Persistent Neck Swelling and Unexplained Symptoms
Hello, everyone. My health issues began approximately five months ago when I suddenly developed a breast infection, despite never having breastfed since my son is now three and a half. While that infection cleared up, I have felt unwell ever since. At 29, I find myself experiencing significant weakness and discomfort; my body feels as though it has arthritis, accompanied by debilitating pain similar to severe carpal tunnel syndrome. I only previously experienced this carpal tunnel pain during my pregnancy, which subsided after childbirth, despite having had a stroke caused by a blood clot. Currently, my hands and feet are extremely swollen, reminiscent of the sensation one feels after jamming fingers. Additionally, I have noticeable swelling on the sides of my neck, with small lumps appearing around my collarbone and under my jawline that I can actually feel. I’m uncertain if this is normal or not. Whenever I twist my head or bend my neck, I endure soreness in my lymph nodes, and the pain radiates towards my ears and eyes. I'm also struggling with red, dry patches on my skin and extreme sweating. Lately, it seems I’ve developed a sensitivity to sunlight; exposure triggers intense itching and a burning sensation on my skin. Alongside these issues, I’ve been facing abdominal pain, nausea, and chills. Overall, my condition feels overwhelming. The most concerning aspect is my swollen neck, which has not improved after five months. I tested positive for ANA but negative for other autoimmune conditions, so the rheumatologist is no longer willing to assist me. I’m feeling quite lost. On a positive note, I have a neck ultrasound scheduled for Monday. Fingers crossed that it yields some answers!
Answers (1)
8/14/2025, 3:41:22 PM
OpenHealth AI
I understand how overwhelming and concerning your symptoms are, especially given the range of issues you’ve described. Persistent neck swelling, ongoing discomfort, and the associated symptoms can be tricky to navigate, but you're taking a positive step with the upcoming neck ultrasound, which should provide valuable information.
Key Points:
- Symptom Overview: The combination of swelling in your neck, lumps, joint pain, skin issues, and fatigue could suggest a more complex underlying condition, possibly autoimmune in nature.
- Next Steps: It’s crucial to keep track of your symptoms and communicate these effectively to your healthcare providers for further evaluation.
Explanation:
Given your symptoms—neck swelling, joint pain, skin irritation, and systemic issues like nausea and chills—there may be various potential causes. The presence of ANA (Antinuclear Antibody) suggests an autoimmune component, though a negative test for specific autoimmune diseases complicates interpretation. The swelling in your neck, especially with lymph node involvement, may indicate an inflammatory response that needs further investigation.
Prioritized Next Steps:
-
Neck Ultrasound: Since you have this scheduled, use this opportunity to ask for detailed imaging. Ensure the technician knows the specifics of your symptoms so they can focus on suspicious areas.
-
Symptom Diary: Keep a detailed log of your symptoms, noting any changes, triggers (like sun exposure), and responses to treatments or self-care. This can help clarify patterns when discussing with future providers.
-
Manage Pain and Swelling:
- RICE Method: If you’re experiencing pain or swelling in joints, consider Rest, Ice, Compression, and Elevation as initial self-care measures.
- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation but should be used cautiously.
-
Skin Care and Sun Sensitivity:
- Protect your skin from sun exposure with appropriate clothing and broad-spectrum sunscreen to prevent worsening irritation.
- Consider using moisturizing creams to soothe red, dry patches. Products with ingredients like ceramides can be helpful.
-
Hydration and Nutrition: Stay well-hydrated and maintain a balanced diet; deficiencies can worsen symptoms. If nausea is present, smaller, frequent meals might help.
-
Follow-Up Care: Be persistent in seeking care even if your current rheumatologist does not have further recommendations. Consider discussing your symptoms with other specialists, such as a dermatologist for skin issues or a pain management specialist for joint discomfort.
Final Thoughts:
It’s normal to feel lost when faced with complex health issues, but gathering information and advocating for your health will empower you. Remember, managing such symptoms often requires a multi-faceted approach, so focus on what you can control while awaiting further evaluations. I wish you the best with your upcoming ultrasound and subsequent discussions with healthcare providers. Please do reach out if you need more specific guidance!
