I had an enlarged spleen and enlarged lymph nodes and it turned out that I had Mono.
I don't think your "spleen" has anything to do with your wisdom teeth coming in. But, in uncommon cases, infection to your wisdom teeth can sometimes cause enlarged lymph nodes, but only if the teeth are "impacted". A dental impaction is where an unearthed tooth is growing in crooked underneath the gumline. This also causes other dental problems such as crooked teeth. If the lymph nodes your are referring to are painless and are swelling with other symptoms, then you might have a serious condition, which also means you need to see a doctor immediately. The swelling in the lymph nodes in your neck are the ones to swell if your teeth are infected from an impaction. Also, only the lower teeth can cause lymph node swelling in your neck. The nodes will be tender, moveable, and causing pain in any way.
Any kind of severe infection in your mouth, including a wisdom tooth infection, can cause your lymph nodes to become larger.
The spleen should not be directly affected though.
Fever, enlarged spleen, and swollen lymph nodes are indicative of mononucleosis. Abdominal pain along with a swollen spleen suggests that the pain is due to the swollen spleen. A person with a swollen spleen should avoid lifting heavy things and all contact sports as it could rupture the spleen. While there is no medication that can be given to cure mono, there are things that can aleviate symptoms. High fever that is present for more than 48 hours should be evaluated by a doctor.
A hilum is a place where arteries, veins, and nerves enter and leave a structure. There hilums all over the body including the spleen, kidney, lung, and lymph nodes. Lymphadenopathy means that something is wrong with the lymph nodes. But in general usage it means the lymph nodes are enlarged. So in hilar lymphadenopathy, there are lymph nodes around whatever organ that are enlarged.
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