Conversation: The conversation between human and AI assistant.
[|Human|] i am 45. been alcohol free for almost 12 years. liver is functioning good..all the right levels. my problem is my spleen is so enlarged its affecting me eating bc its pushing my stomach. my platlets are 83..they were 61 at one time. the spleens getting uncomfortable. my liver doctor says removing it, i have a high risk of bleeding to death, but my regular doctor said to remove it before it ruptures. i agree with my regular doctor. which doctor do u think is right?
[|AI|]  Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You should remove the spleen. Your platelets are low. Which puts you on risk of bleeding. But you can take platelet concentrate. This will increase the platelet count and your bleeding risk will decrease. Your low platelet is because of the enlarged spleen.  This much enlarged spleen is at the risk of rupture. Even slight injury can cause rupture and life-threatening injury to the spleen. In my advice you can take the platelet transfusion and then go for surgery. Once the enlarged spleen is removed you will be free from threat of the rupture. Till you go for surgery please avoid the heavy exercise and the thing which can cause injury to the abdomen. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.