Related Questions
Persistent Right Ear Discomfort: Seeking Insights After A Year
Hello everyone, I’m a 33-year-old man residing in the beautiful region of Western Australia. I generally maintain a healthy lifestyle and have no significant medical concerns. In my younger years, I was an avid surfer, but now I find myself in the rural Pilbara area where opportunities for surfing are nonexistent, along with access to medical professionals. I occasionally indulge in kitesurfing here, always equipped with earplugs for protection. Since January 2025, I’ve been dealing with persistent pain and discomfort in my right ear. It all began after I spent a week enjoying freestyle swimming in the ocean in Perth. I initially consulted a doctor there who prescribed Kenacomb for swimmer's ear, but it didn’t yield any improvement. Upon returning to the Pilbara, I sought another doctor's advice, who prescribed a similar antibiotic ear drop, which also failed to provide relief. Despite my continuous visits, the physician kept increasing the potency of the ear drops until I finally insisted on seeing a specialist. Six months later, I traveled back to Perth for an ENT appointment, only to find the specialist unhelpful. Utilizing AI for diagnosis, he was unable to identify any issues and recommended an MRI, which ultimately showed no abnormalities. At a follow-up appointment three months later, the only solution he proposed was a prescription for antidepressants, which I declined. I then sought out another ear specialist in Perth, who similarly declared my ear visually healthy with no apparent issues. While in Perth for my appointments, I had a dental check-up, during which my dentist pointed out that I grind my teeth and provided me with a mouthguard to wear nightly. Another physician suggested that I might have TMJ disorder, so I received Botox injections in my right jaw muscle. Though these interventions offered some relief, the core issue still persisted. Curious about my condition, I purchased an otoscope camera to inspect my ear. To my surprise, I discovered an inflamed surfers ear growth located near the eardrum. Poking at it revealed that it very well might be the source of my discomfort. Despite this growth occupying only a quarter of the ear canal, it does not impair my hearing. The discomfort peaks in the mornings, manifesting as a sharp, stabbing sensation radiating from my right ear to the crown of my skull. However, once I rise and start my day, the pain noticeably diminishes. Additionally, I am aware of persistent tinnitus in that ear. Has anyone else encountered similar issues, or do you have any advice? I appreciate any thoughts you may have. Unfortunately, I cannot upload a photo as the application restricts that functionality.
Blood in Urine: Seeking Guidance
A 20-year-old female weighing 140 pounds has not been taking any medications or supplements, and has no prior or current medical conditions. Her menstrual cycle last occurred two weeks ago. While at work, she observed blood in her urine, which appeared light red but darker than pink. Accompanying this symptom, she has experienced some abdominal discomfort. Notably, there was no evidence of blood on her underwear, only when she urinated. Additionally, she felt a moment of lightheadedness upon noticing the blood, which has since subsided; she attributes this feeling to her anxiety about the potential seriousness of the situation. Given these symptoms, what could be the likely cause? She is uncertain whether to visit the emergency room or to wait until urgent care is available tomorrow for a consultation. As she recently relocated and does not have a primary care physician yet, her anxiety is heightened.
Experiencing Occasional Hematuria: Seeking Guidance
Greetings, medical professionals. I appreciate your assistance with the following situation. **Patient Overview:** - **Age:** 47 - **Gender:** Male - **Height:** 6 feet - **Weight:** 202 pounds **Symptoms Overview:** Approximately three months ago, I began to observe small traces of blood in my urine. It's a minimal amount, usually just a couple of drops occurring at the end of urination. I do not suffer from any pain, fever, chills, or urinary difficulties. Initially, I suspected that this could be linked to kidney stones or exercise-induced hematuria, as I maintain a rigorous exercise routine spanning two hours daily, seven days a week. My workouts alternate between strength training 3-4 times a week and cardio exercises, including rowing, treadmill use, the elliptical, stair climbing, and jump rope. After several weeks, I also observed tiny tissue-like fragments in my urine, prompting me to consult a doctor, as I suspected a urinary tract infection. Although I have an enlarged prostate, my physician considered it a benign issue, attributing the swelling to the potential chain reaction of a UTI leading to bladder infection and subsequently causing prostate inflammation. **Diagnostic Tests and Outcomes:** I underwent a comprehensive metabolic panel, which included tests for glucose, BUN, creatinine, and various electrolytes. All results fell within normal ranges, with the exception of a low BUN/creatinine ratio (8). Additionally, I received a Creatine Kinase (CPK) test, which returned normal results. A complete blood count (CBC) with differential was conducted, showing all parameters, including