Enlarged spleen - can anyone reassure me??

[Athyriumm]

I have been posting a lot lately, trying to get to the bottom of my fatigue issues so apologies to anyone Im boring!!

Anyway, I've bought a couple of private tests since progress with GP seems slow and today I had an abdominal ultrasound (I wanted to check my liver, I gave up booze recently having been a heavy drinker for years) Liver is fine, but apparently I have an enlarged spleen. Sonographer said it's worth getting it checked out with GP (but no appointments til the end of the week if Im lucky.) Googling enlarged spleen was of course a bad idea.

The question is, I have had a pretty thorough raft of bloods done recently and I remember the GP saying they ruled out anything sinister like cancer (he was looking into why I had low haemocrit and haemoglobin.) So can I relax that the spleen is unlikely to be anything too scary?? Surely something would have shown up in blood tests if it was?? Can anyone comment?

Sounds like it might possibly be some kind of autoimmune haemolytic anaemia. Have you been on any medication recently?

Nothing out of the ordinary SirToby. All other bloods fine and the 2 I mentioned only just under range.

Most likely cause is the drink, although other causes need to be investigated.

If all other blood tests have come out a normal, it may well be an 'incidental finding' which isn't significant.

My mum has problems with a spleen that enlarges, but they noticed the problem in her bloods first (rare form of lymphoma and very significant enlargement due to white, I think, blood cells building up in there). Nothing in bloods is a good sign.

My understanding was that cirrhosis/liver issues can cause enlarged spleen...but my liver was fine. Liver bloods fine too.

Yes that's true, the more you look the more you find so I guess it could well be incidental...but I feel rubbish so somehting isnt right

My husband had an enlarged spleen and other symptoms (including feeling crap). Turned out to be sarcoidosis.

I have pv which causes spleen issues. There is another mpn which I think has low haematocrit hct. Have a look.