[19F] With swollen lymph nodes, night sweats, and extreme fatigue

Patient Description

A 19-year-old female presents with painful, hard, swollen lymph nodes on one side of the neck, increasing in number over four days, now totaling seven, each about a centimeter in diameter. Accompanying symptoms include nightly severe sweats leading to drenched clothing and extreme fatigue persisting for approximately seven months. The patient also experiences occasional chest pain resembling heartburn. There is no reported unexplained weight loss, persistent fever, rash, skin changes, or difficulty breathing. The patient has a history of chronic migraines since age 11 and is currently taking venlafaxine (37.5 mg daily), sumatriptan (1-2 times weekly as needed), and daily supplements including magnesium (400 mg), Coenzyme Q10 (100 mg), and B2 (200 mg). There is a family history of non-Hodgkin's lymphoma in a cousin, but no immediate family history of blood disorders or cancer. No known drug allergies or other medications reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possible conditions that could be causing your symptoms:

  • Infection: The body often responds to infections by increasing the size and number of lymph nodes. This can be due to a bacterial or viral infection. The night sweats could also be a response to an infection.

    • Treatment usually involves antibiotics or antivirals, depending on the cause of the infection.
  • Lymphoma: This is a type of cancer that starts in the cells of the body's immune system, particularly in the lymph nodes. Your symptoms of swollen lymph nodes, night sweats, and fatigue could be indicative of this condition, especially given your family history of non-Hodgkin's lymphoma.

    • Treatment usually involves chemotherapy, radiation therapy, or a combination of both.
  • Autoimmune Disorders: Conditions such as lupus or rheumatoid arthritis can cause swollen lymph nodes and fatigue. However, these conditions often present with other symptoms such as joint pain and rashes.

    • Treatment usually involves managing symptoms and preventing flare-ups with medication.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis. It's important to consult with a healthcare provider who can evaluate your symptoms and medical history in person.

What you can do

  1. Schedule an appointment with your primary care provider as soon as possible to discuss your symptoms. They may refer you to a specialist if necessary.
  2. Keep track of your symptoms and any changes. This can help your healthcare provider determine the cause of your symptoms.
  3. Make sure to stay hydrated and eat a balanced diet to help your body fight off potential infections.

What you should look out for

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

  • Difficulty breathing or swallowing
  • High fever (temperature over 100.4°F)
  • Rapid weight loss
  • Severe night sweats that soak your clothes and sheets
  • Increasing size or number of lymph nodes
  • Severe fatigue that prevents you from doing your daily activities

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare provider who can evaluate your symptoms and medical history in person.

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10 mo ago

People Also Ask


What could cause swollen lymph nodes and night sweats in a young adult?

Swollen lymph nodes and night sweats in a young adult can be caused by infections, such as viral or bacterial infections, autoimmune disorders, or more serious conditions like lymphoma. It's important to consult a healthcare provider for an accurate diagnosis.


How is lymphoma diagnosed and treated?

Lymphoma is typically diagnosed through a combination of physical exams, blood tests, imaging tests like CT or PET scans, and a biopsy of the lymph node. Treatment often involves chemotherapy, radiation therapy, or a combination of both, depending on the type and stage of lymphoma.


Can infections cause symptoms like swollen lymph nodes and fatigue?

Yes, infections can cause symptoms like swollen lymph nodes and fatigue. The body's immune response to fight off infections often results in enlarged lymph nodes. Treatment usually involves antibiotics or antivirals, depending on the type of infection.


What role does family history play in the risk of developing lymphoma?

Family history can play a role in the risk of developing lymphoma, as certain genetic factors may increase susceptibility. However, having a family member with lymphoma does not guarantee that you will develop it. It's important to discuss your family history with a healthcare provider to understand your specific risk.


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