Splenomegaly and Infectious Mononucleosis

In light of recent tragedy, with heavy heart and great respect for grieving family and friends of the young athlete that recently passed away from spleen rupture, I would like to review the  most common medical condition that may cause splenomegaly (enlarged spleen), where premature resumption of sports can be life-threatening.


In order to understand why spleen gets enlarged, it would be beneficial to review many different functions of spleen. Imagine spleen as yin and yang.  Yang, the white part, represent “white pulp”of the spleen.   It is made of lymphatic tissue.  Spleen is one of many immunological centers in our body where antibodies get formed in response to various antigens (e.g.viruses, bacteria,yeast, etc).  Yin, the dark part, represents “red pulp” of the spleen.  As the name implies, it is a very vascular part of the spleen.  Its function is to destroy any cells that are abnormal.  Spleen also acts as a reservoir for platelets.  As a result of these many functional components within the spleen, the etiology of splenomegaly may relate to an increase in a normal splenic process (e.g., hemolysis) or may be due to infiltrative, infectious, or vascular disorders.

In this post, I am only going to be concentrating on a tip of the iceberg – Infectious Mononucleosis (also known as Glandular fever, Kissing disease, Mono or Mononucleosis).  Continue reading “Splenomegaly and Infectious Mononucleosis”

How to deal with allergic rhinitis

As we turn a calendar page, we come to realization that summer is over and fall has arrived.  As the temperate begins to fall, many people begin to sneeze, have runny nose, itchy eyes, and/or itchy palates. So, what is going on?  You may be suffering from allergic rhinitis.

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Seminar feedback

Great turnout last Sunday at “What to expect when you are expecting” seminar in our office in Martinsville, NJ Expecting-Event

I guess I’ll need to bring more cookies, donuts and coffee next time 🙂

I would like to thank all the ladies and a gentleman who came to learn more. Loved all the insightful questions that were asked – it made the discussion so much more interactive.  Special thanks to the expectant father, who wanted to know more on the benefits of breastfeeding vs formula feeding, and all the studies that back it up. As promised, below you will find reference to the sites on benefits of breastfeeding.

If you know anyone who would be interested to attend the free seminar, let them know, please. Our Facebook page will have the necessary information.

Due to overwhelming success, I will be holding another seminar on Sunday, November 8th 10 am -11 am. Visit the page and register if you’d like to attend! Have I mentioned that it’s FREE? C’mon over!

Dr. Alla

Nutrition for young athletes

I was recently attending a seminar which discussed different issues pediatricians are faced on daily basis when they see young athletes. One of the issues that was brought to our attention was an adequate nutrition of a young athlete. With so many kids, including my own, trying to search for an edge in hopes of improving performance, proper nutrition is essential for success.

Continue reading “Nutrition for young athletes”

Sport participation and Upper Respiratory Infection

My own 9 years old daughter is a competitive swimmer, recreational gymnast, and an ice skater.  In summary, a competitive over-achiever!  As recently as last week, she began complaining of sore throat pain when she was swallowing, abdominal pain and severe headache.  No fever.

I promptly conducted full-comprehensive exam and rapid group strep test.

Continue reading “Sport participation and Upper Respiratory Infection”

Maxillofacial injuries in children

In my office, during each pre-participation examination, I always make a point to counsel my patient on prevention of sports injuries.  By talking to young athlete’s patients I also realized that although many contact sports require them to wear protective gear, one gear that most of them are non-compliant with is a mouth guard.

Continue reading “Maxillofacial injuries in children”