Enlarged Liver Symptoms Pain

Chan, 56-year-old, is a non-smoker and does not drink any alcohol. She is a hawker doing business with her husband. Her father had liver cancer while her mother had uterine cancer.Hip Bone Cancer Symptoms Chan had her menopause when she was 52 years old. Three years later she had a 3 cm x 3 cm swelling in her right breast. She did not seek medical attention until six months later.
Smears from fine needle aspiration cytology (FNAC) of the right breast lump showed clusters of malignant epithelial cells indicating ductal carcinoma. On 14 April 2005, Chan proceeded to have a mastectomy together with the removal of 25 lymph nodes. Vascular and lymphatic invasions were noted. The immunochemistry study indicated receptors for estrogen and progesterone were positive, C-erbB2 was positive and p53 negative. The cancer was staged as T4N2Mx.

Chan recovered well from her surgery. On 26 May 2005, she was started on her chemotherapy with FEC (5-FU, epirubicin and cyclophosphamide). She had a total of six cycles of chemotherapy. In addition, Chan received 25 radiation treatments. In January 2006, Chan was started on Arimidex (anastrozole,1 mg daily) and was asked to come back to the hospital for check up every three months.

A mammogram of her left breast on 23 April 2006 showed no evidence of malignancy. An ultrasound of her abdomen done on the same day showed no evidence of liver metastasis. A bone scan was also done and indicated no sign of bony metastasis. Chan was asked to continue with Arimidex. The medical record on 7 November 2006 indicated: ano lump felt in her breast and patient had no complaints.a

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According to her daughter, in December 2006, Chan started to have pains in her body. When she woke up she had difficulty walking. If she walked for a short distance her heart-beat increased. Sometimes she wheezed. Chan continued to take the Arimidex as directed (and she is still taking it as of this writing).

On 23 April 2007, Chan went to consult a specialist of a private hospital. She presented with shortness of breath and palpitation. She was found to be anemic. Her blood works showed: haemogloboin = 6.5 (normal 11.7 to 15.7), platelet = 28,000 (normal 150,000 to 400,000), ESR = 116. Chan was given platelets. CT scan of her abdomen and pelvis on 26 April 2007 showed her liver was enlarged. There were numerous hypodense nodules in both lobes of her liver. The radiologist concluded that these liver nodules represented liver metastases most likely derived from the breast cancer.

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Frequently Asked Questions

  1. QUESTION:
    Liver failure symptoms ?
    Enlarged liver, high levels, severe pain, fatigue, how much longer

    • ANSWER:

  2. QUESTION:
    Is the liver panel truly indicative regarding the presence or absence of liver mets?
    I'm just curious. For the past few months, my appetite's been lower, I've had nausea a lot, some intermittent low grade fevers, discomfort under my right rib cage and shoulder pain (the doc found no evidence of an enlarged liver though) and acid reflux/belching, but my liver panel was completely normal. Does this mean that my symptoms are coming from somewhere else, like my stomach? I don't know if this sounds stupid or not to you, I've just been worried :(

    • ANSWER:
      From my own experience diagnosing gastrointestinal problems is complex.

      The good news is that your liver is completely normal.

      My best guess is that there is something else going on if you continue to have the symptoms and discomfort.

      If your current doctor is unable to diagnose and help you there is nothing wrong with taking your tests and getting a second opinion.

      The best doctors are GI Doctors. General practitioners may not be able to diagnose a complex condition.

      I have crohns. I go to the www.ccfa.org website for many of my questions. You can even email them for more help or post on a forum. CCFA is a a very reputable organization and joining is free.

