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Avatar universal

What might it be?

ok, I'll tell you all my symptoms, I'm just hoping for some suggestions of what might be wrong with me, so I can look those things up and see how well it fits or what too keep an eye out for if it is one of them...
About 8 months ago I got shingles, (I should mention I’m only 23, and I’m fit and active and from Australia). Unusual for someone my age without any causes, I also noticed that over about 6 months I lost a lot of weight for no reason, I'm not sure how much in those months but over the year I can tell you I was 78kg then and now I’m 64kg, I didn’t change any eating habits, I haven’t changed any of my usual activity or anything to explain it. I noticed about a month ago that one of the glands under my chin was swollen, but it went away after about 2 weeks, and last week the lymph node behind my ear became swollen. I have a lot of trouble sleeping at night, I toss and turn (I’m happy to admit that may have nothing to do with it, but just in case ill say it). And lately I’ve had a lot of aches and pains mainly in my neck and shoulders and lower back. I have also had some diarrhea, but not badly.
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563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,

Night sweats refer to any excess sweating occurring during the night.Anxiety and stress, certain infections, like tuberculosis, bacterial infections, abscesses and osteomyelitis can cause night sweats. AIDS and HIV,some cancers, like lymphoma, hormone disorders like carcinoid syndrome and hypothyroidism and hypoglycemia (low blood glucose) and some neurologic conditions like strokes, autonomic neuropathy, and post-traumatic syringomyelia can also cause night sweats.

In your case as you have stated that you had a bout of fever and cold,so it can be due to rhinitis also. Infections like sinusitis, pharyngitis, or other upper respiratory infections are an important cause of night sweats.

Medications like aspirin, acetaminophen, niacin, tamoxifen, Viagra and antidepressants are often linked to night sweats.

Keeping the bedroom cool can help with night sweats. Also, keeping ice water and a fan by the bed will help ease any episodes you get. Exercise can help with night sweats as well. Exercise raises endorphin levels, aids the hypothalamus, and decreases LH and FSH - all of which helps you avoid night sweats. Try to be stress and anxiety free before going to bed.
In case the symptoms worsen then pls consult a physician.Also,varicose veins are not connected with your earlier symptoms.

Hope it helps.Take care and pls do keep me posted on how you are doing or if you have any additional doubts.

Helpful - 0
Avatar universal
when I was looking at the symptoms for lymphoma it said 'night sweats' what is that exactly?
I ask because the early hours of this morning I woke up nad I felt like someone had thrown a bucket of water over me i was that sweaty... it wasnt a hot night... but I have also just got a cold, so maybe its just from a fever from that?

I have also realised I have varicos veins in my leg... I asume they are in no way connected to anything else we have discussed? the lymph node is still is a hard small peble like bump.

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Avatar universal
so should I be worried about that? or is it normal?
Helpful - 0
Avatar universal
so, its been a couple of weeks. I'm sleeping better, i ahvent noticed any more weight loss, so realy most of my symptoms have stopped. I've been getting headaches, but nothing realy bad, so probably just normal.

The only thing still there is my swolen lymph node, its just a hard small lump. its almost like the swelling around it went down (about a week and a half ago), but its just a solid un moveable lump under the skin. its not sore or anything.

Helpful - 0
563773 tn?1374246539
MEDICAL PROFESSIONAL

Hello,

No, lymphomas are not hereditary. While some patients with lymphoma claim to have family members also afflicted with the disease, there is no known evidence that lymphoma is hereditary. In some instances, conditions that affect the immune system may run in families, therefore increasing the chances of lymphoma developing within families.

To know more about the risk factors for lymphoms,pls log on to the following website:
http://cancer.about.com/od/lymphoma/a/lymphomarisk.htm

I sincerely hope that helps. Please do keep me posted.

Helpful - 0
Avatar universal
well I rang the doc, once again i feel a little... like a number rather than a customer... anyway...
they just said that my tests were normal... (although they said that last time,, but i had a low WBC, so i guess it means nothing they consider bad enough to go back for.

So I guess that means nothing is wrong with me... I guess ill just wait out a little and see if the lymph node goes down. I guess the weight loss remains unknown... but as long as i dont keep loseing more i wont stress about it.

is lymphoma hereditory? I just found out my pop and his father both died of it.

thanks for all your help :-)
Helpful - 0
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,

Your doctor is absolutely right in what he has stated.He is trying to rule out infections(responsible for lymph node enlargement) first and then move on to other serious causes of swollen lymph nodes.

