What can cause an inhomogenous spleen in hodgkin lymphoma?

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My friend has Hodgkin lymphoma and his disease has gone away in his chest but he still has tiny densities and mild inhomogenity on his spleen. He is done with chemotherapy. What does it mean to have inhomogenous stuff on the spleen? Is it like a scar?
This is a term used by radiologists that does not help us much as clinicians because it is so non-specific. It probably means nothing. We can't safely biopsy the spleen - it bleeds too easily. If the Hodgkin's lymphoma has resolved in the chest, it is not very likely that the lymphoma is active in the "inhomogeneous" areas of the spleen.
To really know what is going on in the spleen, you would have to surgically remove it. This will not be recommended with an uncertain report stating "inhomogeneous." Follow-up and time are the key. There is no better test in this situation than the "test of time" to see if your friend has a durable remission. There is no great hurry to find recurrence. I would assume a positive outlook. We do well treating Hodgkin's lymphomas in most patients. Our best chemotherapy is given first, and your friend is finished with that.  (+ info)

How long after my spleen as ruptured can I participate in sexual activities?

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My spleen ruptured 5 days ago and I'm alright now But I'm wondering how long it'll take until I can be sexually active again. The doctor said 2 weeks til I'm back in school But I'm out of softball for the entire season.What does this mean? Help! I don't want to have something happen and have it re-rupture or something?
3 years for it to be ok for sexual activities....sometimes they advise you to wait until your out of college also....good luck : )  (+ info)

What food is good for your spleen and kidneys?

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Does anyone have any idea what food, preferably meat, is good for your spleen and kidneys?
My cat has bad kidneys, so I want to give him some food to make them better.
horse  (+ info)

How can a person live a healthy life without a spleen? (splenectomy) How does the body compensate?

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I don't understand how the body functions without its spleen. Where is the compensation? I am curious how when a person needs a splenectomy from a car accident per se, that they can still be healthy and lead a normal life if their spleen had to be removed?
April, I lost my spleen in a sledding accident when I was 13......that would make it...well, 30 years ago.
There is a pneumonia booster you must take every ten years, and it's good idea to get a flu shot.
I got a lot of infections during cold season at 1st but started taking echinacia (sp?) when getting sick so that never happens anymore.
The sucky part is the adhesion issue, but it's not bad...
E me if you want to talk about it.
The spleen is not a major organ, it's a link in your immune system but not a big part. Stores and filters red blood cells mostly I think.....  (+ info)

What are the symptoms of a swollen spleen?

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I've recently noticed that I sometimes get a pain in my left shoulder and after I eat, my abdomen on the left side between my ribs hurts. Could this be because of a swollen spleen?
if your spleen is swollen you should be able to feel it with your hand.  (+ info)

How to treat Yin dificency and Spleen dampness?

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Hi i need to know how to treat a patient with Yin dificency and Spleen dampness. Cold bitter herbs damage the spleen and hot herbs increase yang. What do I do? Add specifics please!
to answer if its orginal tcm or modern. What ever works!
Found this on the net:


Dampness and yin deficiency commonly occur together clinically and require a strategy that combines tonifying yin and transforming dampness. This scenario usually occurs because damp or phlegm has transformed into damp heat or phlegm heat, and the resulting fire damages fluids. That's not the only possibility, however. Sometimes there's no evil heat at all, and the dampness alone gives rise to yin deficiency. This is because the turbid dampness is using up all the normal body fluids, causing the body's yin to become depleted. Still another possibility is that yin deficiency occurs first, and the resulting deficiency heat thickens the normal body fluids, creating phlegm. This second scenario is more likely to occur in the upper burner.

Let's look at common treatment strategies for each of the three burners. The ingredients for the formulas below are all listed in Bensky and Barolet's Formulas and Strategies.

Upper Burner

Either phlegm by itself or phlegm heat can damage yin if it has been in the upper burner for a long time. Alternatively, Lung yin deficiency can result from Kidney yin deficiency, and the deficiency heat can, over a prolonged period of time, injure lung fluids resulting in the formation of phlegm. The requisite treatment principle is to transform phlegm, clear heat, and nourish yin. Three common formulas that incorporate this strategy are bu fei e jiao tang, mai men dong tang and jin shui liu jin jian.

Incidentally, the last formula has been recorded incorrectly in Formulas and Strategies. According to the classical source text (Jing Yue Quan Shu), you're supposed to use shou di huang, not sheng di huang. The author of this text, Zhang Jing Yue, was so renowned for his use of shou di huang that he was nicknamed "Zhang Shou Di" by his peers.

Middle Burner

In the middle burner, yin deficiency often occurs as a result of damp heat damaging yin. If the damp heat causes diarrhea, the damage will be accelerated even farther. The other scenario occurs when a patient with pre-existing yin deficiency develops damp heat as a result of consuming bad food. The treatment in both cases requires that you simultaneously transform damp and tonify yin. There are several formulas that can be used.

