[23F] With neck lumps and systemic symptoms

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

1. Lymphadenopathy: The lumps on your neck could be swollen lymph nodes, which can occur due to infections, inflammation, or other conditions. Since they have been present for three months and are increasing in number, it's important to have them evaluated by a healthcare professional.

2. Thyroid Nodules: Given the location of the lumps, thyroid nodules are another possibility. These are growths that can occur within the thyroid gland and may require further investigation, especially if they are accompanied by symptoms like weight fluctuations and palpitations.

3. Hormonal Imbalance: Your symptoms of hot flashes, nausea, and appetite issues could be related to hormonal imbalances, possibly linked to your PCOS. PCOS can cause a variety of symptoms due to its impact on hormone levels.

4. Stress and Anxiety: The heart palpitations, headaches, and insomnia could be exacerbated by stress and anxiety, which you mentioned have been more pronounced recently.

Typical treatments or testing might include blood tests to check for infections or thyroid function, imaging studies like an ultrasound of the neck, and possibly a biopsy of the lumps if deemed necessary by your healthcare provider.

What you can do

Neck Lumps: It's important to see a healthcare provider to evaluate the lumps on your neck. They may recommend imaging or other tests to determine the cause.

Headaches and Nausea: Try to manage your stress levels through relaxation techniques such as deep breathing, meditation, or gentle exercise like yoga. Ensure you stay hydrated and consider keeping a headache diary to track potential triggers.

Hot Flashes and Insomnia: Maintain a cool sleeping environment and establish a regular sleep routine. Avoid caffeine and heavy meals before bedtime.

Heart Palpitations: Since these worsen with exercise, it might be helpful to engage in light, stress-reducing activities rather than intense workouts until you can see a healthcare provider.

General Health: Keep track of your symptoms using MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider. This can be helpful for your healthcare provider to understand the progression of your symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

• Rapid increase in the size of the neck lumps
• Difficulty breathing or swallowing
• Severe or worsening headaches
• Persistent or severe heart palpitations
• Unexplained weight loss or gain

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.