What your friend must be having is glandular fever.Also called infectious mononucleosis. It occurs most commonly in adolescents and young adults, where it is characterized by fever, sore throat, muscle soreness,lymph node enlargement and fatigue.But in this the WBC count is usually elevated.Can be confirmed by monospot test and Epstein-Barr virus antigen by immunofluorescence tests.

Low WBC count shows some viral infections, immunodeficiency states, and bone marrow failure.

I feel that your doctor’s approach is right in ruling out infections first.So pls do keep me posted about the results of your blood tests and the further developments.

Take care and regards.
Helpful - 0
Avatar universal
So I went back to the doc, he said my blood test had been normal, but with a slightly low white blood cell count.
He checked my lymph nodes, and he feels that the original lymph node behind my ear is no longer swollen and that the lymph node below it (he said there are many in a row behind my ear) is now swollen, and he feels that indicates that while I don’t have an infection anymore, he feels that is the 'residue' from an infection working its way down, he advised that if they are still swollen in a month we should look further into it, perhaps a biopsy etc... Does that all sound like he knows what he's doing?

I then said about my weight loss, and he is doing some blood tests for some of the common causes of weight loss, such as bow and kidney disease... but that is more a precaution, he doesn’t think I have them.

So... what do you think now? I will know early next week what the new blood tests come back like. a friend of mine has just found out she has gland gala fever (not sure how its spelt) perhaps that is what I’ve had all along?
Helpful - 0
563773 tn?1374246539
MEDICAL PROFESSIONAL

Hello,

The reason for me asking this question was because softer nodes are the result of infections or inflammatory conditions but very firm, rubbery nodes suggest Lymphoma and stony-hard nodes are typically a sign of cancer, usually metastatic. Constitutional symptoms such as fever, weight loss, fatigue or night sweats could suggest disorders such as Tuberculosis, Lymphoma, collagen vascular diseases, unrecognized infection or malignancy.I feel that biopsy of the lymph nodes will rule out the possibility of malignancy.Pls take a second opinion about it.

Hope it helps.Take care and pls do keep me posted on how you are doing.

Helpful - 0
Avatar universal
thanks, I have booked to go see my doctor again, mainly to see if he can offer me anything to help with sleeping, last night it took 2 houres for me to fall asleep and even then i tosses and turned and woke all night. anyway.

I did have a cold a couple of months ago, its winter so nothing unusual and it came and went as usual, as i say a couple of months ago.

The lymph node was what i would call obviousely swolen in the way it felt at first, feeling like it was a little squishy (but firm in its placement, I could not move it around under the skin) however it has now become more like 'stone' now, its hard to touch, it doesnt hurt or anything. It is like a hard bean i guess to use a mis of your descriptions.
Helpful - 0
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,

As the blood tests have come out to be negative,so infection must have been ruled out.What is the constituency of these lymph nodes?Is it hard(like stone) or rubbery and are they fixed to the skin?Did you have any cold or cough recently?

Apply warm compresses on the swollen lymph nodes an dtake some over the counter anti-inflammatory drugs like ibuprofen or acetaminophen.If the condition persists,then definitely cause out of the possibilities that I have given,has to be found out.In that case,you can take a second opinion from other doctor.
I hope I have provided you with sufficient information. If you need any more, then pls post us.

Regards and God bless.
Helpful - 0
Avatar universal
well I rang the Doctors to get my blood test results and the receptionist just said that it all came back ok and the doctor said he didnt need to see me... but he hasn't fixed anything!!!!! what now? if he doesnt think he needs to see me do i just wait and see if it goes away?
Helpful - 0
Avatar universal
Thanks for taking the time to respond. I have seen my Doctor, he has not mentioned anything about a biopsy, although I didnt think to tell him I had not been sleeping well, as I thought it was not related. He sent me to have a blood test (a full blood work up I think he said). I am just waiting on the results of that. I will let you know when I know more.
Thanks again for you help!
Helpful - 0
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,

Lymph nodes are small (1-2cm) and bean-shaped nodes. they are very important to your body keeping you healthy. Lymphadenopathy (swollen lymph nodes) is usually caused by a viral or bacterial infection. Other causes include allergic reactions, arthritis, cancer, metabolic diseases, and an overactive thyroid (hyperthyroidism).

Your symptoms(weight loss+swollen lymph nodes+difficulty in sleeping) are suggestive of infections like tuberculosis or some kind of malignancy.I feel that an examination by a physician and investigations like biopsy of the lymph nodes will be helpful.Without examination,diagnosis is tough.

Hope it helps.Take care and pls do keep me posted on how you are doing.

Helpful - 0
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