Symptoms: 1. Mild pain and fullness in the left upper abdomen (spleen area) even without eating. 2. Occasional yellow stools, burning during defecation, and dark/reddish urine for the past few days. 3. No noticeable weight loss or severe fatigue. Medical History: 1. Enlarged spleen (13.2 cm) usg Dec 2024 2. Persistently elevated bilirubin (direct and indirect) for over a month. 3. Low platelets (120 thou/mm³) with giant platelets Current Medications (stopped 3 days ago): Reheptin DS, Pantoprazole, Probiotic. Concerns: 1. Persistent dark urine burnimg—could this be linked to bilirubin or a urinary issue? 2. Mild discomfort and fullness due to splenomegaly—how serious is this if platelets continue to drop? KFT report last month was good. I consulted hematologist he did cbc & peripheral tests last month & ruled out any issues.