I'm really worried because I did a medical abortion back in December last year when I was 4 weeks pregnant. I went through all the bleeding and even passed tissues and clots. Afterward, I got my periods in February and March, and my home pregnancy tests are negative. But I've noticed my stomach is growing, and I can't figure out why this is happening. I don't have any complications or pregnancy symptoms, but ultrasound isn't an option for me right now due to some family issues. What could be causing this?

Dr Mubarak Parveez B

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

Possible Causes of Spleen Enlargement*

1. Fatty liver: Although your fatty liver is grade 1, it might be contributing to the spleen enlargement.
2. Portal hypertension: Elevated bilirubin (1.6) and liver enzymes (SGOTSGPT) could indicate portal hypertension, which can cause spleen enlargement.
3. Other potential causes: Although your tests were mostly normal, other possible causes of spleen enlargement include lymphoma, leukemia, or a spleen disorder.

Recommendations

1. Follow-up ultrasound: Schedule a follow-up ultrasound in 2-3 months to monitor the spleen size.
2. Liver health: Continue with udiliv 300 and vitamin E to support liver health.
3. Weight management: Maintain your weight loss efforts, as excess weight can exacerbate fatty liver and spleen enlargement.
4. Consult a gastroenterologist: Seek a consultation with a gastroenterologist to further investigate the cause of spleen enlargement and fatty liver.

Answered 04/07/2025