Discussions By Condition: I cannot get a diagnosis.

Should I seek more help? Or leave it

Posted In: I cannot get a diagnosis. 7 Replies
  • Posted By: sammylee91
  • February 4, 2010
  • 01:03 AM

Hey all,
This is just a quickie. I am 18, havn't been overseas lately and I have been pretty stressed.
I've had enlarged lymph nodes in my neck now for 5 weeks. They are painless. I have been very very tired, drowsy etc for about the same time. I havn't seen a doctor as of yet, I got a blood test (without seeing a dr) and all my results are fine. There's no sign of an infection/contact with a virus. So thats great. but.... now what? My lymph nodes are still here, and I'm still tired. Should I just rule this off as an unknown phenomena? and hope that it will go away? Is it worth going to a doctor if my blood results are all normal?

Thanks for listening, All I need to know is if I should
a) see a doctor asap
b) leave it for a while and see a doctor if it doesn't get better in a month or so?
or
c) just ignore it and it will go away?

I just don't want to waste my money on a dr if I don't have to (I live in Australia and dr's charge about 50/60 bucks, I'm a poor uni student so I need all the money I can have).

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7 Replies:

  • You should go to a doctor. Some viruses/infections require a specific blood test to diagnose. Your symptoms sound very much like mononucleosis...or you could have any other type of infection including an infection of the lymph nodes themselves.If you in fact do NOT have a virus or bacterial infection, then it's very important that you find out why your lymph nodes are swelling up as this can be a sign of certain cancers (very unlikely but I think you'd rather be safe than sorry when it comes to things like that), a disease called chronic fatigue syndrome, or some kind of immune system problem.Since you are a student I was wondering if your university has a health clinic? The university I went to here in the USA did and students got free healthcare there, and could also buy cheap health insurance through the university system.Also, do they have CVS or Walgreen's pharmacies in Australia? Here they do and some of them have 'mini-clinics' staffed by doctors that offer affordable healthcare. Last time my brother went (he has no insurance) his total cost was $60 and that included his antibiotics.Good luck and keep us posted,E
    ErinBBC 17 Replies
    • February 8, 2010
    • 11:37 PM
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  • You should go to a doctor. Some viruses/infections require a specific blood test to diagnose. Your symptoms sound very much like mononucleosis...or you could have any other type of infection including an infection of the lymph nodes themselves. If you in fact do NOT have a virus or bacterial infection, then it's very important that you find out why your lymph nodes are swelling up as this can be a sign of certain cancers (very unlikely but I think you'd rather be safe than sorry when it comes to things like that), a disease called chronic fatigue syndrome, or some kind of immune system problem. Since you are a student I was wondering if your university has a health clinic? The university I went to here in the USA did and students got free healthcare there, and could also buy cheap health insurance through the university system. Also, do they have CVS or Walgreen's pharmacies in Australia? Here they do and some of them have 'mini-clinics' staffed by doctors that offer affordable healthcare. Last time my brother went (he has no insurance) his total cost was $60 and that included his antibiotics. Good luck and keep us posted,E Hey there, The blood test I recieved tested for EBV (the virus that causes IM) and I have IgG antibodies, meaning I have had mononucleosis in the past (atleast months ago) and I'm no longer infectious and I'm immune to it now. My WBCC is normal, every parameter is normal. So I'm almost 100% sure it's not an infection, and the person who did the blood test is sure I don't have any infection. My lymph nodes are still enlarged, no changes there! Still havn't gone to a dr but I think I will go when I come back from holidays. My fatigue is a bit better (probably because i've been sleep 10/11 hours every night) and drinking berocca ( vitamin energy drink we have in australia). I think my uni may have something like that, I should look into that. Thanks for that tip. And no Australia doesn't have walgreen's pharmacies or CVS. Some doctors bulk bill (health care pays for it) but alot of them don't because they lose money from it, so it's hard to find a dr that does! Thanks for you response!
    sammylee91 3 Replies
    • February 9, 2010
    • 00:48 AM
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  • Which nodes are enlarged? Where are they? Are they warm to the touch/ movable/ painful to touch?
    Med Student 64 Replies
    • February 10, 2010
    • 06:56 AM
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  • Which nodes are enlarged? Where are they? Are they warm to the touch/ movable/ painful to touch?I have two noticable lymph nodes in my neck. One I believe to be a occipital node on the right side and the other on my left side inferior to my ear half way down. I have another submandibular node on my left side. They are not painful, there is no noticable temperature difference and they're not particularly moveable.Hope that helps! Thanks for you time
    sammylee91 3 Replies
    • February 10, 2010
    • 09:30 AM
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  • WBC isn't the best indicator for infection. Nodes are normally warm and tender when it's from infection. The nodes should be slightly movable; fixed in place is not good.Lymphoma is a possible cause for unexplained enlarged nodes. Also, if you are always studying late and get little sleep, you can feel tired and have nodes take longer to resolve. One node would sound less scary; having different nodes on different sides is strange. It can be some are glands (under ear, at angle of jaw bone has parotid gland- does it hurt when chewing?) and not nodes, or can be systemic problem. I hope you get a full physical- not just blood test. Nodes have to be felt and spleen should be palpated when dealing with nodes. Do you have any abdominal pain?Good luck
    Med Student 64 Replies
    • February 10, 2010
    • 04:29 PM
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  • WBC isn't the best indicator for infection. Nodes are normally warm and tender when it's from infection. The nodes should be slightly movable; fixed in place is not good.Lymphoma is a possible cause for unexplained enlarged nodes. Also, if you are always studying late and get little sleep, you can feel tired and have nodes take longer to resolve. One node would sound less scary; having different nodes on different sides is strange. It can be some are glands (under ear, at angle of jaw bone has parotid gland- does it hurt when chewing?) and not nodes, or can be systemic problem. I hope you get a full physical- not just blood test. Nodes have to be felt and spleen should be palpated when dealing with nodes. Do you have any abdominal pain? Good luck Thanks for the information! Well My sleeping has been pretty good, I can't function if I sleep less than 9 hours a night so on average I will sleep 10-11 hours a night. I don't think it's a gland, because the one closer to my ear is round and hard and only small. So far I've had these lymph nodes now for 6 weeks. No abdominal pain! Ok, I will go to the Dr when I can. Thanks for the advice
    sammylee91 3 Replies
    • February 10, 2010
    • 10:18 PM
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  • Whenever I get sick, I have 4 that swell up - 2 on each side of my head. 2 up high on my jaw, almost to my ear and 2 lower down more towards my throat. This happens no matter where the infection is, I could have a urinary tract infection and they swell up. Since they are not painful, you probably don't have an infection of the actual nodes themselves it's more likely a reaction to illness elsewhere in the body. When you go to the doctor they can find where the infection is and put you on some antibiotics but keep in mind it may take a couple of weeks for the nodes to go back to normal size.If you treat your infection and they don't go away, go back to the doctor immediately because you'll need to rule out dangerous things like lymphoma.I hope your school has a health clinic! That would save you money. Even if they don't, some schools have programs where students can buy health insurance through the college at a reduced rate so you could look into that.E
    ErinBBC 17 Replies
    • February 11, 2010
    • 00:38 AM
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