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Suggest Treatment For Swollen Abdomen And Fever With Night Sweats

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Posted on Mon, 29 Sep 2014
Question: along with the significant lymph node swelling swollen abdomen low grade fever night sweats and weight loss, I've had daily brushing and now sores on my hands and legs.
doctor
Answered by Dr. Anshul Varshney (1 hour later)
Brief Answer:
I need further details.

Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
See with fever, weight loss and significant lymph nodes we think of two probable diagnosis:
1. Tuberculosis
2. Lymphoma or any malignancy.
I have seen your attachments. It seems you have developed petechiae.
This might be due to low platelet count.
Tell me following things:
1. Since when are you having these issues?
2. Any cough ?
3. Any discomfort in lymph nodes after taking alcohol (in case you take)
4. How did you come to know about lymph nodes? Did you feel them or they were detected on investigations?
5. Any bleeding from gums?
6. Any treatment or investigations you have undergone till now?
Revert with these details.
Stay Healthy
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (20 minutes later)
I have a nagging cough not like a cold cough it's more of a gasping for air cough and I gag at the end. my mouth and tongue swell I have weird spots on both. You can tell my lymph nodes are swollen 2 ways my neck and face are very puffy my left grown are puffy and my right arm pit which in turn is making my right breast almost double the left my armpit also has a hard lump which u havr to really press to find as the swelling is dramatic. When I drink alcohol I become violently I'll my stomach gets more swollen and I vomit. my stool goes from hard black to a yellowish runny stool and my ability to control it diminishes. I have bruising that comes and goes the appear as brown purple the appear on my arms upper legs and ankles. lastly what's really disturbing is apparent skin thickening on my clavicle, sternum and my lower neck almost like a hump. I am 40 years old mother of 3 I work full time and up to a year ago taught fitness classes on the side as well as ran marathons and triathlons, the constant tiredness has taken all the from me as well as constant bought of vision blur
doctor
Answered by Dr. Anshul Varshney (3 hours later)
Brief Answer:
Detail Follows.

Detailed Answer:
Dear Friend.
The two possibilities that I told you are on high after listening to your answers
I would advise you to get investigated.
Get following tests as an initial workup:
1. Hemogram with ESR
2. Liver and Kidney function tests
3. Chest Xray
4. Fasting Blood Sugar.
5. Ultrasound whole abdomen.
One the reports are available share them with me, we will discuss further plan of action including relevant investigations and appropriate treatment.
If you have any further query ask me.
Stay Healthy
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For Swollen Abdomen And Fever With Night Sweats

Brief Answer: I need further details. Detailed Answer: Dear Friend. Welcome to HCM. I am Dr Anshul Varshney. I understand your concern. See with fever, weight loss and significant lymph nodes we think of two probable diagnosis: 1. Tuberculosis 2. Lymphoma or any malignancy. I have seen your attachments. It seems you have developed petechiae. This might be due to low platelet count. Tell me following things: 1. Since when are you having these issues? 2. Any cough ? 3. Any discomfort in lymph nodes after taking alcohol (in case you take) 4. How did you come to know about lymph nodes? Did you feel them or they were detected on investigations? 5. Any bleeding from gums? 6. Any treatment or investigations you have undergone till now? Revert with these details. Stay Healthy