Friday, May 18, 2012
Is it Lymphoma?
I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree. Hi doctors, I have asked a question before (hypokalemia mystery). I have no problems with my potassium now, no potassium supplements! I have a new problem that I am worried about. I am concerned about cancer, lymphoma. The past 1.5 years I have had siginificant weight loss in Oct 2010 I weighed 210 pounds, in September 2011 I weighed 150 I now weigh 130. At first I enjoyed the weight loss, but people have started to make comments about how I've lost too much too fast since I am doing nothing at all to make me lose the weight. I looked up causes of unintentional weight loss and a majority of them I have been tested for recently. One that stood out was lymphoma, now I'm a bit scared because some symptoms I've had match lymphoma, I itch all over, allergy meds don't work and my skin isn't dry but I scratch so much at night I make myself bleed. I have always been fatigued and have generalized weakness. 2 months ago I got the flu and did prednisone for a week and a sinus infection so amoxcillin for 10 days, since then I have been running fevers on and off every 3-4 days & the fever usually ranges from 101-103. 2 months ago I found a firm painless lumundemanding my left jaw. I saw my doctor 2 days ago and she wasn't concerned. She felt the lymph node under my jaw and found one enlarged in my neck, armpit & groin. She said it was a cold virus and that we should just recheck my weight in 1-2 months. The same day I saw my neuro-opthamologist (see her b/c of different pupil sizes). When I told her about my symptoms she was concerned and kept asking if my doctor was ordering imaging studies. She thought my pupil problem may be horner's syndrome and that a mass in my chect was causing my pupil differences but the test she did was negative. I just have this gut feeling that this may be cancer. I'm concerned because it seems like at least for lymphoma it doesn't show up in the blood unless it's greatly progressed because it orignates in the lymph system. Gender: Female How tall are you (feet and inches)?: 5'3'' What is your weight in pounds?: 130 How old are you?: 23 How long has this been going on?: More than a year Check all symptoms you are currently experiencing: Fever Weight Loss Describe associated symptoms not listed above: all over itching, fatigue, weakness, swollen painless lymph nodes fever is always between 101-103 I only take tylenol for if it I get really uncomfortable. When I get them I usually notice it because I've been really uncomfortable all day and hot, even though everyone else is around me is not hot at all or someone touches me and the comment on how hot my skin feels. I haven't had any night sweats, but I have had some changes in my night time sleeping habits, I used to always need to have at least four blankets on my bed because I would get so cold at night and I can't sleep unless I'm warm but now even one blanket on my at night can been to warm and I find myself kicking it off too hot with it. Also with the weight loss I've really never been below 150 at least ever since high school I've always been a bit overweight with my lowest weight being around 150 pounds, so even though I'm still at a normal weight for my height it's concerening to be because this has never been a normal weight for me. The weight loss is concerning, but I can't say that I am not pleased with it as well, really I think anyone would be. What have you done so far to remedy this condition? Please include tests and relevant studies here. : CBC with differential (normal) My docotr said if it was cancer it would show up here, but I'm not completly conviced because lymphoma at least originates in the lymph system. Comprehensive metabolic panel (normal) Thyroid normal not diabetic The only 'abmornal' results were barely out of range, BUN was 6 mg/dL, Anion Gap was 6mEq/L but those are always just a bit low like that for me, have been for years. I eat normally, nothing has changed in my diet, I really don't exercise. Please list any chronic medical problems and also list any prior surgery: Hemicrania Continua: treated with occipital nerve stimulator implant Neurocardiogenic Syncope: Loop recorder implant and explant surgeries. Inappropriate Sinus Tachycardia 3 EP studies Check all conditions present in your immediate family... : Asthma / Lung Problems Cardiac Disease Diabetes Hypertension Stroke Please list any medication allergies that you have : : nkda Please list any medications you are currently taking (and dosage if known) : Bisoprolol 10mg 1x a day (for inappropriate sinus tachycardia) Zoloft 100mg 1z a day (for neurocardiogenic syncope) Multi-vitamin 1x a day Nasacort AQ 55mcg Clatrin 10mg 1x daily Ambien CR 12.5mg 1x day When was your last menstrual cycle?: 3 weeks ago Are you currently using or do you have a history of tobacco use?: No Are you currently using or do you have a history of illegal drug use?: No Please describe your alcohol consumption :: Occasionally HOW QUICKLY DO YOU NEED THIS TO BE ANSWERED?: As soon as possible What are the chances of this being lymphoma or another form of cancer? Am crazy for fearing that I may have cancer? Should I seek a second opinion, if so how is the best way to go about doing this? My health history is abit extensive and can make starting over difficult. Can I just wait it out with my current doctor or ask for more testing now? If more testing, what kind?