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| − | ==Anthony Nolan Recovery Data==
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| − | No Anthony Nolan recovery data for abdominal swelling and pain is currently available. This section will be updated as and when this data is available.
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| − | ==Symptom Overview and Initial Conversation with Donor==
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| − | The main concerns with pain and discomfort on the upper left side of the abdomen that develops during GCSF injections, or shortly after the donation (within 14 days), are issues relating to the spleen.
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| − | Many donors who receive GCSF will develop a slight enlargement of the spleen that settles after donation. However, in some rare cases there may be more serious complications.
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| − | If the donor is experiencing moderate to severe pain on the upper left side of the abdomen, and/or if they feel very unwell, weak, or faint; inform the Medical Team immediately and advise the donor to seek immediate medical attention.
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| − | If the swelling or discomfort is mild and/or not left sided, please ask:
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| − | *When did it start?
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| − | *How would they rate the pain/discomfort?
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| − | *Have they taken any painkillers? If yes, what painkillers did they take, and did it help?
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| − | *Where is the pain located? (e.g. all over the stomach/abdomen, or more in one area?)
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| − | *Have they recently had any injuries to their stomach or abdomen through impact/a fall, or have they recently done more strenuous exercise than usual?
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| − | *Any nausea, or feeling unusually full/bloated after eating small amounts?
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| − | *Any visible swelling across the stomach/abdomen?
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| − | *Any bruising, redness, or a rash?
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| − | ==Management of Symptoms==
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| − | In most cases, enlarged spleen will return to normal within about 14 to 21 days. Flag the issue to the Medical Team in all cases, but if it is only mild swelling or discomfort of the upper abdomen, advise the donor that this should reduce over time. Advise them to avoid any situations where there is risk of impact to the area until it resolves (e.g. contact sports).
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| − | If the swelling continues for over 21 days, speak with Medical Team again, and if appropriate, they may refer the donor to their GP or to the Collection Centre for scans.
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| − | DFU to follow up with the donor until the swelling and pain or discomfort resolves.
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