I recently went for a check-up and they found my spleen was enlarged at 13 cm and I have a grade 1 fatty liver. I did a bunch of tests like for malaria, typhoid, diabetes, thyroid, hepatitis B and C, ANA, and lipid profile, and everything came back normal except my bilirubin level is at 1.6 and my SGOT SGPT is around 5990. After sticking to regular exercise and a better diet for 50 days, I lost 6 kg, going from 87 to 81 kg. I still don't have any other symptoms but I feel some pain in my spleen area and now it's 14 cm in the ultrasound. I'm taking Udiliv 300 and vitamin E, but I've talked to a lot of doctors and still don't really understand why my spleen is enlarged. Can you help clarify what's going on?

Dr Shubham Chauhan

General Practitioner

• MBBS
• 4+ Yrs

Consult Now

As someone with high blood pressure (HBP), it's great that you're taking proactive steps to manage your condition and prevent potential complications, such as kidney problems.

Understanding the Link between HBP and Kidney Problems

High blood pressure can damage the blood vessels in your kidneys, reducing their ability to function properly. This can lead to kidney disease or exacerbate existing kidney issues.

Precautionary Measures to Protect Your Kidneys

1. Monitor your blood pressure regularly: Work with your doctor to ensure your blood pressure is well-controlled, aiming for a target range of 12080 mmHg or lower.
2. Get regular kidney function tests: Your doctor may recommend periodic urine and blood tests to monitor your kidney function.
3. Maintain a healthy lifestyle:
   • Exercise regularly: Aim for at least 30 minutes of moderate-intensity physical activity most days of the week.
   • Eat a balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and low-fat dairy.
   • Stay hydrated: Drink plenty of water throughout the day.
4. Limit sodium intake: Consume no more than 2,300 milligrams of sodium per day. Choose low-sodium options, and season your food with herbs and spices instead of salt.
5. Stay hydrated: Drink plenty of water throughout the day to help your kidneys function properly.
6. Manage stress: Engage in stress-reducing activities like meditation, yoga, or deep breathing exercises.
7. Get enough sleep: Aim for 7-8 hours of sleep per night to help regulate your blood pressure and overall health.
8. Avoid smoking and limit alcohol: Both smoking and excessive alcohol consumption can increase your risk of kidney problems.

Answered 04/07/2025