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Female | 18

Enlarged Lymph Node & Localized Headache in Young Female

I am an 18 year old female with enlarged lymph node at the back of my neck 1.4cm for 3 months and a localised headache in the same region, as well as pain in my chest and lower right abdomen

1 Answer

Answered on 26th July '24

Swollen lymph nodes can occur from infections, injurie­s, or health issues. The he­adache, chest ache, and abdominal pain may have­ separate causes. It's crucial to visit an ENT specialist for further e­xamination and accurate diagnosis. During your appointment, provide all symptom de­tails and voice any concerns.

69 people found this helpful

Questions & Answers on "Hematology" (137)

I am having swollen lymph nodes in my neck since two years I have done fnac and biopsy both comes with result reactive lyphadenopathy....is it Cancer????

Female | 23

Reactive lymphadenopathy means the lymph nodes are responding to something which is not necessarily cancer. This can be caused by infections such as colds. Skin conditions can also cause them. Your doctor might want to keep an eye on them for a while or do more tests to be sure. Changes are always best recorded and communicated with a healthcare provider. 

Answered on 25th June '24

Dr. Babita Goel

Dr. Babita Goel

I am very sick sir duwara duwara say bukhar aa raha hn and after that then urine mein blood bi aa raha hn and weekness bii What is my problem

Male | 44

Based on your explanation, you are familiar with fever and have also noticed blood in your urine. This could be a symptom of a urinary tract infection or a sign of kidney problems, both of which can also cause weakness. It would be best to consult a doctor within a few days to determine the cause and receive the appropriate care.

Answered on 23rd July '24

Dr. Babita Goel

Dr. Babita Goel

My hemoglobin report 8.2 and my esr 125

Male | 37

According to your test results, your hemoglobin level is low, which can cause symptoms like feeling tired and weak. The high ESR number could mean that your body is inflamed. From simple ones, such as anemia, to complex ones, such as infection-are sorts of them. If you want to take your hemoglobin to the right levels, you may have to take in more iron-rich foods by way of diet. Plus, do not forget that the root cause of inflammation is there and lower your ESR count. To improve your hemoglobin, you may need to eat more iron-rich foods, and addressing the underlying cause of inflammation can help lower your ESR level.

Answered on 14th June '24

Dr. Babita Goel

Dr. Babita Goel

Dear Doctor, Due to my father's high blood viscosity, suspicion of polycythemia arises, necessitating blood draws every 3 weeks to maintain appropriate levels. At 69 years old, he experiences symptoms such as skin itching, swelling, head numbness, and fatigue. Currently, his JAK2 V617F mutation showed 0.8 then 1.2%, with JAK2 exon 12 negative and EPO at 13.4. Abdominal CT and chest X-ray are normal. After a few months of phlebotomy, his levels normalized. Now, we await the bone marrow biopsy results, which do not confirm Polycythemia Vera: "Microscopic description: The bone marrow biopsy sample shows somewhat hypocellular hematopoietic parenchyma relative to age, which is terminally mature. Myeloid ratio is 2:1 with dominance of late precursors; no blast cells are noted. The number of megakaryocytes is normal with no clustering. There is no interstitial fibrosis or lymphoid infiltrate. Diagnosis: Mature, hypocellular hematopoietic parenchyma without myeloproliferative features. Cytogenetic analysis confirmed male karyotype; no clonal chromosomal abnormalities detected. Indication for examination D7510 Secondary polycythemia Note Submicroscopic rearrangements, small structural chromosomal aberrations, DNA-level differences cannot be ruled out with the method used." I am quite confused as JAK2 positivity typically suggests PV, yet the biopsy suggests otherwise, possibly indicating secondary polycythemia. Could you please clarify based on this information what you personally think is more likely, Polycythemia Vera or another secondary cause? Thank you very much for your help.

Male | 67

Your father's symptoms and test results do suggest some complexity. The presence of JAK2 mutation often points towards Polycythemia Vera (PV), but the bone marrow biopsy does not show typical myeloproliferative features, suggesting it might be secondary polycythemia instead. Consult a hematologist, specializing in blood disorders, and can provide a more accurate diagnosis and appropriate treatment plan.

 

Answered on 3rd July '24

Dr. Babita Goel

Dr. Babita Goel

I am a 26-year-old female. I have night sweats weight loss over 50 pounds hair thinning all lymph nodes have lumps and currently finding new ones. No pain in them. Double vision, headaches, constipation and diarrhea positive mono nucleus test but negative for mono, bruising and legs, bruising, and ribs, stomach and abdominal pain.

Female | 26

According to the symptoms, there may be an underlying serious illness. You should seek medical attention immediately for a correct diagnosis and treatment plan. They can mean different things such as infections, autoimmune diseases, and cancers. Do'nt wait any longer before visiting a doctor because these signs need urgent care. Your healthcare provider will do more tests to find out what is wrong with you and give you the right medication.

Answered on 28th May '24

Dr. Babita Goel

Dr. Babita Goel

Yesterday my nose is blood bleeding and today is feeling discomfort.

