[32F] Experiencing night sweats, unexplained bruising, and shoulder pain

Patient Description

A 32-year-old female reports experiencing night sweats for a couple of months, which occur almost every night and throughout the night, accompanied by a sensation of being freezing cold. She has also observed random bruising on her body for close to a year, starting as dark purple in color, without any known injuries or accidents. Additionally, she has been feeling pain from her left shoulder extending to her neck and experiences persistent fatigue. No recent weight changes, unusual bleeding, swollen glands, or severe pain in other areas have been noted. She is not currently on any medications and has no known drug allergies. There is no significant past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, a few conditions could be considered:

  • Hypothyroidism: This is a condition where your thyroid gland doesn't produce enough thyroid hormones. Symptoms can include fatigue, feeling cold, and unexplained weight gain. However, night sweats are not typically associated with hypothyroidism.

    • Treatment typically involves taking a daily hormone replacement tablet called levothyroxine to raise your thyroid hormone levels.
  • Anemia: This is a condition characterized by a decrease in the total amount of red blood cells or hemoglobin in the blood, or a lowered ability of the blood to carry oxygen. Symptoms can include fatigue, feeling cold, and bruising easily. However, night sweats are not typically associated with anemia.

    • Treatment depends on the cause of the anemia, but may include dietary changes, supplements, medications, procedures, or surgery to treat blood loss.
  • Lymphoma: This is a type of cancer that begins in infection-fighting cells of the immune system, called lymphocytes. Symptoms can include fatigue, night sweats, unexplained weight loss, and swollen lymph nodes. However, you have not reported weight loss or swollen lymph nodes.

    • Treatment typically involves chemotherapy, radiation therapy, and in some cases stem cell transplant.
  • Infection: Certain bacterial or viral infections can cause night sweats, fatigue, and sometimes bruising. However, you have not reported any other symptoms such as fever, cough, or diarrhea that are commonly associated with infections.

    • Treatment depends on the type of infection, but may include antibiotics or antiviral medications.

What you can do

Given the symptoms you've described, it's important to seek medical attention. Please schedule an appointment with your healthcare provider as soon as possible. They may want to conduct further tests to determine the cause of your symptoms.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Severe pain or swelling in your neck or shoulder
  • Difficulty breathing or swallowing
  • Unexplained weight loss
  • Persistent fever or night sweats
  • Swelling in your lymph nodes (these are small, bean-shaped glands throughout your body)

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What could be causing my night sweats and feeling cold at the same time?

Night sweats and feeling cold can be caused by various conditions, including infections, hormonal imbalances, or even certain types of cancer like lymphoma. It's important to consult a healthcare provider for a proper diagnosis.


Why am I experiencing random bruising without any known injuries?

Random bruising without known injuries can be a sign of conditions like anemia, where the blood's ability to clot is affected, or other blood disorders. It's advisable to seek medical evaluation to determine the underlying cause.


Could my persistent fatigue be related to a serious condition?

Persistent fatigue can be a symptom of several conditions, ranging from hypothyroidism and anemia to more serious conditions like lymphoma. A healthcare provider can perform tests to identify the cause and recommend appropriate treatment.


What should I do if I notice additional symptoms like swollen lymph nodes or unexplained weight loss?

If you notice additional symptoms such as swollen lymph nodes or unexplained weight loss, it's crucial to seek medical attention promptly. These could be signs of a more serious underlying condition that requires immediate evaluation and treatment.


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