[33M] Experiencing multiple systemic symptoms including splenomegaly

Patient Description

A 33-year-old male reports a sensation of splenomegaly and a lump on the left testicle with associated intermittent numbness in the legs, neck tightness, and episodic chest pains. The patient also experiences significant fatigue, weakness, and has recorded low blood pressure readings. Notable systemic symptoms include night sweats, weight fluctuations, nausea, lack of appetite, headaches, and neck pain. The skin appears yellowish, although the eyes are not jaundiced, and there is pronounced itching. The patient has a daily marijuana and puff bar usage habit. There is a family history of cancer, but the patient has no known allergies, adverse reactions to medications, or pre-existing conditions, and is not on any medications. These symptoms warrant a thorough medical evaluation for potential conditions such as lymphoma, testicular cancer, or other systemic illnesses.

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Arora's Assessment

What might be happening

Based on the information you provided, here are some possibilities:

  • Lymphoma: This is a type of cancer that begins in the lymphatic system. Your symptoms of enlarged lymph nodes, night sweats, weight fluctuations, and fatigue may be indicative of this condition.

    • Diagnostic tests for lymphoma typically include blood tests, imaging tests, and a biopsy of the enlarged lymph nodes. Treatment usually involves chemotherapy, radiation therapy, or a combination of both.
  • Testicular Cancer: Your symptom of a lump on your testicle could be indicative of testicular cancer.

    • Diagnostic tests for testicular cancer typically include a physical examination, ultrasound, and blood tests. Treatment usually involves surgery, radiation therapy, and chemotherapy.
  • Liver Disease: Your symptoms of yellowish skin, nausea, and low appetite could be indicative of liver disease.

    • Diagnostic tests for liver disease typically include blood tests, imaging tests, and sometimes a liver biopsy. Treatment depends on the specific type of liver disease and its stage.
  • Gastrointestinal Issues: Your past history of a stomach ulcer and current symptoms of feeling a swollen spleen and nausea could indicate a recurrence or another gastrointestinal issue.

    • Diagnostic tests typically include an endoscopy or other imaging tests. Treatment depends on the specific issue.

Please remember that these are just possibilities and not a definitive diagnosis.

What you can do

Given the severity and range of your symptoms, it's important to seek immediate medical attention. Here are some steps you can take:

  1. Schedule an appointment with your healthcare provider as soon as possible. If you can't get an appointment soon, consider going to an urgent care center or emergency room.

  2. Write down all your symptoms, even if they seem unrelated. Include when they started and any patterns you've noticed.

  3. Make a list of all the medications you're taking, including over-the-counter drugs and any supplements, and bring it with you to your appointment.

  4. Write down any questions you have for your healthcare provider ahead of time.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe chest pain
  • Difficulty breathing
  • Severe abdominal pain
  • Blood in your stool or urine
  • Sudden, severe headache
  • Sudden, severe testicular pain
  • Any other symptom that is severe or concerning to you

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common symptoms of lymphoma?

Common symptoms of lymphoma include swollen lymph nodes, night sweats, unexplained weight loss, fatigue, and sometimes fever. It's important to consult a healthcare provider for a proper diagnosis.


How is testicular cancer diagnosed and treated?

Testicular cancer is typically diagnosed through a physical examination, ultrasound of the testicles, and blood tests for tumor markers. Treatment often involves surgery to remove the affected testicle, and may include radiation therapy or chemotherapy depending on the stage and type of cancer.


What could cause yellowish skin without jaundice in the eyes?

Yellowish skin without jaundice in the eyes can be caused by conditions affecting the liver, such as liver disease, or other systemic issues. It is important to have a medical evaluation to determine the underlying cause.


How can lifestyle habits like marijuana use affect overall health?

Regular marijuana use can affect overall health by impacting mental health, lung function, and potentially contributing to cardiovascular issues. It's important to discuss any substance use with a healthcare provider, especially when experiencing significant health symptoms.

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