[27F] Presenting with persistent swollen lymph node, headache, and fatigue

What might be happening

Based on the information you've provided, possible diagnoses include:

• Lymphadenopathy: This is a condition characterized by the enlargement of the lymph nodes, which can be caused by a variety of conditions, including infections, autoimmune diseases, and cancers. The fact that your lymph node has been enlarged for 3 months suggests it may not be due to a simple infection, and further investigation is needed.

  • Treatment will depend on the underlying cause. Your doctor may order blood tests, imaging studies, or a biopsy of the lymph node to determine the cause.

• Chronic Fatigue Syndrome (CFS): This is a complex disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue may worsen with physical or mental activity, but doesn't improve with rest. Other symptoms can include headaches and joint pain.

  • There's no single test to confirm a diagnosis of CFS. You may need a variety of medical tests to rule out other health problems that have similar symptoms. Treatment is focused on symptom relief.

• Athlete's Foot (Tinea Pedis): This is a fungal infection that usually begins between the toes. It commonly occurs in people whose feet have become very sweaty while confined within tightfitting shoes. Symptoms include a scaly rash that usually causes itching, stinging and burning.

  • Over-the-counter antifungal ointments, lotions, powders and sprays are often effective in treating athlete's foot.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

1. Rest and maintain a healthy diet to manage fatigue.
2. Over-the-counter pain relievers can help manage your headache.
3. Over-the-counter antifungal creams can help with the itching on your feet.

What you should look out for

Reasons to see a doctor more urgently:

• If the lump in your neck grows in size or becomes painful
• If your fatigue or headaches become severe or debilitating
• If the itching on your feet worsens or spreads to other parts of your body

Remember, this advice is not a substitute for professional medical advice. Please consult with a healthcare provider.