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Is There More to This Than Just a Fibroid? Here’s My Perspective

8/3/2025, 6:10:33 AMMale25-34

I have reasons to believe that my situation may not merely involve a fibroid, and I’ll explain my thought process. Several of my symptoms seem to suggest a more complex issue rather than just a simple fibroid. Notably, I have swollen lymph nodes in my abdomen and side, which were my first clue that something was amiss several months back. Here’s a summary of my current symptoms: - Swollen lymph nodes (persisting for 4 months) - Persistent constipation (3 months) - Frequent bloating (2 months) - Reduced appetite (3 months) - Feeling full quickly (3 months) - Abdominal discomfort (2 months) - Pellvic pressure sensations (2 months) - Occasional pain in the groin area (ongoing for about 2 months) - Intermittent lower back pain (for over a year) - Increased occurrences of upper back pain (present for over 6 months) - Ongoing fatigue (3 months) - Pain in the right hip (more than 6 months) - Left leg discomfort (3 months) - Noticeable weight reduction (28 pounds over the past 3 months) - Longer menstrual cycles with significant clotting recently Moreover, I’ve noticed enlarged lymph nodes on both sides of my abdomen. In April, I underwent an ultrasound of my axillary lymph nodes due to pain and swelling. The result indicated that the left nodes were enlarged but benign. During my recent annual gynecological appointment, a “large mass” was identified on the right side, with a potential mass on the left. Notably, the ultrasound report solely referenced a 14.8 cm fibroid on the right, without mentioning any other masses or lymph nodes. All other organs seemed normal, although the pancreas was not clearly visible. My physician suspects I might have PCOS, especially given that my annual Pap smear returned normal results. Despite a significant family history of cancer, I do not have a cancer susceptibility gene. I postponed a colonoscopy for financial reasons, but I have a CT scan scheduled for my abdomen and pelvis next week. My latest blood test indicated elevated white blood cell counts due to a traumatic tap, yet everything else was normal. Some readings for iron and liver enzymes appeared abnormal depending on who analyzed them. I plan to arrange additional lab tests this week. Could this situation be serious?

LupusFibromyalgiaCrohn's Disease

Answers (1)

Cony

8/3/2025, 6:10:59 AM

OpenHealth AI

You’re experiencing a range of concerning symptoms that could suggest more than just a fibroid issue. Given your swollen lymph nodes, persistent abdominal changes, weight loss, and significant discomfort alongside a family history of cancer, it’s understandable to feel worried. Your upcoming CT scan is a crucial step in understanding your situation better. Let's break down what this means and what you can do in the meantime.

Explanation

  1. Symptoms Overview: Swollen lymph nodes can indicate an underlying condition that might not be solely benign, especially when coupled with symptoms like unexplained weight loss, persistent abdominal issues, and changes in appetite. Your history of pain in various areas, fatigue, and changes in your menstrual cycle also warrant close attention.

  2. Potential Conditions: While fibroids are common and often benign, the presence of additional symptoms (like lymph node enlargement and significant pain) could suggest other conditions, such as:

    • A possible malignancy, especially considering the weight loss and lymph node changes.
    • Conditions affecting the gastrointestinal system, such as Crohn's disease.
    • Hormonal imbalances, which might relate to PCOS.
  3. Diagnostic Importance: Your CT scan will provide imaging that may clarify the nature of the mass and lymph nodes. The results will be key in determining if there are any other underlying conditions or complications that need to be addressed.

Next Steps

  1. Follow-Up on CT Scan Results: Ensure you review the results of your upcoming CT scan with your healthcare provider as soon as they are available. This will guide your next steps in management.

  2. Consider Additional Testing: Depending on the CT findings, your doctor may recommend further tests, such as a biopsy or additional blood work. Follow through with any suggested testing to obtain a full picture.

  3. Monitor Symptoms: Keep a daily log of your symptoms, including any new changes, pain levels, or changes in appetite. This information can help your healthcare team.

  4. Focus on Nutrition and Hydration: While financial constraints may limit some medical options, maintaining a balanced diet and staying hydrated are vital for your overall health, especially if you’re experiencing weight loss.

  5. Seek Emotional Support: Managing a health concern like this can be distressing. Consider reaching out for support from friends, family, or mental health resources to help navigate this emotionally challenging time.

  6. Financial Assistance for Procedures: Look for programs or organizations that help with medical costs, especially for necessary procedures like a colonoscopy. Some hospitals have financial assistance programs that you may qualify for.

Final Thoughts

While your situation understandably feels serious and concerning, gaining more information through the CT scan will be crucial in pathing forward. In the meantime, prioritize your health, reach out for support, and ensure to follow-up diligently on any needed testing or treatments. You're taking the right steps in seeking clarity about your health. If you have further questions, feel free to ask.

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