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Colorless swelling on hands, thighs, stomach. Advise? - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1550 Questions
User:Hi Doc
User:I Dr XXXXXXX I have two quick questions
User:The first one is from my colleague XXXXXXX
User:hi doc, i have few swelling across my hands, stomach and thight...these are colourless and are not painful. Can you please guie what they would be and what is the solution since there were few now they keep on increasing.
User:hi you there
Doctor:I just read that
Doctor:What color is the skin on the swelling?
User:Clourless no colou
Doctor:Normal skin color, right?
User:colourless...they are under the skin and normal skin colour....
Doctor:Can you move it from side to side
User:in some i can in some i cannot but they are mostly soft except one or two
Doctor:I think its what we call a lipoma
Doctor:This is a benign tumour of the fat cells
Doctor:Nothing needs to be done about it as such
Doctor:If you find it cosmetically disturbing, it can be removed by a small surgery
User:but they keep on increasing and have multiplied in numbers once i last checked...
Doctor:Thats fine
Doctor:If you can send me a picture, I will be able to confirm it for you
Doctor:please send it at YYYY@YYYY
Doctor:Write attention to Dr. XXXXXXX in the subject
User:i will try since i will not be able to do it in office.
Doctor:try and send it across
Doctor:we'll get back to you after seeing the image second question is that will this be a symptom of HIV as i have read about it somewhere on the net
Doctor:Its not
Doctor:This actually has nothing to do with HIV
Doctor:In HIV we have enlarged lymph nodes and these are mostly enlarged over the body
Doctor:You will notice enlarged lymph nodes in the neck especially
User:the front portion of the neck or the back?
Doctor:Both sides
Doctor:Under the chin and below the XXXXXXX and all along the muscle in the neck
User:ok. can you please advise me what are the basic symptom of HIV detection and how could a person be alerted of the same to get it further tested.
Doctor:When there is a history of exposure to blood or a person which could be HIV positive
Doctor:We generally do a screening test at 6 weeks and 12 weeks
Doctor:This is done by ELISA, a method to detect antibodies
Doctor:If this is positive, we confirm the HIV infection by doing a western blot test
Doctor:If negative, we repeat at 6 months post exposure
Doctor:If this is also negative, there is no problem
User:that is for the test but since but are there any common symptoms which a man/woman suffers which could alert him/her that this could be HIV
Doctor:The person is definitely not HIV positive
Doctor:Some people may have symptoms and some people wouldnt
Doctor:Thats why we dont wait for the symptoms to appear
Doctor:When they have symptoms, its called the acute seroconversion syndrome
Doctor:These include fever, malaise, generalized lymph node enlargement and a few other symptoms
Doctor:However, the important part is not everyone who is HIV positive will get symptoms
Doctor:Thats why if there is a history of exposure, it is best to get tested
User:what do you mean by lymph node enlargement. Swellings around the neck?
Doctor:They appear like that
Doctor:actually lymph nodes are structures that protect us from infection
Doctor:'whenever there is an infection, they enlarge
Doctor:They can be felt as small, rounded swellings in the neck
Doctor:They are usually movable
User:and the lymph nodes are only near the neck which they enlarge for HIV symptom
Doctor:Thats where you would be able to feel them
Doctor:As a physician, I am trained to feel enlarged lymph nodes all over the body
Doctor:Multiple groups will be enlarged
Doctor:The term is called generalized lymphadenopathy
User:ok but my symptom of lipomas dont feel like this?
Doctor:It means "generally, all groups of lymph nodes are involved"
Doctor:No not at all
Doctor:First the location
Doctor:That is most inportant
Doctor:You dont have lymph nodes that you can feel in the thigh
User:Mine is on the hands fore arms/upper arms thighs and stomach?
Doctor:The ones you can feel are in the groin
Doctor:Same for stomach
User:ok. thanks have been able to solve my query
Doctor:But there is 1 important thing that I want to bring to your notice
Doctor:When there is exposure to HIV, we have drugs which can prevent you from getting the infection
Doctor:These need to be taken within 72 hours
Doctor:of exposure
Doctor:Its called post exposure prophylaxis
Doctor:That means we are preventing it post exposure\
Doctor:They need to be taken for 1 month-6 weeks
Doctor:depending on how severe the exposure was
User:ok i have had no exposure either through blood or through unprotected intercourse. I have always been careful in this. All my intercourse have been protected always and i have had no blood exposure.
Doctor:Then why are you worried about HIV?
User:just read about the limpomas specifallcy aids related lipomas
Doctor:Is there anything else I can hep you with?
User:no thanks. bye
Doctor:Thanks for consulting me
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