[21M] With recurrent swollen lymph nodes and fatigue

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

1. Chronic Sinusitis or Allergic Rhinitis: Your symptoms of nasal congestion, facial pressure, and a feeling of a lump in your throat could be related to chronic sinusitis or allergic rhinitis. These conditions can cause persistent nasal congestion and post-nasal drip, which might explain the sensation in your throat. The fact that your symptoms are worse in the morning could suggest an environmental trigger, such as dust mites or mold in your sleeping area.

2. Lymphadenopathy: The swollen lymph nodes in your neck that cause headaches and pressure on your eyes could be due to a chronic infection or inflammation. Since you have a history of recurrent pneumonia, it's possible that your immune system is reacting to a lingering infection or inflammation.

3. GERD-Related Symptoms: Although you mentioned that your GERD is mostly under control, it's possible that some of your symptoms, like the lump in your throat, could be related to acid reflux. GERD can sometimes cause extra-esophageal symptoms, such as throat irritation and post-nasal drip.

4. Fatigue and Malaise: Your extreme fatigue and overall malaise could be related to a combination of factors, including poor sleep quality due to nasal congestion, chronic inflammation, or an underlying condition that hasn't been identified yet.

What you can do

Nasal Congestion and Sinus Symptoms:

• Consider using a saline nasal spray or rinse to help clear your nasal passages and reduce congestion.
• Try using a humidifier in your bedroom to keep the air moist, which can help alleviate congestion.
• Over-the-counter antihistamines or decongestants may provide relief, but consult with a healthcare professional before starting any new medication.

Swollen Lymph Nodes and Headaches:

• Continue to manage your headaches with over-the-counter pain relievers like Tylenol, but be mindful of the recommended dosage.
• Apply a warm compress to the affected area to help reduce swelling and discomfort.
• Keep track of your symptoms using the MDandMe journal to identify any patterns or triggers.

Fatigue and Malaise:

• Ensure you're getting adequate rest and maintaining a regular sleep schedule.
• Engage in light physical activity, such as walking, to help boost your energy levels.
• Stay hydrated and maintain a balanced diet to support your overall health.

What you should look out for

While your symptoms are concerning, they don't appear to be immediately life-threatening. However, you should seek medical attention if you experience any of the following:

• Persistent or worsening symptoms despite self-care measures
• New or unexplained symptoms, such as significant weight loss or night sweats
• Difficulty breathing or swallowing
• Severe or persistent headaches that don't respond to over-the-counter medication

It's important to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment. They may recommend further testing, such as blood tests or imaging studies, to better understand the underlying cause of your symptoms.