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Non hodgkins lymphoma with no symptoms - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3536 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   i am very concerned that i might have nhl?
User :   im only 21
User :   this cannot happen!
Doctor :  
ok
User :   can you tell me if i have it or not?
Doctor :   i wil help you in this
Doctor :  
what are the symptoms that you are having
Doctor :  
what is making you think that you are having NHL?
User :   i have two lumps on the neck!
User :   that is it though
User :   i feel fine, look fine
Doctor :  
there are many causes to develop lumps on neck
Doctor :  
have you got these lumps examined?
User :   no
User :   before i did i was going to see if you could determine weither or not this is cancer?
Doctor :  
i would suggest you to get these examined first, as they will tell you what it could probably be
Doctor :  
the common cancer symptoms are, loss of appetite, weight loss, lumps that are present getting bigger, or pain in them or bleeding in them
Doctor :  
are you having any of these?
Doctor :  
is the lumps changed color, or apperance?
User :   nope, none of that!!!
Doctor :  
or have they changed in size?
User :   i actually think that they are getting smaller, i know that one of them is for sure but it seems like it is the swelling
Doctor :  
since you feel fine, and look fine, it is recommended that you get a physical examination done
Doctor :  
before making your own conclusions
Doctor :  
the most common cause for lump in neck are
User :   i know, its just scary that it could be a possibility
Doctor :  
lymph node inflammation, which can be due to repeated head and neck infection
Doctor :  
so as the infections go away, these also subside slowly
User :   i dont think i have had a infection recently
Doctor :   ok
User :   atleat for a month
User :   probly more
Doctor :  
the lymph node can happen to be swollen later than a active infection
Doctor :  
best would be to get these examined, and if needed get a biopsy also done which will prove what is the cause behind it
Doctor :  
and also if it is due tio NHL, biopsy will let you confirm or rule out the possibility
User :   alright will do asap!
Doctor :   Is there any thing else I can help you with?
User :   well i was hopeing that you could help me rule out the possibility of cancer?
User :   so i can rest tonight
Doctor :   i have suggested you the possible symptoms, which you said you are not having
Doctor :  
and also i have recommended you to get it examined
User :   so ive i have none of those symptoms, than i dont have cancer?
Doctor :  
since i am not examining you, the lumps myself, i will not be able to tell you that it is or not a cancer lump
Doctor :   so the next best way to confirm or rule out cancer is a physical examination
User :   alright,
Doctor :   which combined with a biopsy will confirm/rule out cancer in all probabilities
Doctor :  
Is there any thing else I can help you with?
User :   since we have another 45 mins left, would describing the lumps to you be worth the time?
Doctor :   ok
Doctor :  
please describe the lumps in detail
Doctor :  
but still the description given by you wil give me one aspect of the information
Doctor :  
the physical examination along with the expertise that we gain to examine them will help us in helping you out better
User :   there are two, one right where earlobe meets the neck which is really small, about 1/2 of a pea and very flat and movable.
Doctor :  
ok
User :   the other is much larger around 1 inch from top to bottom, i can only feel it when i turn my head to the side. much more round
Doctor :  
ok
Doctor :  
is this one also mobile?
Doctor :  
how do you feel the consistency?
Doctor :  
are they firm, soft or hard?
User :   the one on the earlobe is soft
Doctor :  
soft=it will feel like the lips
Doctor :  
firm=wil feel like nose tip
User :   and the one down lower is to, but not when i turn my head to the side
Doctor :  
hard=wil feel like bony
Doctor :  
so when you touch the lumps, how do they feel?
User :   ok so for the lump up higher it is a firm feeling
Doctor :  
ok
User :   and the lump down lower that is soft when i am looking straight and firm when i turn my head
Doctor :  
ok
User :   they both are moble as long as i am looking straight,
Doctor :  
ok
User :   but when i turn my head it is hard to move the one near my jaw, i think because it is streaching my skin...does that make sense to you?
Doctor :  
your description of the lumps is quite good
Doctor :  
they are of different consistencies
User :   well only when i turn my head though
Doctor :  
since they are mobile the possibility of cancer cannot be told with surety
Doctor :  
you do need a physical examination
Doctor :  
and also a possible biopsy/FNAC after the examination
Doctor :  
to see if it is cancerous or not
Doctor :  
so when you go to a physician for a physical examination, he might ask you to get either of the two tests
Doctor :  
to confirm or rule out any kind of cancer if at all suspected
Doctor :  
are you there?
Doctor :  
have you followed what i have said?