  3. QUESTION:
    Enlarged liver - what does this mean?
    Before I begin my little story here's some info about me
    22 y/o female, moderate drinker on the weekends, diagnosed as hypoglycemic at 17 (no explanation as to why), meds: birth control and paxil, 20 mg

    On Wednesday I was admitted to the ER with severe stomach cramps. The cramps were worse on Tuesday night but I promised my bf I'd get it checked out the next day if I still felt crampy. Long story short, the nurses at my college didn't think it was anything severe but the pain in my lower right abdominal area couldn't be ignored. They wanted to make sure I didn't have appendicits. A CT scan of my abdomen showed a possible liver cyst, so they sent me in for a ultrasound to check it out. That turned up a small cyst on my right kidney (not surprising since I had nasty recurrent UTIs) and a slightly enlarged right lobe of my liver (normal = 15-17 cm, mine = 18.6 cm).
    My questions for any medical professionals out there is ... what in the world does this mean? I have a follow up with a physician at my school for some bloodwork. My original bloodwork at the ER turned up normal, although my urinalysis showed some ketones (80). The kidney cyst should clear up but I have no idea what would cause a slightly enlarged liver (although I've heard Paxil can be deterimental). Any ideas??
    Also, my stomach pain has cleared up and I have no other symptoms (no swelling, fever, jaundice, etc).

    • ANSWER:
      kidney problems from diabetes? Avoid sugar. get the a1c test.

  4. QUESTION:
    slightly enlarged liver, gallbladder polyp and an enlarged spleen! help! what is it?
    about a month ago i started having fatty stools, along with mucus.. also, had a weird taste in my mouth, almost like it was toxic and i have had bubbles in my urine..

    ok so my spleen is on the upper limits size wise on whats considered normal; my liver is slightly enlarged and my gallbladder has a polyp on it, 4mm in size.. still having the fatty stools. i also have a dull ache/pain on my left side that's closer to the pelvic bone on the front and wraps around to a higher spot on my side and on my back..

    as far as the bubbles in my urine go, urinalysis turned up nothing out of the ordinary.. my urologist said my prostate was good also and my kidneys are in good condition.. i'm assuming the bubbles in my urine are a byproduct of whats going on with my digestive tract..

    my liver enzyme tests have come back good.. blood flow into the liver is good.. no obvious blockage of the bile ducts inside or outside the liver.. pancreas seems to be in good shape size wise and the enzyme tests for that are also normal..

    so what am i dealing with? is the gallbladder likely the cause of whats ailing me? or are these symptoms of an underlying cause? also, if you have an enlarged spleen is this something that can be managed or undone..

    thank you in advance for your responses!

    • ANSWER:
      Enlarged spleen is usually a sign of infection, so that may be the cause. (As the spleen is a major part of the lymphatic/immune system)

      Bile should be breaking down the fat, and if you are having fatty stools, clearly the bile is not being released.

      As for the pain, from the description you've given, it sounds like intestinal blockage or adhesion may be the cause. Possibly kidney? I can't really tell from the description. (Your liver and gallbladder are on the right side of the body) Are you noticing the pain getting worse in relation to your eating or defecating? Is there anything that relieves this pain? Like a heating pad or lying down, etc.?

      There is definitely something going on, and I would suggest your doctors do a thorough exam on you. Fatty stools are of serious concern.

      As for the bubbly urine....sometimes in the early morning or after a night of drinking my friend had the same issue. Sometimes it just happens, and they wouldn't dissolve either. He thought it was the strangest thing. It only happened a couple of times, and he didn't really pay it much concern.

      Best of luck in your health!

  5. QUESTION:
    Really scared now, afraid of liver metastasis?
    Now, I'm going to make clear that I haven't gotten any diagnosis of anything and I had an X-ray revealing no bowel obstruction, bone or other dense tumor. That being said, I have been having a lot of abdominal issues for the past few months, such as abdominal pain (which was severe a while ago but has recently been not quite as bad since I've lowered my stress levels), occasional low fevers, very occasional blood in the stool (usually this happens only with diarrhea, but sometimes on a fully formed stool), and other things such as mild nausea, heartburn, and I'll occasionally get sores on my lips and a little arthritis. Today when I woke up I noticed a pressure-like pain under my rib cage on my right side. In the beginning the pain was in my back but as time went on it became more and more of an issue in my front side. I went to the health center at my university and they found no evidence of an enlarged liver when the palpated me nor did they find anything abnormal when they percussed it. This made me feel slightly better, but then I found out that I had a fever of 99.6. Also, I took 2 ibuprofen and am currently wearing a heatpad, neither of which has done much to get rid of the irritation. My appetite has been stunted for the day, but I'm also very stressed out, so that may have something to do with it. Either way, I did force myself to eat and nothing made me nauseous or made me vomit. I don't think I have any other liver mets. symptoms other than the dull pain (i.e. no jaundice or hepatomegaly) but I've heard that cancer that spreads effects everyone differently and may even be asymptomatic. Btw, I'm 18 years old with no family history of any specific cancer, but my mothers side has a variety of bowel issues such as Crohn's disease and irritable bowel syndrome. Does this sound like liver metastasis? As I've said, I have had arthritis in my knees, fingers, and shoulders, but this pain under the rib cage only began today and got worse fast. Could some sort of benign condition be causing all this? I am seeing a specialist soon, but I need input before then so I can maybe sleep tonight...

