instruction: hello doctor I have been dealing with some health issues for three years I had an ultrasound before showing my spleen was mildly enlarged to 12 am since then I have had on and off spleen enlargements last week I had an ultrasound with again a mild spleen enlargement at 12 am sometimes the spleen returns to a normal size of 8cm I have also noticed in my ultrasound that my liver was enlarged to 16 am when my liver was previously normal at 15 am I have also done a bunch of blood work and my bilirubin levels went to 27 when they should be below 20 and my conjugated bilirubin was when it should be below I have had my alt and ast testing and all is fine there I have had my abc and differential and all is good with this too I am very concerned about what this could be and what is happening to my body my doctor is sending me to a hematologist please help me to understand what is happening if this is cancer or something serious please help
output: hi I hope you are safe I reviewed your doctor report while I can understand your concern but as of there is no one pick and choose a reason for your case to be frank I am not bothered by your spleen size or liver size yes they are close to the above normal range I do not know if you have some component of fatty liver your us ultrasound may tell you that if you drink alcohol do you think it is worth trying to see what happens to the size sometimes we take a few medicines which tend to increase the bilirubin etc examples are cops oral contraceptive pills birth pills there are many more just get your medicine list reviewed by your pop easy bruisability over the skin do you have gum bleeds as well but your platelet count is well above the normal range as well do you have any family history of bleeding and do you have excessive menstrual bleeding