User :   i forgot to tell you where the 2nd lump is, right below the top lump right next to the jaw where the curvature end
User :   yes
Doctor :  
ok
User :   so it being mobile is a good sign that it is not cancer?
Doctor :  
generally being mobile is a good sign, but this too cannot be taken as a surety,
Doctor :  
only biosy/FNAC will help to confirm
Doctor :  
as they will help to look into the cells directly
Doctor :  
and by that we can say whether the cell is normal, turning cancerous or it is a cancer cell
Doctor :  
have you followed what i have said?
User :   yes, if it is cancer, what kind of cancer would it be? and how treatable it si?
Doctor :   as you are not having the classical symptoms of cancer, it is probably not a cancer, and if you or the doctor after examination suspects a cancer, then a biopsy/FNAC will tell us what type of cancer it is
Doctor :  
and whether it can be treated, the various treatment options after seeing what type of cancer it is and what stage of cancer it is
Doctor :  
depending on the appearance of the cells in the lump
Doctor :  
have you followed what i have said?
User :   yes thank you
Doctor :   Please fill the feedback form say done when done.
Doctor :   Is there any thing else I can help you with?
User :   how likely do you think that this is cancer?
User :   hello?
Doctor :   the probability of the lump being a cancer or not
Doctor :  
depends on the result of the physical examination and the biopsy/FNAC report
User :   i know i remember you saying that, its just that i am trying to rest my mind so I can get some sleep tonight
Doctor :  
i have told you earlier in the chat that since they are mobile the possibility of cancer cannot be told with surety
Doctor :   and i have recommended you to get a physical examination done since you do not have classical symptoms of cancer
Doctor :  
like weight loss, etc
Doctor :  
and also you told me that one of the lump is decreasing in size
Doctor :  
so there is no need to worry unless u get the diagnosis confirmed
Doctor :  
the earlier you get the examination done and the earlier you get the FNAc/biopsy done,
Doctor :  
the earlier you will know the cause for the lump
Doctor :  
and treat it appropriately
User :   i know for sure that one is getting smaller and i almost curtain that the other one is aswell, just because of the location it is hard to tell
Doctor :  
ok
Doctor :  
the examination by the physician will tell you what is it
Doctor :  
and whether there is any need to further do a FNAC or a biopsy
User :   and when i mess with it a lot the area around it gets really swollen as well, would that happen if it was cancer?
Doctor :  
you should not do this
Doctor :  
as it will lead to spread whether it is a cancer or any other inflammatory swelling
User :   i know i shouldnt, i am just really concerned about it, i cant stop myself. i keep checking to see if it is getting bigger
User :   ok so i will stop right now then
Doctor :  
do not mess around with the lump, get it examined asap and get the lump diagnosed and treat it rather than pondering over it and the associated symptoms
User :   first thing tomorrow mourning i will call the dr
Doctor :   that is a positive step towards it
Doctor :  
and i appreciate it
User :   how long with the biopsy take for the results?
Doctor :  
it should take 72 hours to 1 week, if a biopsy/FNAC is done after the examination
Doctor :  
the physical examination wil decide the need for it
User :   o yea thats true
Doctor :  
Is there any thing else I can help you with?
User :   do you think warts could have anything to do with this?
Doctor :   no
User :   because i have had them really bad for about 4 years
Doctor :  
warts will not lead to the lumps in neck
User :   like at one point i almost had 50
Doctor :   ok
User :   they where plantars warts
Doctor :  
plantar warts will not lead to lumps in neck
Doctor :  
any infections acute or chronic in head and neck region will cause lymph node inflammation in neck
User :   not that you wanted to know but once i started using duct tape and immune boost they where all gone in less than 2 months
Doctor :  
ok
User :   could it be an injury like from screaming and yelling?
User :   cause i had to work at a haunted house for a while so i did a lot of that
Doctor :  
these wil have effects on the voice box and throat related issues
User :   alright, well thanks for your time!
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   one more thing,
User :   still there?
Doctor :   yes, please proceed with your query
User :   this random, but is creatine okay to use?
Doctor :  
for what purpose are you using it?
Doctor :  
was it prescribed to you by a physician?
User :   lifting weights, it really doubles my strength
User :   no its just helps a lot
Doctor :  
creatine users are more susceptible to cramps and pulled muscles.
Doctor :   also there are other side effects that it can have on your body
Doctor :  
so do not use it unless prescribed to you
Doctor :  
after a thorough examination
User :   nothing really serious though right?
User :   alright thanks!
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now.
Doctor :   Please chat with our doctors 24/7 for medical queries.
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