Hi i got a question about my niece.. she is 11 years old, her weight is around 24 kgs.. Around a year back she s been diagnosed with Thalassemia intermedia .. she is got a 16 inch of spleen and her Hb remains around 9 to 10.. so, i was wondering what would be the best treatment for her?? and how to reduce the size of spleen?? Thanks.
Hi, Welcome to Chat Doctor, I am Chat Doctor In thalassemia intermedia, it is unlikely to have such a huge spleen. Are there any other symptoms like gum bleeding, chronic infection etc.?  For thalassemia intermedia basically you only need Folic acid supplementation. And if Hemoglobin level fall below 9 then blood transfusion is the treatment of choice.  In my opinion go for a complete blood test (CBC) with a query for abnormal cells.