The diagnosis
In any case, it is important to consult a doctor if you have pain in the spleen. The first step is a consultation with a physical examination. The examination of the abdomen is important here.
Usually the spleen is not palpable in the left upper abdomen. Due to the swelling, however, the spleen is often palpable in the event of inflammation. In addition, an examination of the blood and a test for pathogens suspected of causing the symptoms is carried out.
Furthermore, an ultrasound examination of the spleen may follow. This is important in order to rule out other possible causes. If the spleen is inflamed, there is an increase in the CRP value.
The CRP value describes a laboprameter that measures the concentration of C-reactive protein. However, the increase is very unspecific, since the CRP value increases in numerous inflammations and infections. In addition to the inflammation values in the blood, the number of blood cells is also changed, since the spleen can no longer perform its task of filtering the blood. This leads to anemia and a reduced number of platelets, which are important for blood clotting
The treatment
The time to recovery depends on how severe the inflammation of the spleen is. Often, however, it takes several weeks until one has completely recovered from a splenic inflammation. The prognosis for splenic inflammation is generally favourable. However, complications are possible, so a doctor should always be consulted for treatment. If the course of the disease is severe with surgical removal of the spleen, there is an increased risk of sepsis for life due to the lack of immune function of the spleen.
The course of the disease
In most cases, splenic inflammation heals without consequences with sufficient physical protection and, if necessary, by taking medication. However, after a splenic inflammation, the spleen can remain enlarged despite the disease having healed. This is not a cause for concern.
Complications are possible during splenic inflammation. In rare cases, a very severely inflamed spleen may be at risk of splenic decay or an abscess may form.
