<s>[INST] we have a 8 yrs old child who have spleens enlargement problem from last 9 months, we have done all checkups of him at several places and comsulted with several doctors, but no positive response has come from them, even they could not dignose its causes. Please help us to prevent this. We will be grateful to you. My details are follows-Yogesh kambojNew colony, Bhimgoda, Haridwarcontact no.- 0000Email- YYYY@YYYY feedback will be appreciated.Awaited for ur valuable reply. Regards Yogesh [/INST] Dear parent, splenomegaly is usually due to a systemic illness either a hematological condition or a hepatic condition. The primary goal of treatment is to cure or control the causative condition of the splenomegaly. If treatment failed you may consider splenectomy. This will lead to precautions that need to be followed in splenic child as daily penicillin doses, preventing and treating with caution any febrile illness as it might turn into a life-threatening condition. And taking the pneumococcal vaccination 10 days at least before surgery. </s>