What are the symptoms of Myelofibrosis?

1. Introduction: Myelofibrosis is a serious bone marrow disorder causing variable symptoms due to compromised blood cell production. These symptoms can often progress as the disease advances.

2. Fatigue and Anemia:
Due to reduced red blood cell production leading to anemia, individuals often experience persistent fatigue affecting daily physical and cognitive tasks.

3. Splenomegaly:
An enlarged spleen, or splenomegaly, is a common symptom resulting from the spleen compensating for deficient blood cell production. This may cause abdominal discomfort and potential pain.

4. Respiratory Distress: Anemia can also lead to shortness of breath as fewer red blood cells transport oxygen to the lungs, affecting an individual's ability to perform previously manageable activities.

5. Easy Bruising and Bleeding:
Decreased platelet production can cause easy bruising and excessive bleeding, manifesting as nosebleeds, bleeding gums, and in women, heavy menstrual flow.

6. Systemic Symptoms: Myelofibrosis can cause systemic symptoms such as intermittent fevers and severe night sweats due to the body's response to the disease.
7. Unintentional Weight Loss: Unintentional weight loss can occur from reduced appetite and the body's increased energy expenditure combating the disease.

8. Bone and Joint Pain:
Bone or joint pain may arise due to increased bone marrow activity and the release of growth factors as the marrow attempts to boost blood cell production.

9. Pruritus:
Individuals may experience pruritus, particularly after warm baths. The exact cause is uncertain but is thought to be related to increased inflammatory cells in the blood.

While these symptoms can be associated with various conditions, persistence of these symptoms necessitates medical attention, as they can indicate myelofibrosis or other diseases requiring treatment.
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