    • ANSWER:
      There is no reason to worry about liver mets when you don’t have cancer.

  6. QUESTION:
    My liver is slightly enlarged and so is my spleen.. help!?
    Ok so I got several blood tests done including a hepatitis test for B &C and they all came out normal. I dont know what is going on but im normally pretty healthy. I do take birth control pills and Celexa for anxiety. Dunno if those pills can cause my liver/spleen to swell but i dont think they would.. BUt anyways, my question is.. What else could this be? I have no other symptoms besides pain on my left side right below my ribcage and this swelling. I DID drink a few days before I saw the doctor. Dont know if that could cause my liver to still be swollen but yea.. Please give me some advice here! Thanks!

    • ANSWER:
      There is quite a lot of STEATOHEPATOSIS going around. Nobody is sure what causes it, but if you have not had a lot of alcohol, food poisoning, heavy metal poisoning, or a viral or parasite infection, then you might just have "liver malfunction." This has happened to me. In fact, almost exactly a year ago.

      You need to monitor your liver function. The best way to do that is by weekly blood tests. It will slowly get better and your liver will regenerate. In the meantime, just avoid every single drug you can, especially ACETOMINOPHEN, which is basically Tylenol or an aspirin substitute.

      Your liver is your best friend. Time to start being really nice to it if you want to live a long time.

  7. QUESTION:
    Do you think I have the flu or is it something wrong with my liver?
    UGH. I just want to vent for a second. I feel like complete garbage. I've made an appointment with the doctors, but it's not until June and again, the walk-in clinic was a 5 hour + wait tonight... love our healthcare system.

    Back in February my fiance felt a weird lump in my abdomen. Long story short, I've had 2 ultrasounds which showed a mildly enlarged liver. The 2nd ultrasound said the liver was going down in size. All my blood work came back normal, so the doctor said I was probably born with a mildly enlarged liver, as I had no other symptoms like yellow, pain etc. The doctor said it was fine and didn't think anything more of it.

    Anyway, Sunday night I begin to feel really nauseated. About an hour later I vomit... a lot. Accompanied by fun stuff from the other end. I'm in the bathroom on the toilet with a bucket (sorry for the TMI) from 12 am - 5 am. The vomiting stopped monday morning at 5am, and the diarrhoea stopped at last night. I had a fever which is now gone.

    Today I feel like I've been hit by a truck. I have little appetite, I'm paler than a ghost and I don't want to move.

    My worry is that when I cough or sneeze, I get a cramping pain in my right side and back - near my liver. My fiance thinks it's from all of the vomitting, but I'm worried all of these flu - like symptoms are actually a problem with my liver.

    SO - after this long-winded message - my question is: do your remeber getting muscle pains from vomiting? Not sure if I'm making sense, but I'm talking aobut pain from muscle contractions all night long from vomitting.

    • ANSWER:
      It sounds a lot like you may have appendicitis. I suggest that you see a doctor pronto. Don't wait until June. By then it may have become peritonitis and you'll be on your way to join the celestial choir.

  8. QUESTION:
    could this symptoms be a serious heart problem?
    Hello, I have hepatitis b and other symptoms that I am trying to understand. Doctors think that I have something else besides hep. B - here I go:
    Blood test: ast 48, alt 85, cholesterol 256, triglycerides 211, vldl cholesterol 42, ldl 171, hdl 43, cholesterol/hdl ratio 6.0.
    CT -mosaic attenuation pattern, other CT mosaic perfusion, X-Ray - possible pulmonary venous pressure, ultrasound enlarged liver, ekg - normal, stress test - normal.

