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Urology (Expert Forum)
swollen lympnodes ...
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
swollen lympnodes ...
by scatoira, Dec 03, 2005 12:00AM
32 year old with femaIe history of lyposarcoma on left thigh(1995) and cervical leap procedure (1998)
About three months ago started feeling sensation of neck pressure/ night sweats (which are no longer present) and over all fatigue CBC came back normal and mri (without contrast) rulled out neck mass
, six weeks later lympnodes (below jaw bone) on both sides became swollen, no pain or tenderness. At times I feel a sore throat (like a pinching sensation) In the last two days noticed white flakes in urine (highly dense since they settle quickly) and also in last two days redish and slightly gritty eyes, Intermitently I feel as though my legs (knees) are weak.
i have no abdominal pain or fever .
exercises agravates neck disconfort and swollen sensation.
For 5days (a week ago) i was on amoxicilin for a root canal (due to a mitral valve prolapse) I felt significantly better while on the antibiotic and even thought that maybe the tooth was the cause for the lymphnode discorfont. That was not the case. Symptoms are still present.
My primary doctor did not come up with any possible cause for my symptoms which are greatly impacting my life quality. Symptoms started one week upon return of 5 week travel in the south pacific but my doctor doesn't think it is any infectious desease.
Please advice to possible causes and tests that may rule out more serious conditions. I am seeing a ETN doctor on wedneday, should I request a lympnode biopsy? What blood tests should i ask for? What other specialist should I see? I have a ppo and no financial restrains to doing all that it is possible to find the cause of this and feel myself again.
Other than my liposarcoma I have had no other health problems. i have always been physically active and up beat until now. dont smoke/drink or do drugs. Please help , thank you :)
About three months ago started feeling sensation of neck pressure/ night sweats (which are no longer present) and over all fatigue CBC came back normal and mri (without contrast) rulled out neck mass
, six weeks later lympnodes (below jaw bone) on both sides became swollen, no pain or tenderness. At times I feel a sore throat (like a pinching sensation) In the last two days noticed white flakes in urine (highly dense since they settle quickly) and also in last two days redish and slightly gritty eyes, Intermitently I feel as though my legs (knees) are weak.
i have no abdominal pain or fever .
exercises agravates neck disconfort and swollen sensation.
For 5days (a week ago) i was on amoxicilin for a root canal (due to a mitral valve prolapse) I felt significantly better while on the antibiotic and even thought that maybe the tooth was the cause for the lymphnode discorfont. That was not the case. Symptoms are still present.
My primary doctor did not come up with any possible cause for my symptoms which are greatly impacting my life quality. Symptoms started one week upon return of 5 week travel in the south pacific but my doctor doesn't think it is any infectious desease.
Please advice to possible causes and tests that may rule out more serious conditions. I am seeing a ETN doctor on wedneday, should I request a lympnode biopsy? What blood tests should i ask for? What other specialist should I see? I have a ppo and no financial restrains to doing all that it is possible to find the cause of this and feel myself again.
Other than my liposarcoma I have had no other health problems. i have always been physically active and up beat until now. dont smoke/drink or do drugs. Please help , thank you :)
Doctor's Answer
by Kevin Pho, MD, Dec 05, 2005 12:00AM
, Dec 05, 2005 12:00AM
Enlarged lymph nodes are most commonly due to infection. More uncommon causes would include malignancy as well as other causes of inflammation.
Normally, enlarged lymph nodes should start to resolve a few weeks after the acute infection has passed. If they persist for several months, a lymph node biopsy can be considered to rule out possible cancerous causes.
Blood tests to consider would be a blood count (already done), as well as kidney, liver, and thyroid tests. More specialized testing can include rheumatological tests such as an ANA level and rheumatoid factor.
An ENT specialist is appropriate to further evaluate the enlarged node.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Normally, enlarged lymph nodes should start to resolve a few weeks after the acute infection has passed. If they persist for several months, a lymph node biopsy can be considered to rule out possible cancerous causes.
Blood tests to consider would be a blood count (already done), as well as kidney, liver, and thyroid tests. More specialized testing can include rheumatological tests such as an ANA level and rheumatoid factor.
An ENT specialist is appropriate to further evaluate the enlarged node.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