One of the best formulas for this twofold problem is zhu ling tang. Although it is most often used to treat damp heat urinary problems, the shang han lun prescribed this formula for diarrhea and insomnia as well. The e jiao tonifies yin and blood and counteracts the drying effects of the other herbs in the formula.

For more severe diarrhea, you can use bai tou weng jia gan cao e jiao tang. This is basically bai tou wen tang with e jia and gan cao added to nourish the blood and yin. It was originally designed for dysentery occurring after labor, but we can borrow it for any damp heat diarrhea complicated by yin and blood deficiency. Another way to treat this pattern is to modify ge gen huang lian huang qin tang by adding Lung-Stomach yin-tonifying herbs such as sha shen, mai men dong and tian hua fen.

Sometimes the yin becomes damaged by diarrhea resulting from cold or cold damp attacking the middle burner. If this happens, the patient will remain sick even after the diarrhea has stopped. You should use si ni jia ren shen tang, which warms the middle burner and tonifies qi and yin.

Ascites or "drum distention" (gu zhang) is a middle burner condition that usually leads to yin deficiency, since the massive accumulation of abdominal water leaches normal yin from the body. The yin deficiency occurs in spite of extreme dampness and even cold. The treatment of ascites is quite complicated, too complicated to go into here; it often involves spleen deficiency, dampness, yin deficiency and blood stasis all occurring simultaneously. If you are looking for herbal treatment strategies for this condition, I recommend that you consult Wu and Fischer's Practical Therapeutics of Traditional Chinese Medicine.

Lower Burner

In the lower burner, accumulated dampness easily transforms into heat, which then causes yin deficiency. The other possibility is that dampness and heat sink into the lower burner of a patient that has preexisting yin deficiency. The combined pattern usually manifests as a heat dysuria (re lin), causing frequent urine with a burning or itching sensation. The treatment principle is to leach out damp, clear heat, and tonify yin. Here again, the indicated formula is zhu ling tang.

I need to add a word here about pulse and tongue interpretation, because many of my American students tend to be misguided by these signs, especially when they are facing multipattern conditions like dampness combined with yin deficiency. The fact is, pulses and tongues will often reflect only one pattern or side of the condition, and you have to rely on the other signs and symptoms to get a full picture of the other pat  (+ info)

How long will it take for a ruptured spleen to heal?

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I have a 5 by 6 cm split in my spleen, but they didnt take it out, how long will it take to fully recover?
wtf? are they not supposed to stitch it?
1cm a day is the max that tissue covers to heal, nerves take 1cm a year, you need plenty of aminos and hgh helps also if you want. Longevity hgh is best I know of.
I would get a second and 3rd opinion on that, doc may be behind the times.  (+ info)

What is the relation between an enlarged spleen and anemia?

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so i was wondering if an enlarged spleen CAUSES anemia.
OR
is it a SYMPTOM of anemia
OR
is anemia a symptom of an enlarged spleen.
The relationship is that anemias like hereditary elliptocytosis, hereditary spherocytosis, sickle cell disease and thalassemia can all cause splenomegaly. Splenomegaly isn't itself a disease or anything like that. It's a symptom. Certain infections can also cause splenomegaly. So can cancer and so can other disorders. In fact, there are 26 disorders that can enlarge the spleen.

And when for any reason the spleen removes too many blood cells and platelets from the bloodstream for destruction, a variety of problems may develop. These problems include anemia as a result of too few red blood cells. This can happen if the spleen is enlarged or diseased from some other disorder. One of the spleen's functions is to remove old, worn out red blood cells from the blood. Inherited conditions such as thalessemia, a type of anemia, cause a more rapid cell death. The spleen can become enlarged from removing so many extra blood cells and, in turn, create a situation of iron-deficiency anemia.

So the spleen-anemia relationship can work both ways. One can cause the other and vice versa.  (+ info)

What are the disatvantages with living without a spleen?

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My spleen was taken away three years ago. Is that dangerous? How would it be to live in tropical areas, for example the Philippines without a spleen, will I be more vulnerable to infections?
You may be somewhat more vulnerable to infections, but many people the world over live without a spleen. Mine ruptured at one point and I'm in the same boat you are. I haven't noticed an increase in sickness, only an increase in allergies. Before you go to any tropical area, your local health department will be able to suggest vaccinations that you need to have prior to your trip or move. Yellow Fever, Hepatitis, and Malaria are the biggies you'll have to watch out for. The best thing to do is not to worry, as your spleen is only marginally more important than your appendix. Rest easy.  (+ info)

What type of life long follow-up is required after spleen removal?

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The patient is diabetic, and has had 4pancreas attatckes. The spleen is being removed due to a blood clot and enlargement.
The spleen is responsible as an immune system response to antigens and pathogens. It aggregates immune cells to recognise and fight infection. If the patient is diabetic and has had his spleen removed it is a major possibility that he is easily susceptible to disease. As both these results in a decline in your immune system which means the patient will be immune compromised. Regular check ups to the doctors wouldn't hurt but if they become sick they should seek medical treatment straight away.  (+ info)

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