Bruised Spleen – Tufts Medical Center Community Care
The spleen is an organ in the left upper part of your belly that filters bacteria from the blood, stores blood, and removes old blood cells. A mild bruise may cause no symptoms or only mild tenderness in the belly. If the physical exam and tests reveal no injuries other than a bruise, rest and follow-up with your healthcare provider are the best options.
How long does it take a bruised spleen to heal?
Unless your doctor tells you otherwise, recovery usually takes 3 to 12 weeks. During this time, follow the general guidelines listed below.
What does pain from the spleen feel like?
Spleen pain is typically felt behind your left ribs, and it may be tender to the touch. This could indicate a damaged, ruptured, or enlarged spleen.
Can an injured spleen heal on its own?
In the past, treating a spleen injury required removing the entire organ, a procedure known as a splenectomy; however, doctors now believe that some spleen injuries, particularly those that are not severe, can heal on their own.
What can you do for a bruised spleen?
A bruised spleen is treated.
- Close hospital monitoring.
- Bed rest and IV fluids.
- Tests to check for blood loss and other injuries.
- Imaging tests such as a CT scan to look at the internal organs.
Should I go to the doctor if my spleen hurts?
If you have pain in the upper left side of your abdomen that is severe, or if the pain worsens when you breathe, see your doctor as soon as possible if you have symptoms of an enlarged spleen.
How do you know if your spleen is swollen?
An enlarged spleen can result in:
- In some cases, there are no symptoms.
- Pain or fullness in the left upper abdomen that may spread to the left shoulder.
- Feeling full without eating or after eating only a small amount because your spleen is pressing on your stomach.
- Frequent infections.
- Easy bleeding.
How do you check your spleen at home?
- Start in RLQ (so you don’t miss a giant spleen).
- Get your fingers set, then ask the patient to take a deep breath.
- When the patient expires, change positions.
- Note the lowest point of the spleen below the costal margin, the texture of the splenic contour, and tenderness.
How do you know if something is wrong with your spleen?
Symptoms of an enlarged spleen include pressure or pain in the left upper part of your abdomen (near the stomach), feeling full without eating a large meal, and pain in your left shoulder blade or shoulder area when you take a deep breath.
What happens if a ruptured spleen goes untreated?
A ruptured spleen, which is about the size of a fist and located in the left upper abdomen near the stomach, can be life-threatening if not treated quickly. The spleen is part of the lymphatic system, which helps fight infection and filters the blood.
How long can you have a ruptured spleen?
Blood may be released into the abdomen when the spleen is injured; 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 it may rupture and bleed in the first few days after injury, though rupture may take weeks or months.
Can a swollen spleen heal on its own?
When the underlying disease is treated or resolved, the enlarged spleen may return to normal size and function; for example, in infectious mononucleosis, the spleen usually returns to normal as the infection improves.
How do you diagnose a ruptured spleen?
A ruptured spleen is diagnosed by examining the abdomen and using an ultrasound or CT scan, depending on the individual’s condition. Surgery to remove the spleen is not always required.