Steven Jones3
Member
19 messages
joined Jul 2003
...you’re going to have to be careful because you’ll be way more vulnerable to infections...
...and just to do a quick refresher on what the spleen actually does...
...during fetal development—basically while the baby is still in the womb—the spleen, then the liver, and then the bone marrow are the main players in producing all those blood cells. Once you're born, the spleen's job shifts; it becomes the place where old blood cells get broken down (people call it the "red blood cell graveyard," though it also clears out platelets and granulocytes). That’s the fundamental reason why doctors remove the spleen when dealing with thrombocytopenia—that condition where your platelet count is too low—which is likely what you're dealing with. There are different types of those disorders, but that's a whole other conversation... the spleen also acts as a defense system against nasty stuff like bacteria and viruses, which is why people are more prone to getting sick after a splenectomy. Plus, it acts as a sort of "blood reservoir" during physiological blood flow redistribution. Sometimes, if you push yourself too hard running or doing heavy exercise, you might feel a sharp pain in the upper left side of your abdomen under the ribs... that’s usually caused by the spleen filling up with blood because your heart is working overtime to compensate for a lack of oxygen. Without a spleen, the way blood is redistributed changes, putting extra strain on the heart, so people without a spleen generally don't handle intense physical exertion quite as well as they used to...
...mostly, the worst part about losing your spleen is being more susceptible to infections—specifically opportunistic ones, the kind that wouldn't bother someone with a normal immune system. On the flip side, the best part is seeing those platelet levels finally stabilize and seeing less bleeding and blood loss...
...there's one more silver lining for patients with thrombocytopenia... there's almost zero chance of suffering a heart attack, whether it's the myocardium or the brain, or any other organ...
...I really hope the splenectomy helps improve your white blood cell count. Just, please, be extremely cautious regarding infections. Your doctor will give you the full rundown after the surgery anyway, but I wanted to mention it...