How do I know if my spleen ruptured with mono?

Signs and symptoms of a ruptured spleen include: Pain in the upper left abdomen. Tenderness when you touch the upper left abdomen. Left shoulder pain.
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How long does it take to notice a ruptured spleen?

When the spleen is injured, blood may be released into the abdomen. The amount of bleeding depends on the size of the injury. A hematoma of the spleen does not bleed into the abdomen at first but may rupture and bleed in the first few days after injury, although rupture sometimes does not occur for weeks or months.
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How likely is it for my spleen to rupture with mono?

Splenic rupture is a rare but serious complication affecting 0.1% to 0.5% of patients with mononucleosis. Current guidelines (based on published case reports) recommend complete activity restriction for 3 weeks after onset of mononucleosis symptoms to reduce rupture risk.
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How do you check for ruptured spleen?

Ruptured spleen
  1. Physical exam. Your doctor will press on your abdomen to determine the size of your spleen and whether it's tender.
  2. Blood tests. Blood tests will evaluate factors such as platelet count and how well your blood clots.
  3. Checking for blood in your abdominal cavity. ...
  4. Imaging tests of your abdomen.
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What happens if you get hit in the spleen when you have mono?

Mono can make the spleen swell for a few weeks or longer. An enlarged spleen can rupture, causing pain and bleeding inside the belly, and needs emergency surgery.
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Examination of the Spleen (Stanford Medicine 25)



What does an enlarged spleen from mono feel like?

Mononucleosis may cause enlargement of the spleen. In extreme cases, your spleen may rupture, causing sharp, sudden pain in the left side of your upper abdomen. If such pain occurs, seek medical attention immediately — you may need surgery.
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How long can a ruptured spleen go unnoticed?

The common time frame is 3 to 12 weeks. Can you Have a Ruptured Spleen and Not Know it? No, it is unlikely for a ruptured spleen to go unnoticed. It causes severe pain and tenderness in the left upper abdomen.
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Does your spleen hurt before it ruptures?

Your spleen is located in the upper left quadrant of your abdomen, under your left ribcage and diaphragm. At the moment of rupture, you're likely to feel a distinct pain there. However, the types of injuries that can cause a ruptured spleen are likely to cause other trauma too — for example, a fractured rib.
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What does a damaged spleen feel like?

Spleen pain is usually felt as a pain behind your left ribs. It may be tender when you touch the area. This can be a sign of a damaged, ruptured or enlarged spleen.
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How long does mono spleen pain last?

The fever usually drops in 10 days, and swollen lymph glands and spleen heal in 4 weeks. Tiredness usually goes away within a few weeks, but it may linger for 2 to 3 months. Nearly everyone recovers completely.
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How long does your spleen hurt after mono?

Many people with mono develop an enlarged spleen, which can last for a few weeks or longer. Although you can return to school or work when you are feeling better, it's important to avoid activities that can cause injury to the spleen.
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How long after mono is your spleen enlarged?

Peak splenic enlargement was typically seen within 2 weeks but, in some, extended to 3.5 weeks. For the majority, splenomegaly resolved in 4 to 6 weeks. The long incubation period and variable nature of the disease can make the task of identifying onset of illness a challenge.
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Can you feel your spleen bleeding?

A ruptured spleen causes abdominal pain, usually severe, but not always. The severity and even the location of the pain depend on how badly the spleen has ruptured and how much blood leaks out. Pain may be felt in these locations: Left side of the abdomen under the rib cage.
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What are the first signs of internal bleeding?

The signs and symptoms that suggest concealed internal bleeding depend on where the bleeding is inside the body, but may include:
  • pain at the injured site.
  • swollen, tight abdomen.
  • nausea and vomiting.
  • pale, clammy, sweaty skin.
  • breathlessness.
  • extreme thirst.
  • unconsciousness.
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What is the survival rate of a ruptured spleen?

The mortality rate from simple splenic rupture is 1%. Delayed diagnosis of a ruptured spleen increases the rate to 10%.
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How do you check your spleen at home?

Palpation is performed by standing on the patient's right side and reaching over with the left hand to support the rib cage. Place your right hand just below the costal margin, leaving enough room to detect an enlarged spleen, and depressing the hand inward and upward to locate the splenic edge.
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How do you know if your spleen is struggling?

Pain or fullness in the left upper belly that can spread to the left shoulder. A feeling of fullness without eating or after eating a small amount because the spleen is pressing on your stomach. Low red blood cells (anemia) Frequent infections.
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What are the symptoms of delayed splenic rupture?

Prompt recognition of the signs and symptoms of delayed splenic rupture is essential. Patients typically exhibit hypotension, tachycardia, worsening abdominal pain and distension, and a decreasing hematocrit.
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When should you go to the hospital for mono?

Get medical care right away if you have severe belly pain or blurry vision, if you feel lightheaded or confused, or if you pass out. You could have a ruptured spleen. Talk to your doctor if: You have mono symptoms for longer than 10 days or you have a severe sore throat for more than a day or two.
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What helps with mono spleen pain?

Lifestyle and home remedies
  • Drink plenty of water and fruit juices. Fluids help relieve a fever and sore throat and prevent dehydration.
  • Take an over-the-counter pain reliever. Use pain relievers such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others) as needed. ...
  • Gargle with salt water.
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Does your spleen always swell with mono?

Symptoms may develop slowly and may not all occur at the same time. Enlarged spleen and a swollen liver are less common symptoms. For some people, their liver or spleen or both may remain enlarged even after their fatigue ends.
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Where is spleen pain felt?

Spleen pain is usually felt as a pain behind your left ribs. It may be tender when you touch the area. This can be a sign of a damaged, ruptured or enlarged spleen.
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How do you know if spleen pain is serious?

If you notice increased pain in the area of your spleen or your left shoulder, especially if it's worse when you breathe in, seek medical attention right away. A rupture is more likely to happen after an impact to your abdomen, but sometimes it happens by itself.
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Is spleen pain urgent?

Seek prompt medical care if you suspect you have a swollen spleen and experience serious symptoms such as high fever (higher than 101 degrees Fahrenheit) or severe abdominal pain. If your swollen spleen is persistent or causes you concern, seek prompt medical care.
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