[19F] With swollen lymph nodes, body aches, chills, and fatigue

Patient Description

A 19-year-old female presents with multiple swollen lymph nodes in the neck, which have been present for about a week. The lymph nodes are described as hard, with approximately 4 or 5 on each side of the neck. The patient also reports experiencing body aches, chills, and fatigue. There have been no recent changes in weight. The patient is unsure if the lymph nodes are movable or fixed.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—swollen lymph nodes in the neck, body aches, chills, and fatigue—here are some possible explanations:

  • Viral Infection: The most common cause of swollen lymph nodes, body aches, chills, and fatigue is a viral infection, such as the common cold or flu. These infections often resolve on their own with rest and supportive care.

    • Treatment: Rest, hydration, and over-the-counter medications to manage symptoms like fever and pain.
  • Bacterial Infection: Conditions like strep throat or a bacterial skin infection can also cause swollen lymph nodes and systemic symptoms like body aches and chills.

    • Treatment: Antibiotics prescribed by a healthcare provider.
  • Mononucleosis (Mono): Caused by the Epstein-Barr virus, mono can lead to swollen lymph nodes, extreme fatigue, body aches, and chills.

    • Treatment: Rest, hydration, and over-the-counter medications for pain and fever. Avoiding contact sports is recommended due to the risk of spleen enlargement.
  • Other Infections: Other infections, such as tuberculosis or certain sexually transmitted infections, can also cause these symptoms.

    • Treatment: Specific to the type of infection and usually involves antibiotics or antiviral medications.
  • Non-Infectious Causes: Less commonly, conditions like autoimmune diseases (e.g., lupus) or even certain cancers (e.g., lymphoma) can present with swollen lymph nodes and systemic symptoms.

    • Treatment: Depends on the underlying condition and may involve medications to manage the immune system or other targeted therapies.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Rest: Ensure you get plenty of rest to help your body fight off any potential infection.
  2. Hydration: Drink plenty of fluids to stay hydrated, especially if you have a fever.
  3. Over-the-Counter Medications: Use medications like acetaminophen or ibuprofen to manage pain and reduce fever.
  4. Warm Compresses: Applying a warm compress to the swollen lymph nodes may help reduce discomfort.
  5. Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you and your healthcare provider understand how your condition is progressing.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • High Fever: A fever over 100.4°F that doesn't respond to over-the-counter medications.
  • Difficulty Breathing: Any trouble breathing or swallowing.
  • Severe Pain: Intense pain that doesn't improve with over-the-counter medications.
  • Persistent Symptoms: Symptoms that persist for more than a week without improvement.
  • New Symptoms: The appearance of new symptoms, such as a rash, night sweats, or unexplained weight loss.

Remember, while this information can help you understand what might be happening, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the common causes of swollen lymph nodes in the neck?

Common causes of swollen lymph nodes in the neck include viral infections like the common cold or flu, bacterial infections such as strep throat, mononucleosis, and less commonly, autoimmune diseases or certain cancers.


How can I differentiate between a viral and bacterial infection based on symptoms?

Viral infections often present with symptoms like fatigue, body aches, and chills, and usually resolve on their own. Bacterial infections may cause more localized symptoms like a sore throat or skin infection and often require antibiotics for treatment.


What are the potential risks of untreated swollen lymph nodes?

Untreated swollen lymph nodes can sometimes indicate a more serious underlying condition, such as an infection that could spread or an autoimmune disease. In rare cases, they may be a sign of cancer, such as lymphoma.


When should I seek medical attention for swollen lymph nodes and related symptoms?

You should seek medical attention if you experience a high fever, difficulty breathing or swallowing, severe pain, symptoms persisting for more than a week, or the appearance of new symptoms like a rash or unexplained weight loss.

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