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Question

I have not felt well for the past 5 months. It started with wieght loss for no reason, swollen lymph nodes, night sweats and some chest pain. As time went on, the chest pain has gotten worse, I have shortness of breath all the time and I have headaches every day. Also, I have pain in my bones a lot, too. I get a shooting numbing pain every day going down my left arm. My doctor has done quite a few tests and she cant seem to figure it out. She's done a chest xray, pulmonary function test, ct scan of my chest, an electocardiogram and an echocardiogram and a holter monitor. These last few tests were because she found a new heart murmur and because I have PVCs all the time. All of these tests have come back normal which is great- but I have no answers. I've never had shortness of breath and I've never smoked. Do you have any idea about what could be going on? Also she did my bloodwork and that has all been normal except my calcium was a bit low. She tested my thyroid, too- normal. Thanks!

Submitted: 71 days and 9 hours ago.
Category: Health
Value: $11
Status: CLOSED
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Optional Information

Gender: Female
Age: 27

Already Tried:
I listed everything in my post...

Posted by Salar 71 days and 8 hours ago.

Answer

well with fever, chills, night sweats or enlarged lymph node.. it is likely to be either an abscess / infection or a lymphoma.you should have age appropriate cancer screening plus a WBC scan looking for an abscess.if that comes back normal then lymph node biopsy can be done for diagnosis.

71 days and 8 hours ago.

Reply

I havent had fevers, I've actually been running low since I've been sick- like 97.1 most of the time. I do have chills though- I'm always shivering and cold(even through the summer months). She did a cbc a couple of months ago and my wbc was normal- 8,000 I think. Other things were on the lower end of "normal" like my hemoglobin and rbc and a few others- but still "normal." As far as I know, she'e kinda done cancer/lymphoma screening- if the cbc and chest xray counts. Is there anything else I should suggest that she may not have though of.

Posted by Salar 71 days and 8 hours ago.

Answer

LYMPHOMA REQUIRE BIOPSY OF THE LYMPH NODE FOR DIAGNOSIS. SHE MIGHT WANT TO GIVE YOU A TRAIL OF ANTIBIOTICS TO SEE IF THE LYMPH NODE SHRINK. MIGHT WANT TO DO PPD or AFB for TB.

71 days and 8 hours ago.

Reply

I go see an ent specialist in a couple of weeks and they said a biopsy will be discussed. She did try the antibiotics a couple of months ago and it didnt do anything. Just for my own curiosity what is a PPD AFB and TB? One other thing- I've been having fertility issues and my ob/gyn has been doing bloodwork to try to figure out why. My toxoplasma antiboidies were pretty high and I have to get tested again in a couple weeks. If I do have that- could it cause all of these symptoms? Thanks so much!

Posted by Salar 71 days and 8 hours ago.

Answer

yes any infection would cause similar symptoms. ppd / afb are test for tuberculosis.

71 days and 8 hours ago.

Reply

One more question- if it were something like tuberculosis, would that show up on a ct scan or xray?

Accepted Answer

tb can be anywhere in the body though usually on lungs so yes it can be picked up on ct scan/ xray if active lung involvement is there.

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Expert: Salar
Pos. Feedback: 97.3 %
Accepts: 
Answered: 9/12/2009

Doctor

int.medicine board eligible, research fellowship cardiology.. working at UTMCK

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