Conversation: The conversation between human and AI assistant.
[|Human|] I have an enlarged spleen , with pain, cannot eat alot, hard to take a deep breathe. I had a ct scan but cannot determine why its enlarged. I have polythemia, lupus anticoalulation, crohns, sjorgens. I am having a colonoscopy and endoscopy, ct scan and ultrasound showed no clot , but if that shows nothing what would be my next step be? I am having a very hard time getting answers. What is your opinion from the info given to you. thanks
[|AI|]  Hi there, An enlarged spleen is due likely due to your polycythemia, and if its large enough to cause you pain and difficulty breathing, then the only treatment is to remove it via surgery.  I would see a general surgeon or a minimally invasive surgeon and ask him what his opinion was in terms of removing your spleen. I hope this is helpful. Please feel free to contact me if you have any further questions.