    I have chest and back pain (mid), lower back pain, swollen abdomen with constant pain that is always followed by chest pain, breathing normal but feel lack of breathing, tiredness, depression, bitter mouth, nausea.

    Anything I do with the body it increase the abdominal pain is if I am stretching the skin and inside organ

    please give me your opinion

    • ANSWER:
      most likely due to the hepatitis you have to remeber when 1 organ is not working properly especially the liver (it filters your blood and produces enzymes to aid in digestion) it can effect the body as a whole.

  9. QUESTION:
    Does fibromyalgia cause these symptoms?
    I have been told that I have fibromyalgia and my question is what symptoms do they cause really?

    I have numbness and tingling in my feet and legs.
    My legs/feet go numb to the point that I cant move them sometimes for hours
    My arms hurt all the time, and it is hard to even fold laundry or to pick up my 1 year old daughter!

    I have several other issues as well but I need to know if these are symptoms of the fibro?

    My body hurts everyday and im sick of the pain. I have 3 small children and its like torture to stay awake with them every day and honestly it makes it hard to even want to stay alive. I suffer every single day and the pain is horrific most days. My arms even hurt typing this dam message.

    My husband doesnt understand and expects me to cook, clean and take care of the kids even when he is home.

    If I am having a hard tome one day the house will go from clean to disaster within a couple of hours when he is home and I have to clean it and its freaking horrible.

    Im sick of suffering and being in this pain.

    I also have an enlarged liver and high liver enzymes and we dont know why.

    I dont smoke, drink or do drugs so were trying to figure it out.

    I was also working out everyday and the trainer had told me that I need not to do it so much. I was just going on the treadmill and lifts weights a little bit as well as doing zumba only once a week. Doing this for 2 weeks caused me to go into extreme pain and made it hard for me to even move for 2 weeks. I force myself to clean every single day as I can not stand a messy home. I force myself to play with the kids(as hard as it is)! It is honestly so bad that some(most) days I feel as if I just want to give up!
    I was told that I had ms for years and then it was lupus. Now its fibro but I was refered to a neurologist and after doing a shock test and a mri he said I had neither. This same neuologist told my sister that her AVm Vain of Gallan was fine and that she will survive no problem until she dies of old age. Toronto hospital that she deals with said that he is crazy and they just recently gave her radiation to try and shrink the avm. I have now been referred to a rhumatologist to investigate the fibro or if it is something other then this.
    I dont comsume any diet products. I have a friend who was diagnosed with ms and for years she suffered until she ended up in a wheel chair. Then about 2 years ago someone had told her that they heard that consuming diet products can cause so many problems. She drank diet soda and stopped and within 3 weeks she began to walk again and has been doing great ever since. Flook or not who knows but she is walking and much happier now.

    • ANSWER:
      You need to see a rheumatologist. The first thing you need to work on is sleep. People with fibromyalgia do not sleep properly, because that are always in pain. Bad sleep increases the pain and this increases sleep problems. Pain killers and sleep medications are needed. I also find that hot baths in Epsom salts before bed help. Depending on where the pain is, shots into the pressure points may help. Pain in the arms, legs, hips, and shoulders is normal with this. Many people with fibromyalgia also have rheumatoid arthritis.

      You are going to need prescription pain killers. Many over-the-counter pain killers harm your liver with over use. If your doctor gives you a sleeping pill (hopefully Ambien), do not take it every day. I take it 5 days a week and skip it on weekends. If you take it every day, it will lose its effectiveness.

      Also see if there is a support group near you. You may find that it gets a little better when the weather warms up. Cold temperatures and fibromyalgia is a bad combination.

  10. QUESTION:
    Does fibromyelgia cause these symptoms?
    I have been told that I have fibromyalgia and my question is what symptoms do they cause really?

    I have numbness and tingling in my feet and legs.
    My legs/feet go numb to the point that I cant move them sometimes for hours
    My arms hurt all the time, and it is hard to even fold laundry or to pick up my 1 year old daughter!

    I have several other issues as well but I need to know if these are symptoms of the fibro?

