10 Spleen Problems – When to Worry, and When to See a Doctor

Problems with the spleen are rare.

the spleen is a highly specialised and important organ that plays a critical role in the body’s immune system, and removal and storage of blood. But what does the spleen do? It has 3 main functions:

  1. Blood filter – the spleen filters and removes old or damaged red blood cells (as well as other foreign particles, such as bacteria and viruses)
  2. Blood reservoir
  3. Antibody production.

Here are 10 spleen problems, their symptoms, when to worry, and when to see a doctor:

1. Enlarged Spleen (Splenomegaly)
  • What it is: A condition where the spleen becomes larger than normal. It has many causes, including portal hypertension (usually part of chronic liver cirrhosis), part of a whole body blood or lymphatic cancer, or some long-term causes of anaemia.
  • Symptoms: Pain or discomfort in the upper left abdomen, feeling full without eating, fatigue.
  • When to worry: Persistent abdominal pain or discomfort.
  • When to see a doctor: Consult a doctor if symptoms persist or worsen over time.
2. Splenic Rupture
  • What it is: A life-threatening condition where the spleen tears or bursts.
  • Symptoms: Severe abdominal pain, tenderness, nausea, vomiting, dizziness.
  • When to worry: Severe abdominal pain or trauma to the abdomen.
  • When to see a doctor: Seek immediate medical attention if symptoms occur.
3. Splenic Infection
  • What it is: An infection that affects the spleen, often caused by bacteria or viruses.
  • Symptoms: Fever, chills, abdominal pain, fatigue.
  • When to worry: Persistent fever or abdominal pain.
  • When to see a doctor: Consult a doctor if symptoms persist or worsen over time.
4. Splenic Abscess
  • What it is: A collection of pus that forms in the spleen.
  • Symptoms: Fever, chills, abdominal pain, fatigue.
  • When to worry: Persistent fever or abdominal pain.
  • When to see a doctor: Seek immediate medical attention if symptoms occur.
5. Splenic Infarction
  • What it is: A condition where the spleen’s blood supply is blocked, causing tissue death.
  • Symptoms: Severe abdominal pain, nausea, vomiting.
  • When to worry: Severe abdominal pain or trauma to the abdomen.
  • When to see a doctor: Seek immediate medical attention if symptoms occur.
6. Splenic Cysts
  • What it is: Fluid-filled sacs that form in the spleen.
  • Symptoms: Abdominal pain, discomfort, feeling full without eating.
  • When to worry: Persistent abdominal pain or discomfort.
  • When to see a doctor: Consult a doctor if symptoms persist or worsen over time.
7. Spleen Cancer
  • What it is: A rare type of cancer that affects the spleen. When cancer affects the spleen it is usually part of a whole body blood or lymphatic cancer, like a chronic leukaemia. Not all are serious.
  • Symptoms: Abdominal pain, fatigue, weight loss.
  • When to worry: Persistent abdominal pain or unexplained weight loss.
  • When to see a doctor: Consult a doctor if symptoms persist or worsen over time.
8. Spleen Damage from Trauma
  • What it is: A condition where the spleen is injured due to trauma or injury.
  • Symptoms: Severe abdominal pain, tenderness, nausea, vomiting.
  • When to worry: Severe abdominal pain or trauma to the abdomen.
  • When to see a doctor: Seek immediate medical attention if symptoms occur.
9. Autosplenectomy
  • What it is: A condition where the spleen is damaged and loses its function.
  • Symptoms: Increased risk of infections, fatigue.
  • When to worry: Persistent fatigue or increased risk of infections.
  • When to see a doctor: Consult a doctor if symptoms persist or worsen over time.
10. Hyposplenism
  • What it is: A condition where the spleen doesn’t function properly.
  • Symptoms: Increased risk of infections, fatigue.
  • When to worry: Persistent fatigue or increased risk of infections.
  • When to see a doctor: Consult a doctor if symptoms persist or worsen over time.