### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My wife has recently been diagnosed (preliminary) with MDS.  She also has an enlarged spleen.  We know the functions of bone marrow (she had a biopsy) and the spleen.  We also know that MDS can morph into AML.  Is there any holistic treatment for the spleen?

### output:

**1. MDS [myelodysplasia syn Chat Doctor.  Red blood cells: which will cause anemia [for which you have to look out for shortness of breath, unusual paleness, weakness, and since anemia in such condition is refractory to any treatment thus Erythropoietin injection is mainstay of treatment ii. White blood cells: will cause frequent fever and infections iii. Platelets: easy bleeding/bruising.PS.  Infection or uncontrolled bleeding can be life-threatening and requires immediate medical attention, thus keep a check on her physical appearance and symptoms.2. Since she is receiving supportive care for her disease, thus in enlarged spleen [especially when associated with myeloproliferative disorder] make sure to check with her blood tests especially platelet count, blood smear.3. Since splenomegaly is a symptom and not a disease, thus management should be directed towards treating the main pathology., since splenectomy [removal of spleen]can be done to alleviate the symptoms of discomfort and pain. For Prophylactic management:. Limit Activity/sports that may result in falling. [Bending, dancing and cleaning are examples of activities that might further irritate Theo spleen.].  Avoid chocolates, mints,coffee, meat, alcohol & carbonated 