[20F] Experiencing swollen lymph nodes and pain under left rib cage

Patient Description

A 20-year-old female has been experiencing swollen lymph nodes in the armpit and into the chest, described as tender and enlarged, for approximately 2 weeks. Additionally, she reports a burning and sharp radiating pain under the left side of the rib cage, closer to the middle and spreading to the back, which has been ongoing for over 2 months. The pain is severe, rated 8 out of 10. The patient has also noted weight loss and the presence of fever. No recent injuries, accidents, or pregnancies were reported.

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Arora's Assessment

What might be happening

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

  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing burning pain.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or surgery might be necessary.
  • Gastritis: Inflammation of the stomach lining, which can cause burning pain in your upper abdomen. Gastritis can be caused by several factors, including long-term use of aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), infections with bacteria such as H. pylori, or excessive alcohol use.

    • Treatment typically involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.
  • Lymphadenitis: This is inflammation of the lymph nodes, which can be caused by a variety of infections. The tenderness and enlargement of your lymph nodes could be due to this condition.

    • Treatment typically involves antibiotics and measures to relieve symptoms, such as pain relief and warm compresses.
  • Lymphoma: This is a cancer of the lymphatic system. It can cause lymph nodes to enlarge and often comes with symptoms like unexplained weight loss, fever, and night sweats. However, lymphoma is relatively rare, especially in people your age.

    • Treatment typically involves chemotherapy, radiation therapy, and other therapies.

Please remember that these are only possibilities and not a definitive diagnosis. You should consult with a healthcare professional who can evaluate your symptoms and medical history in a comprehensive manner.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms.
  2. Keep a symptom diary. Note when your symptoms occur, what you're doing when they occur, and what foods you've eaten.
  3. Try over-the-counter antacids to see if they relieve your abdominal pain.
  4. Stay hydrated and maintain a balanced diet.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable.
  • You experience difficulty breathing or chest pain.
  • You notice blood in your stool or vomit.
  • Your lymph nodes continue to enlarge or become more painful.
  • You experience unexplained weight loss or night sweats.

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1 yr ago

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of swollen lymph nodes in the armpit and chest area?

Swollen lymph nodes in the armpit and chest area can be caused by infections, such as bacterial or viral infections, inflammation, or more rarely, conditions like lymphoma. It's important to consult a healthcare provider for an accurate diagnosis.


What could be the reason for experiencing burning and sharp radiating pain under the rib cage?

Burning and sharp radiating pain under the rib cage could be due to conditions like Gastroesophageal Reflux Disease (GERD) or gastritis, which involve irritation or inflammation of the stomach lining or esophagus. Other potential causes could include musculoskeletal issues or nerve-related pain.


How can unexplained weight loss and fever be related to swollen lymph nodes?

Unexplained weight loss and fever can be symptoms associated with infections or more serious conditions like lymphoma. These symptoms, along with swollen lymph nodes, warrant a thorough evaluation by a healthcare professional to determine the underlying cause.


What are the treatment options for lymphadenitis and how effective are they?

Treatment options for lymphadenitis typically include antibiotics if a bacterial infection is present, along with pain relief measures and warm compresses to reduce discomfort. The effectiveness of treatment depends on the underlying cause and the patient's response to therapy.


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