[18F] With multiple small lumps in neck and under jaw, chest pain, shortness of breath, and fatigue

Patient Description

An 18-year-old female has been experiencing multiple small lumps in her neck and under her jaw for around six months. The lumps sometimes feel hard. She reports associated symptoms including chest pain (sometimes sharp and radiating to the back), shortness of breath (especially when lying down, rated 6/10 in severity), dizziness, and persistent fatigue. Additionally, she experiences random shooting pains in her elbows, back of her knees, and armpits (rated 5/10 in severity) for about nine months. She also has difficulty swallowing and notes that the sizes of the lumps change over time. There is no history of unexplained weight loss, fevers, or night sweats. No family history of similar lumps or conditions causing neck or jaw swelling. She has no pre-existing conditions and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Lymphadenopathy: This is a condition where the lymph nodes become swollen. It can be caused by infections, autoimmune diseases, or even cancers like lymphoma. The lumps in your neck and under your jaw could be swollen lymph nodes.

    • Typical treatments involve addressing the underlying cause, such as antibiotics for infections or other specific treatments if a more serious condition is diagnosed.
  • Thyroid Disorders: Conditions like hyperthyroidism or hypothyroidism can cause swelling in the neck area and may also lead to symptoms like fatigue, difficulty swallowing, and changes in weight.

    • Treatment usually involves medications to regulate thyroid function, and in some cases, surgery.
  • Chronic Infections: Persistent infections, such as tuberculosis or mononucleosis, can cause prolonged lymph node swelling and systemic symptoms like fatigue and shortness of breath.

    • Treatment would depend on the specific infection and might include antibiotics or antiviral medications.
  • Autoimmune Conditions: Diseases like lupus or rheumatoid arthritis can cause systemic symptoms, including swollen lymph nodes, fatigue, and joint pain.

    • Treatment often involves immunosuppressive medications and symptom management.
  • Cancer: Although less common, cancers like lymphoma or leukemia can present with swollen lymph nodes, fatigue, and systemic symptoms.

    • Treatment typically involves chemotherapy, radiation, or other targeted therapies.

What you can do

  1. Consult a Healthcare Provider: It is crucial to see a healthcare provider for a thorough evaluation. They may order blood tests, imaging studies, or even a biopsy of the lumps to determine the cause.
  2. Monitor Symptoms: Keep a diary of your symptoms, noting any changes in the size of the lumps, the severity of your chest pain, and any other new symptoms. This information will be helpful for your healthcare provider.
  3. Stay Hydrated and Rest: Ensure you are drinking plenty of fluids and getting adequate rest to help your body manage the symptoms.
  4. Avoid Strenuous Activities: Given your shortness of breath and dizziness, it would be best to avoid strenuous activities until you have been evaluated by a healthcare provider.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe or worsening chest pain
  • Difficulty breathing or shortness of breath that gets worse
  • Sudden, unexplained weight loss
  • High fever or night sweats
  • Difficulty swallowing that worsens or prevents you from eating or drinking

Remember, while this information can help guide you, it is essential to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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6 mo ago


People Also Ask


What could cause multiple small lumps in the neck and under the jaw?

Multiple small lumps in the neck and under the jaw could be caused by swollen lymph nodes, which may result from infections, autoimmune diseases, or cancers like lymphoma. Thyroid disorders and chronic infections are also possible causes.


What are the possible reasons for experiencing chest pain and shortness of breath?

Chest pain and shortness of breath can be symptoms of various conditions, including heart or lung issues, infections, or anxiety. In this context, they might be related to swollen lymph nodes pressing on nearby structures or systemic conditions like autoimmune diseases.


How can persistent fatigue and random shooting pains in the body be explained?

Persistent fatigue and random shooting pains could be due to chronic infections, autoimmune conditions, or even stress and anxiety. These symptoms often require a thorough evaluation to determine the underlying cause.


When should I seek immediate medical attention for these symptoms?

Immediate medical attention should be sought if there is severe or worsening chest pain, difficulty breathing, sudden unexplained weight loss, high fever, night sweats, or worsening difficulty swallowing that prevents eating or drinking.

1 Comments


Billy#7

6 mo ago

Have you seen a doctor since these symptoms began and did they do any blood tests or imaging?

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