Conversation: The conversation between human and AI assistant.
[|Human|] my 17 year old was just diagnosed with an enlarged spleen they said all her blood work came back within normal range and she defiantly did not have mono because that test came back negative as well as other blood work is this normal to have an over enlarged spleen and if so is there anything We can do to help decrease the size or perhaps a special diet maybe and would taking milk thistle help her anything you could suggest would be helpful and greatly appreciated. Thank you from a concerned mom.
[|AI|]  Hi, Welcome to Chat Doctor. I have read your history carefully. This is not normal to have an over enlarged spleen. Perhaps I would like to know if his liver is enlarged too, as it can narrow our diagnosis. Please be advised there are other causes for enlarged spleen, most common of them which are:-leishmaniasis-malaria-spleen abscess-Hodgkins disease, leukemia, lymphoma-amyloidosis-paroxysmal nocturnal hemoglobinuria-spleen hematoma usually after trauma.-Bud Chiara syn Chat Doctor.  Kindly repeat his blood tests and do an Ultrasound abdomen for spleen size and check of abscess or blood collection. If necessary, and advised by local physician in case, you can go for CAT scan and MRI. Hope I have answered your query. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.