wife has a painful swollen spleen. What treatment do we

Customer Question

My wife has a painful swollen spleen. What treatment do we need .
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 3 years ago.
Hello from JA

You have to know why the spleen is swollen.

Do you know why?

What is the diagnosis?

Customer: replied 3 years ago.

All we know is that she has had a vaginal infection and started anti biotics yesterday. Today she developed all the symptoms of a swollen spleen including the swelling.
We only know that the spleen is swollen but dont kniw why
Expert:  Dr. Thomas, MD replied 3 years ago.
You can not see or feel a swollen spleen in most cases...where is this swelling?

How was this diagnosed?
Customer: replied 3 years ago.

The swelling is in the upper left abdomen under the lower rib. The spleen is enlarged and been checked by a non specialist doctor.

She has strong pain in the upper left abdomen under the lower rib. The pain is also being felt in the left shoulder, occasionally the back , and also when breathing.
Expert:  Dr. Thomas, MD replied 3 years ago.
OK
Was there any imaging of this
CT scan for example?
Customer: replied 3 years ago.
Not yet
Expert:  Dr. Thomas, MD replied 3 years ago.
OK
It could also be pancrease
If her pain is getting wrose she belongs in the ER
Pancreatitis can become dangerous and life threatening, and you don't know what is going on until she has a scan.

I would have this now.

The spleen can be enlarged for a numver of different reasons, autoimmune disease, liver disease, and other diseases such as certain dysplastic symdromes and cancers, which means you have to find out why and then treat the underlying cause.

Pancreatitis can be for a number of different reasons as well.

Shee neecs to see an GI doctor as soon as possible, but I would get a scan or ultrasound now.

OK. If you have further questions or details, use reply to expert.

Otherwise please choose a positive rating [smiley face or accept]. But, still come back if you need to…think of something later, etc. Bonuses are appreciated.

Customer: replied 3 years ago.

The doctor is now saying that she has colopathy.
He still has not ordered a CT or ultrasound scan to check her organs.
My wife is currently in morocco and i dont trust the hospital in marakech
Expert:  Dr. Thomas, MD replied 3 years ago.
I don't know what colopathy is
Pathology of the colon?
This would need a colonoscopy.

OK. If you have further questions or details, use reply to expert.

Otherwise please choose a positive rating [smiley face or accept]. But, still come back if you need to…think of something later, etc. Bonuses are appreciated.

Customer: replied 3 years ago.

The moroccan doctor also talked of her digestive system being unwell and that my wife should visit a dietician for good diet advice.
But my wife is not an unhealthy eater, is 175cm tall and only weighs 60 kilo.
I also dont know what colopathy is.
Is he talking sense about her stomach and intestines ?
Expert:  Dr. Thomas, MD replied 3 years ago.
If he things this is a colon problem she needs a scope.
I see no clear diagnosis here
I would insiste on a scan frist to see what is swollen.

OK. If you have further questions or details, use reply to expert.

Otherwise please choose a positive rating [smiley face or accept]. But, still come back if you need to…think of something later, etc. Bonuses are appreciated.

Customer: replied 3 years ago.

What is a scope please .?
One last thing is that she has also been suffering headaches / migraines almost every day for the last weeek which is unusual for her
Expert:  Dr. Thomas, MD replied 3 years ago.
A clononoscopy is a scope that looks into the colon.
I would do an MRI or CT of the abdome first.
If this is spleen or liver..see if it is tumor, or what.

I am not suprised she has headaches as well, as she appears ill.

OK. If you have further questions or details, use reply to expert.

Otherwise please choose a positive rating [smiley face or accept]. But, still come back if you need to…think of something later, etc. Bonuses are appreciated.

Customer: replied 3 years ago.

My wife has just informed me that she is sometimes having problems breathing deeply. Like she gets a feeling that it gets stuck or something.
Her breathing is not normal.
Can this be linked to any abdominal pain .
Expert:  Dr. Thomas, MD replied 3 years ago.
Yes it can
You need to take here to the hospital, where they can admit here and do testing.
This is not something to wait on and try to figure out.

OK. If you have further questions or details, use reply to expert.

Otherwise please choose a positive rating [smiley face or accept]. But, still come back if you need to…think of something later, etc. Bonuses are appreciated.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions