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?

Answered by 1 Apollo Doctors

Dr Mubarak Parveez B

General Practitioner

MBBS
2+ Yrs

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Possible Causes of Spleen Enlargement*

Fatty liver: Although your fatty liver is grade 1, it might be contributing to the spleen enlargement.

Portal hypertension: Elevated bilirubin (1.6) and liver enzymes (SGOTSGPT) could indicate portal hypertension, which can cause spleen enlargement.

Other potential causes: Although your tests were mostly normal, other possible causes of spleen enlargement include lymphoma, leukemia, or a spleen disorder.

Recommendations

Follow-up ultrasound: Schedule a follow-up ultrasound in 2-3 months to monitor the spleen size.

Liver health: Continue with udiliv 300 and vitamin E to support liver health.

Weight management: Maintain your weight loss efforts, as excess weight can exacerbate fatty liver and spleen enlargement.

Consult a gastroenterologist: Seek a consultation with a gastroenterologist to further investigate the cause of spleen enlargement and fatty liver.

Dr. Mubarak Suggests...

Consult a Obstetrician and Gynaecologist

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Answered 04/07/2025

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I'm really worried because my husband has mentioned that he's not as interested in our intimacy anymore. I think my vagina might have become looser over time. Can you please give me some advice or suggest ways to help me tighten it? I'm looking for something effective, as I want to improve our relationship.

To tighten your vagina, try Kegel exercises (squeeze and release pelvic muscles for 10-15 reps, 3-4 times a day), pelvic floor physical therapy, or vaginal cones; also, consider incorporating estrogen-boosting foods, like soybeans and flaxseeds, into your diet, and maintain a healthy weight; however, it's essential to remember that vaginal looseness is a common issue, especially after childbirth or aging, and open communication with your partner about your concerns and feelings can also help address the emotional aspect of this issue.