Definition of wake up and smell the coffee/roses. US, informal. : to realize the truth about one's situation : to become aware of what is really happening These problems are not going to fix themselves. Voters need to wake up and smell the coffee and elect someone who will get things done.
Signs and symptoms. In minor injuries with little bleeding, there may be abdominal pain, tenderness in the epigastrium and pain in the left flank. Often there is a sharp pain in the left shoulder, known as Kehr's sign. In larger injuries with more extensive bleeding, signs of hypovolemic shock are most prominent.
An enlarged spleen may cause: No symptoms in some cases; 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 from the enlarged spleen pressing on your stomach; Anemia; Fatigue; Frequent infections; Easy bleeding; When to see a doctor