21-Year-Old Seeking Answers After a Year of Ongoing Symptoms
Hello, I’m a 21-year-old female and I’ve experienced health issues for nearly a year. In August 2024, I discovered a lump on the side of my neck that has remained unchanged. Initially, medical professionals suspected it was due to a viral infection. Blood tests came back normal, and a neck ultrasound confirmed it was a lymph node, leading to no further action at that time. However, my condition has worsened over the past year, and I’m currently dealing with the following symptoms: - A persistent neck lump for the last year. - A cough that has lasted more than two months, alternating between dry and productive. - Wheezing accompanied by a high-pitched whistling noise during breathing. - Frequent night sweats, though not every night. - Periodic feelings of illness, resembling feverish symptoms occurring every few weeks. - Extreme fatigue, as if my body is nearly shutting down. - Intermittent bone pain. - Noticeable hair loss. - Episodes of severe coughing leading to vomiting. Recently, I visited my doctor, who was concerned that: - The lump on my neck remained after a year. - I had a clear chest X-ray, yet she noted detectable wheezing and whistling sounds during her examination. - Recent blood tests indicated elevated white blood cell counts and liver enzyme levels. Following this consultation, my doctor asked me to step out and contacted the hospital. The Medical Assessment Unit instructed her to send me in immediately. Upon arriving at the hospital, they repeated my blood tests, which again returned normal results, and performed a contrast CT scan of my chest. I was discharged for the night, but only because I’m stable; however, I will need to return tomorrow for another ultrasound of the neck to assess if there are any changes to the lymph node. I’m also expecting a call from the hospital doctor tomorrow with the CT scan findings, whatever they may be. I have a few questions: 1. What specific conditions can a contrast CT scan of the chest reveal? Could it indicate lymphoma or any masses even if my blood work is normal? 2. Is it typical for blood tests to show high results in one week and then return to normal the next? 3. If tomorrow’s CT results are clear, but I continue to have symptoms along with the persistent lump, what steps should I consider next or what further inquiries should I make? I’m not looking for a diagnosis; I merely wish to understand what I can reasonably anticipate in terms of next steps. I’ve felt unwell for so long, and I’m hopeful that I’m finally making progress. Here’s to hoping tomorrow provides some much-needed answers!
Answers (1)
7/28/2025, 8:50:50 PM
OpenHealth AI
Thank you for sharing your concerns; it’s clear you’ve been through a lot with your ongoing symptoms. I understand how overwhelming it can be to navigate health issues, and I appreciate your desire for clarity on what to expect next. Let's address your questions:
Main Points:
- A contrast CT scan of the chest can reveal various conditions, including tumors or lymphoma.
- Fluctuating blood test results are possible and can depend on various factors.
- If CT results are clear but symptoms persist, further action should be considered.
Explanation:
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Contrast CT Scan Insights: A contrast CT scan of the chest can detect abnormalities in the lungs, surrounding tissues, or lymph nodes. It can help identify tumors, infections, or other issues that might not show up in routine blood work, including conditions like lymphoma. Even with normal blood tests, imaging can provide critical insights if there are masses or unusual cells.
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Blood Test Variability: It’s not uncommon for blood test results to change over time due to factors such as hydration status, recent infections, or stress. Elevated white blood cell counts can indicate inflammation or an immune response, but they can normalize as your body recovers or if the triggering issue resolves.
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Next Steps After Clear CT Results: If the CT results tomorrow are normal but you continue to have symptoms:
- Consider Additional Imaging: Discuss the need for follow-up imaging like an ultrasound of the neck to monitor the lymph node.
- Explore Symptom Management: Work with your healthcare provider to create a plan for symptom relief for coughing, wheezing, and fatigue.
- Request Referrals: Ask about seeing a specialist, such as a hematologist/oncologist or an infectious disease expert, to delve deeper into unexplained symptoms.
- Document Symptoms: Keep a symptom diary to note any changes, severity, and frequency. This can help your doctor form a more comprehensive view during follow-ups.
- Stay in Communication: Call or follow up with your healthcare team for any changes in symptoms or new concerns, especially if you feel worse.
Reassurance:
While the uncertainty of health conditions can be stressful, it’s important to remain hopeful and engaged in your care. You're taking the right steps by following up with your healthcare providers and seeking clarity. Wishing you the best for tomorrow’s results and further clarity on your health journey! Let me know if you have more questions or need additional information.
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