Female | 24

Your noseble­ed yesterday like­ly irritated. Dry air and nose picking often trigge­r nosebleeds. The­ discomfort today might stem from that irritation. Using a humidifier adds moisture, which can he­lp. Avoid picking your nose too. If issues persist, consult a doctor.

Answered on 5th Sept '24

Dr. Babita Goel

Dr. Babita Goel

My wife is suffering with low hemoglobin, RBC , WBC & patlets count gone on decreasing .She has sufferd with viral fever for 15 days, viral fever came to normal but counts were not increasing.she has treated 20 days in KIMS, hyderabad hospital. Kims doctors told that after few days gradually counts will increase. What is her problem upto now doctors did not diagnosis, Two or three days doctors are transmitting sdp and prbc and WBC injections.I'm taken second opinion he told that there is a problem in bone marrow.without daignoses if we take bone marrow treatment does patient get any side effects.she is suffering from legs pain and swalling in legs aslo and she is becoming weak. Please what is her problem give me the clarity

Female | 36

she needs detailed hematological evaluation.and depending on all the reports, diagnosis can be made 

Answered on 23rd May '24

Dr. Soumya Poduval

Hi! I’m 28 years old woman. After I lost a pregnancy at 6 weeks, last year in December, we decided to try again. Now, I’m pregnant again in 3 weeks and my doctor suggested a trombophilia test. The results came few minutes ago. Can you help with it? Thanks in advance! Mutation Factor 2 (G20210a, protrombina)->negative/negative Mutation Factor V Leiden (G1691A)->negative/negative Mutation MTHFR(C677T)->negative/negative Mutation MTHFR(A1298c)-> positive Homozigote/negative Detection gene PAI-1 (4g/5g) ->PAI-1 heterozigote 4g/5g / PAI-1 homozigote 5g/5g Mutation factor XIII -> positive heterozigote/negative

Female | 28

Factor 2 and Factor V Leiden te­sts were negative­ - that's good news. However, an MTHFR mutation was de­tected. This means your body may struggle­ to break down certain B vitamins. Additionally, the PAI-1 ge­ne varies slightly, indicating potential diffe­rences in blood clotting. 

Answered on 4th Sept '24

Dr. Babita Goel

Dr. Babita Goel

Systematic increases in immature granulocytes Good morning, Firstly, I will mention that I suffer from numerous chronic inflammatory diseases, as this may be relevant. These include Ulcerative Proctitis; Atrophic Gastritis; Last year, I also underwent two cervical electrosurgery procedures due to advanced dysplasia (CIN3). (The last colposcopy and colonoscopy did not reveal any suspicious changes) For a year now, my blood morphology tests have been showing an elevated level of immature granulocytes: The latest test (May '24) showed: Immature granulocytes IG - 0.09 thousand/µl; Norm: 0-0.04 thousand/µl Immature granulocytes IG % - 1.00; Norm: 0-0.5% The rest of the blood morphology is normal, leukocytes in urine - within the norm. Previous results (April '23): Immature granulocytes IG - 0.05 thousand/µl; Norm: 0-0.04 thousand/µl Immature granulocytes IG % - 0.7; Norm: 0-0.5% (and a very slightly elevated MCV) Even older (January '23): Immature granulocytes IG - 0.04 thousand/µl; Norm: 0-0.04 thousand/µl Immature granulocytes IG % - 0.6; Norm: 0-0.5% (and a very slightly elevated MCV and basophils) There is a clear upward trend since last year. I initially thought this was due to extreme stress (CIN3, LLETZ etc). Now I am not so sure... Are these results very concerning and indicative of a cancerous process? Can chronic inflammatory states cause an increase in IG, or is it rather some kind of “acute” disease state? Could the fact that I rode a bike to the laboratory (medium and short-term physical effort) affect the increase in results? I would be very grateful for your response and advice. Best regards, J.

Female | 40

Raised levels of these are often linked to chronic inflammation similar to stress, in this case, it is important to control them initially. With the status of attempted diagnosis for specific inflammatory conditions, your previous experience, and the new procedures on the lookout for anything new, don't hesitate to let a doctor know. It would be helpful to get solid advice from your healthcare provider concerning your test results. 

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

My name islam from Saudi Arabia. My issue is about blood deficiency hgb level 11my weight loss and

Male | 30

You might have anemia, in which you don't have enough good red cells in your blood. The lack of red blood cells in your body can lead to the following symptoms fatigue, weight loss, and weakness. Anemia might be due to low iron intake in your diet, or there might be underlying diseases. So, to fix your case, you should begin to eat food that is rich in iron, you may also take supplements, or you may have some medical consultations for a check-up.

Answered on 23rd July '24

Dr. Babita Goel

Dr. Babita Goel

My cbc result was WBC 3.73 RBC 4.57 NEU 1.78

Female | 58

Your WBC count is slightly low at 3.73; RBC is normal at 4.57. NEU is also lower at 1.78. Low WBC sugge­sts weaker immunity, making infections more­ likely. Have nutritious meals, ample­ sleep, stay hydrated. If unwe­ll, see a doctor for examination and guidance­.

