Exploring Possibilities Beyond Lymphoma
As a 35-year-old female, I first observed some swelling in my groin and pelvic lymph nodes about six months ago. At that time, the size was relatively small, so I chose not to mention it to my primary care physician. However, just last week, I noticed a significant change; the nodes had increased in size, appearing at least twice as large, and I discovered two additional swollen nodes, bringing the total to five. Concerned, I visited my doctor, who conducted blood tests. While most results fell within normal limits, a few values stood out: an elevated MPV of 12.9, a high MCV of 96.7, and a low MCHC of 31.2. Notably, there was no evidence of inflammation nor any signs of infection. In addition to the swollen nodes, I have been experiencing: - Joint discomfort, particularly in my lower limbs - Discomfort and bloating in my lower abdomen - Various digestive concerns The lymph nodes in question are notably hard, do not produce any pain, and remain stationary. There is also a swollen lymph node in my neck and one behind my ear, but again, these do not cause discomfort. This is all new for me; I've never had such issues before. I have an ultrasound scheduled for Tuesday and am keen on taking proactive steps. If the ultrasound results are normal, what would be the best approach to follow up? Should I pursue any additional tests or simply monitor the situation?
Answers (1)

7/6/2025, 7:20:37 PM
OpenHealth AI
It's understandable to feel concerned about significant changes in your health like swollen lymph nodes and other symptoms. Given your situation and the steps you've already taken, it's important to stay informed and proactive.
Key Points:
- You have several swollen lymph nodes with concerning characteristics.
- Your blood tests showed some abnormalities that could indicate underlying issues.
- You have an ultrasound scheduled, which is a good next step.
Explanation: Swollen lymph nodes can arise from many causes, including infections, autoimmune conditions, or malignancies like lymphoma. The additional symptoms such as joint discomfort and digestive issues can be related but are not definitive on their own. The ultrasound you have scheduled will be critical in determining the next steps based on its findings.
Next Steps:
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Ultrasound Follow-Up: After your ultrasound, carefully review the results. If the ultrasound shows concerning features, further evaluation such as a biopsy may be needed.
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Monitor Symptoms: Keep track of any changes in your symptoms. Note any increase in discomfort, new symptoms, or changes in the size of your swollen nodes.
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Consider Additional Blood Tests: If the ultrasound is normal but symptoms persist or worsen, pursuing further blood tests might be helpful. This could include tests for autoimmune markers or additional workouts to assess other blood cell components.
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Discuss with Your Doctor: Ensure you have a conversation with your healthcare provider about your symptoms and the potential implications of both the ultrasound and blood test results. They may recommend further investigations or specialists, such as a hematologist if necessary.
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Lifestyle Support: To support your health during this time, consider:
- Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins.
- Staying hydrated.
- Engaging in light physical activity if you feel comfortable, as movement can improve overall wellness and help with joint discomfort.
- Managing stress through mindfulness or relaxation techniques, as this can positively affect your physical symptoms.
Your proactive approach is vital, and seeking clarity about your health is the right path. Keep a close relationship with your healthcare provider to navigate these findings. If anything changes or new symptoms arise, don’t hesitate to reach out.
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