WBC, RBC, and hemoglobin, to be normal. Urinalysis reflected negative findings for GLU, BLO, NIT, and LEU. However, it indicated a small amount of bilirubin, a ketone level of 15, a specific gravity of 1.025, a pH of 5.5, and a protein level at 30. Uric acid levels were 8.1, within normal limits, though an inflammatory marker was mildly elevated. A sedimentation rate (Westergren) displayed a slight elevation at 19 (normal range is up to 15). A CT scan of the abdomen and pelvis with contrast yielded several findings: - **Lung Bases:** A few small pulmonary micronodules were noted, but otherwise clear. - **Liver, Spleen, and Pancreas:** All appeared normal without lesions. - **Kidneys:** Normal with no stones or masses. - **GI Tract:** The stomach was mildly distended, but otherwise normal with stool presence noted in the colon. - **Pelvis and Vascular Structures:** Solid organs and vessels appeared normal. - **Other Findings:** Prominent inguinal lymph nodes were potentially reactive, alongside a small left inguinal hernia. **Follow-Up Treatment:** Following these evaluations, my physician prescribed sulfamethoxazole for a duration of 28 days. I adhered to the regimen fully, and while undergoing treatment, all symptoms subsided completely. However, this occurred about a month ago, concluding in late December. **Current Situation:** This evening, after my workout, I noticed the return of blood traces in my urine. While I do not experience pain, I have difficulty with bowel movements, feeling persistently constipated regardless of food intake. This change coincided with a mild tearing sensation during exercise on the adductor machine. Additionally, I have developed a reddish rash on both arms, which had resolved during the antibiotic treatment but has now reappeared. Previously, this rash was effectively treated with prednisone, leaving me unsure if this is connected to my earlier symptoms. **Concerns:** I worry that standard medical tests might overlook a significant issue affecting my prostate, colon, or urinary system. My insurance policy does not cover colonoscopy or prostate evaluation, and I have been advised to consider these procedures, though they would cost nearly $7,000 out of pocket. While I understand the necessity of these assessments if needed, I prefer to seek a second opinion before committing to such expenses. It's important to note that there is a family history of cancer, primarily lung cancer. I welcome any advice or insight into my case and will provide any additional details you may require.
Understanding Preseptal Cellulitis in Children
Hello everyone. I'm reaching out for assistance. My 6-year-old son recently experienced a concerning issue. He woke up on Friday with significant swelling around his eye, nearly closing it entirely. We quickly took him to the emergency room, where doctors diagnosed him with preseptal cellulitis. They prescribed antibiotics, specifically cephalosporin, as part of his treatment. However, after approximately 30 hours on the medication, I’ve noticed that his condition seems to have deteriorated. We’ve been applying warm compresses, which help reduce some swelling temporarily, but he now has a noticeable bump right in the center of the affected area. This morning, he woke up again with his eye completely shut. I’m uncertain whether I should return to the ER for further evaluation. I appreciate any advice or insights you can provide. Thank you!
Unexpected Head Pain During Dance Moves
This may seem humorous, yet I'm genuinely interested in uncovering the cause of this peculiar experience. I’m a 34-year-old female. A few months back, hoping to elevate my mood and get my body moving away from the grip of depression, I decided to play some music and dance in my living room. In a moment of misguided enthusiasm, I attempted to twerk. It's worth noting that I have a long history of lower back discomfort, I've never attempted to twerk before, and I lack the rhythm, flexibility, or skills typical of proficient dancers. As I embarked on my very first serious twerk attempt, a sudden jolt of agony shot through my forehead, nearly causing me to lose consciousness. It felt like being struck with a hammer. I was momentarily blinded by the pain, convinced I might have suffered an aneurysm or something equally serious. This intense sensation only lasted for about a minute, during which I dramatically considered that I might be the first individual to perish from twerking. You might think it was just a case of me bumping my head while trying to dance away my sadness; however, I assure you that this wasn’t the case. Just as abruptly as the pain struck, it dissipated. In that moment, I promised myself to never attempt twerking again. Fast forward to today, and I experienced a similar incident again—not the twerking, but the sudden stabbing pain in my skull. I was engaged in some back stretches, particularly the cat-cow pose, and during the cow portion, I once more felt an intense sharp pain in the center of my forehead, just above my right eye. Stars filled my vision, and everything seemed slightly distorted. This sensation vanished within seconds, leaving me puzzled. What is causing this reaction? How do my forehead and lower back relate in this context? It's baffling! I genuinely seek any insights that might help explain this mysterious phenomenon.