[21F] Experiencing weight loss, loss of appetite, and swollen lymph nodes

Patient Description

A 21-year-old female reports unintentional weight loss of approximately 11 lbs since July, with a more rapid loss of 5 lbs in the past month, decreasing from 115 to 104 lbs. She describes a loss of appetite beginning about a month and a half ago, with no specific aversions but a general lack of urge to eat and early satiety. Additionally, she has noticed two to three firm, enlarged, non-tender cervical lymph nodes on the left side of her neck, present for over two weeks and causing some muscle strain. The patient also experiences intermittent low-grade fevers in the evenings, which respond to ibuprofen. She is currently on Nexplanon for birth control and has no known drug allergies or previous illnesses.

Show More

Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Lymphoma: This is a type of cancer that starts in cells that are part of the body's immune system. The most common symptom is a painless swelling in a lymph node, often in the neck, armpit, or groin. Other symptoms can include loss of appetite, weight loss, fever, and fatigue.

    • Diagnostic tests for lymphoma usually include a physical exam, blood tests, imaging tests, and a biopsy of the swollen lymph node.
  • Infections: Certain infections can cause swollen lymph nodes, fever, and fatigue. These include common infections like strep throat, measles, ear infections, an abscessed tooth, or mononucleosis. Some sexually transmitted infections, such as syphilis or gonorrhea, can also cause swollen lymph nodes.

    • Treatment for infections can include antibiotics or antiviral medications.
  • Autoimmune diseases: These are conditions in which your immune system mistakenly attacks your body. Conditions such as lupus or rheumatoid arthritis can cause symptoms like swollen lymph nodes, fever, fatigue, and loss of appetite.

    • Treatment for autoimmune diseases can include medications to reduce inflammation and suppress the immune system.

What you can do

  1. Consult a healthcare professional: Given your symptoms, it's important to seek medical attention as soon as possible. A healthcare professional can provide a formal assessment and order relevant tests if necessary.

  2. Keep a symptom diary: This can help you track your symptoms and identify any patterns or triggers. This information can be helpful when you talk to your healthcare provider.

  3. Stay hydrated and eat a balanced diet: Even if you're not feeling hungry, try to eat small, balanced meals throughout the day. This can help prevent further weight loss and keep your body nourished.

What you should look out for

If you notice any of the following symptoms, seek medical attention immediately:

  • Difficulty breathing or swallowing
  • High fever (over 101.5°F)
  • Night sweats
  • Severe abdominal pain
  • Rapid weight loss
  • Swelling in other areas of your body

Remember, while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What could cause unintentional weight loss and loss of appetite in a young adult?

Unintentional weight loss and loss of appetite can be caused by various conditions, including infections, autoimmune diseases, and cancers like lymphoma. Stress, thyroid issues, and gastrointestinal disorders can also contribute to these symptoms.


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

Swollen lymph nodes in the neck can be caused by infections (such as strep throat or mononucleosis), autoimmune diseases (like lupus), or cancers (such as lymphoma). They can also swell due to localized infections or inflammation.


How can low-grade fevers in the evening be related to other symptoms like weight loss and swollen lymph nodes?

Low-grade fevers in the evening, combined with weight loss and swollen lymph nodes, can indicate an underlying infection, autoimmune disease, or cancer like lymphoma. These symptoms suggest the body is responding to an internal issue, and further medical evaluation is needed.


What are the next steps if I suspect a condition like lymphoma or an infection?

If you suspect a condition like lymphoma or an infection, it's important to consult a healthcare professional. They may recommend diagnostic tests such as blood tests, imaging, or a biopsy of the lymph node to determine the cause and appropriate treatment.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback