<s>[INST] I was diagnosed with Mono.3 weeks ago, my spleen 2 weeks ago was went from 10cm to 12cm, then a week ago they did another CT and my spleen was at 13.3cm, Im in a lot of pain, in fact I can barely walk without assistance and my Dr has me on Percocet. Anyways, tonight I was laying in bed struggling to get comfortable and I rolled to my belly, at first it was comfortable then I felt a pop in my spleen section and had radiating pain through my stomach and back, is it possible I ruptured my spleen? I have two two year olds and really dont want to have to take them too grandmas at 130am and go sit in an ER if I dont have to. Please help, I took a pain pill but as usual its no help. Jessica [/INST] Hello and welcome to Chat Doctor, An enlarged spleen is prone to rupture with slight trauma. The symptom of sudden pain in the abdomen and back can be due to spleen rupture. You need to rush to your doctor for urgent CT scan of the abdomen. Ruptured spleen is managed by surgical removal of the organ. Rupture of spleen is associated with loss of blood, so quick management is required. Thanks and take care Chat Doctor.  </s>