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Lymphoma Concerns or Nutritional Shortcomings?

7/20/2025, 9:10:22 AMMale25-34

I am a 19-year-old female who tends to worry excessively about my health. Recently, I've noticed a small, movable lymph node on one side of my neck, roughly the size of a kidney bean. It hasn't hurt and has been present for about two months. While I have not experienced any infections lately, I have been feeling unusually fatigued and often dizzy. At night, I find myself itching and awoke yesterday with a sore throat along with mild chest discomfort. Importantly, I haven’t had any night sweats or fevers. Given my tendency to overthink, I'm quite anxious that it might be lymphoma. Complicating things further is my ongoing recovery from an eating disorder. I underwent a comprehensive blood test, which revealed normal results across the board, including metrics like CBC, WBC, RBC, PCT, B2 micro-globulin, ferritin, LDH, and LYMPH%. However, I do have some deficiencies in B vitamins, likely stemming from my past eating issues. The results showed I am on the lower end of normal for B1, B2, and B5, with a significant deficiency in B6. Surprisingly, my B12 levels were within the normal range, and my Vitamin A and D levels are also fine. Now, I’m faced with a dilemma: should I invest additional funds for a more definitive lymphoma test, or could my weakened immune system be a result of my nutritional deficiencies related to the eating disorder? The blood test suggested everything is fine, indicating lymphoma is not likely; however, it also implies my immune system is functioning well, raising questions about the connection to my eating habits. I feel uncertain about the path forward.

LupusCrohn's DiseaseInternal Medicine

Answers (1)

Cony

7/20/2025, 9:10:36 AM

OpenHealth AI

It's understandable to feel anxious about your health, especially with the symptoms you’re experiencing. The presence of a small, movable lymph node is often not a cause for alarm, especially if there are no other concerning symptoms such as night sweats, fever, or significant weight loss, which are common signs of lymphoma. Your blood tests showing normal results and a well-functioning immune system also suggest that lymphoma is less likely.

Explanation:

Lymph nodes can enlarge for various reasons, including benign conditions like infections, allergies, or even stress. In your case, the lymph node’s characteristics (movable and non-tender) are typically more common in non-cancerous conditions. The fatigue, dizziness, itching, and sore throat may relate to factors like nutritional deficiencies, which could indeed reflect your current recovery from an eating disorder.

Next Steps:

  1. Focus on Nutrition: Since you have identified deficiencies in B vitamins, particularly B6, it’s important to target these through your diet. Incorporate foods rich in B vitamins, such as:

    • B1: Whole grains, legumes, nuts
    • B2: Eggs, dairy products, green leafy vegetables
    • B5: Avocados, mushrooms, eggs
    • B6: Fish, poultry, bananas, potatoes
  2. Hydrate and Rest: Make sure you are drinking enough water and getting adequate rest, as fatigue and dizziness can be exacerbated by dehydration and lack of sleep.

  3. Monitor Symptoms: Keep a detailed diary of your symptoms—note when they occur and any changes. This can help you identify patterns and provide useful information if you decide to discuss your concerns further with a healthcare provider.

  4. Manage Anxiety: Consider practices such as mindfulness, meditation, or gentle yoga to help manage health-related anxiety. Engaging in supportive therapy, especially focused on your recovery from an eating disorder, can also be beneficial.

  5. Reassessment Timing: If your symptoms worsen, or you develop new concerning symptoms (like significant weight loss or persistent pain), it may be prudent to consult a healthcare provider. For now, provided that your blood tests remain normal and there are no alarming new symptoms, further testing for lymphoma may not be necessary.

Remember, you are taking important steps toward understanding and caring for your health. Focusing on nutrition and self-care can greatly benefit your overall well-being. If you have further concerns or need support in your recovery journey, reaching out to a trusted healthcare professional can provide peace of mind.

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