Answered on 5th Aug '24

Dr. Babita Goel

Dr. Babita Goel

I. T. P. Prblm in one year

Male | 9

I.T.P. stands for Idiopathic Thrombocytopenic Purpura. This can occur when your immune system mistakenly attacks the blood platelets your body needs to stop the bleeding. Symptoms include easy bruising, tiny red dots on the skin, and gum bleeding. Treatment may include medications or, in more severe cases, procedures to increase the number of platelets. Don't forget to visit a hematologist for the right treatment.

Answered on 6th Sept '24

Dr. Babita Goel

Dr. Babita Goel

I am 46 years old . In annual health check up in urine protine is traced & pus cell count found 18-20 . In complete blood picture (CBP) ,Eosinophils count and Absolute Eosinophil count is zero . In Lipid Profile HDL Cholesterol result is 37 is it serious or needs to consult to doctor

Female | 46

Finding protein and pus ce­lls in your urine could mean an infection or kidne­y problem. Zero Eosinophils? That might show you're not re­sponding well to certain allergie­s. And low HDL cholesterol puts you at higher risk for he­art disease. It's smart to talk to a doctor about these­ results. They can take a close­r look and tell you what to do next.

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

I have had 5 bosebleeds the last 24 hours, which is not like me at all. What should i do? I was at the doctors a month ago and everything other than my vitamin d and folate levels were good. I have been dizzy and very tired lately

Female | 16

Many factors can cause nose­bleeds. Dry air and allergie­s may play a role. High blood pressure too. Ye­t, dizziness, and fatigue raise conce­rns. Underlying issues like ane­mia or blood clotting problems could exist. With repe­ated noseblee­ds over 24 hours, seeking me­dical advice soon becomes crucial. Your doctor can evaluate­ properly. 

Answered on 3rd Sept '24

Dr. Babita Goel

Dr. Babita Goel

I want to know , a chemotherapy patient takes 3 chemo then after 3 days later she has too much fever and pain in stomach. What should I do.

Female | 47

Fever and stomach pain are two of the most common causes of chemo. The fever may be due to the body's immune system being weaker after treatment. Stomach pain can be the result of medication cavitation in the digestive system. It is crucial to reach out to the medical team immediately for help with these symptoms. They may prescribe medicines to decrease the fever or stomach pain. Drinking plenty of water and sleeping will also help.

Answered on 29th July '24

Dr. Babita Goel

Dr. Babita Goel

I had T cell lymphoblastic lymphoma in 2018 and all follow ups are now orderd. I' ve got side effects. I need to know what treatments and medical consultations I should get in future. PET scan(2019) *In PET scan(2019) of Cancer hospital they have suggested I have maxillary mucosal disease. No examinations. Ultra Sounds scan (2022) *Pseudo pancreatic cyst(2018 to 2022 examination) 4.4×2.1×3.2 cm *Possible right ovarian cyst (Not treated nor examines after 2022) 2021 Biopsy report and treating terminated *Cutaneous small vessel vasculitis.(No issues aftrr treatments are over) MRI brain(2018 and 2019) *Suggestive of celebral atrophy(Nor examinations or treatment and what to know in detail with relevancy to life expectancy) Manic Episode(2019) Bipolar affective disorder since 2019 *Under treatment of olanzapine 2.5 mg No depressive/manic episodes since 2020 *Keratoconus eye disorder in both eyes since 2019 I am 20 years old by now. To make my life analyzed in the upcoming years I want to know treatments I should get to recover, my life expectancy, seriousness I need to consider, how to response to work I do. I have high academic qualifications by niw no issues in learning but I get so tired with work, muscle pains, lasting headaches, heart beart rate irregulaties with stress in daily basis. What should I do to overcome by now. Please do concern.

Female | 20

It's important to address each of your conditions with a specialist to manage your health effectively. Please consult an ENT specialist and a gastroenterologist for the maxillary mucosal disease and pseudo pancreatic cyst. For your bipolar affective disorder and associated symptoms like fatigue and heart rate irregularities, continue following up with your psychiatrist.

Answered on 4th June '24

Dr. Babita Goel

Dr. Babita Goel

My mother is losing weight without any reason? Is it a sign of cancer?

Female | 37

While losing weight une­xpectedly doesn't ne­cessarily mean cancer, it could signify various conditions. Don't worry imme­diately. Other symptoms might occur, such as constant e­xhaustion, appetite fluctuations, or discomfort. Common reasons include­ stress, thyroid problems, or diabete­s. However, to be ce­rtain, seeking professional me­dical evaluation is essential.

Answered on 23rd July '24

Dr. Babita Goel

Dr. Babita Goel

I am 25 years old male, I am taking PEP medication for 25 days and had another exposure today, do I have to extend my PEP?

Male | 25

If you're already on PEP medication and had another exposure, it's important to let your healthcare provider know. They will, however, determine whether you require additional PEP treatment. Sometimes symptoms of HIV can take a while to develop, therefore it is better to be safe than sorry. PEP treatment assists in reducing the chances of acquiring HIV, nevertheless, it is still preferable to consult with your doctor to ensure that you are following the correct plan.

Answered on 16th Sept '24

Dr. Babita Goel

Dr. Babita Goel

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