    My body hurts everyday and im sick of the pain. I have 3 small children and its like torture to stay awake with them every day and honestly it makes it hard to even want to stay alive. I suffer every single day and the pain is horrific most days. My arms even hurt typing this dam message.

    My husband doesnt understand and expects me to cook, clean and take care of the kids even when he is home.

    If I am having a hard tome one day the house will go from clean to disaster within a couple of hours when he is home and I have to clean it and its freaking horrible.

    Im sick of suffering and being in this pain.

    I also have an enlarged liver and high liver enzymes and we dont know why.

    I dont smoke, drink or do drugs so were trying to figure it out.
    I was also working out everyday and the trainer had told me that I need not to do it so much. I was just going on the treadmill and lifts weights a little bit as well as doing zumba only once a week. Doing this for 2 weeks caused me to go into extreme pain and made it hard for me to even move for 2 weeks. I force myself to clean every single day as I can not stand a messy home. I force myself to play with the kids(as hard as it is)! It is honestly so bad that some(most) days I feel as if I just want to give up!

    • ANSWER:
      I'm including a few links that talks about what fibromyalgia is and symptoms of it as well. I have fibromyalgia myself so I know it's not fun. And that people will think there's nothing wrong with you or you're just making something up. But they don't know. It does cause a lot of pain and some days you don't feel up to do anything.

      What you are describing does sound like fibromyalgia, but since I'm no doctor, I can't say for sure. You do need to contact your doctor and let them know about your symptoms and see what they say. Most doctors, however, don't believe in fibromyalgia so that can be a pain.

      Also, at times fibromyalgia can flare up and can make you sick and think there's something horrible going on, but it's not. It's just stupid fibromyalgia. >.<

  11. QUESTION:
    I nEeD hELP!!!!?
    I really need help. I dont know whats wrong with me. I went to the hospital all they told me that i had to come back tomorrow. My symptoms are that I have an enlarged liver, severe abdominal pain, nausia, vomiting, diarriea, and fatigue. It sounds like Hepititous to me, but I'm unsure. If there is anyone out there that could help please help. Also this is serious so please no stupid questions.

    • ANSWER:
      Could be leukemia as well, seriously. Look up your issues on Webmd.com. Hang in there and why would a hospital turn you away? Is there another one close by you could go to or one of those 24 care places (like Patients first)

  12. QUESTION:
    Liver problems, any ideas?
    I will try to keep this short. For 6 weeks or more I have had pain in my legs that
    gets worse when walking. At night I cannot get comfortable and try laying various
    ways to get to sleep until finally I just fall to sleep. I went to the Dr. and she
    said maybe bursitis, gave me 100 mg of Ultram ER. Which isn't doing anything
    that I can see. I requested bloodwork as I was
    having symptoms of liver problems again (I had fatty liver a few years ago), They
    call the very next day and tell my husband that my liver function test was elevated
    again for some reason. I am scheduled for a liver/abdomanal scan this coming
    Friday. I have gained weight recently and am "swollen" "bloated" which started
    at christmas. I never found out why my liver was fatty back then they never
    diagnosed me and I am afraid that they never will. I hurt in the upper
    abdominal area after I eat and at times I can feel my "liver" which I think
    is enlarged again. It is difficult wearing my normal clothes. I am having
    night sweats waking up feeling like I am in an oven. I had a hysterectomy in the
    late 90's. Also I have had some tarry stools. Does anyone have any suggestions
    where I can go to get some advice or where a good hepatologist is in Virginia?

    Any help will be appreciated.

    • ANSWER:
      hmmm to be honest im a medical student and all your symptoms are those of a failing liver... as regards to why your liver was fatty well the most common cause is heavy drinking... are you a drinker?? the thing that caught my attention was that you said AT TIMES u feel ur liver... well a liver doesnt enlarge then shrink again in short periods... if it is enlarged it will stay that was until the cauative agent is removed... i dont believe your hysterectomy has anything to deal with your symptoms... tarry stools are a result of poor liver functions... Finally I dont live in Virginia so i cant really help u there...
      Hope you get well soon!!

  13. QUESTION:
    enlarged spleen after ultrasound?
    i recently had a ultrasound, and the results said I have a mild to moderate enlargement of the spleen
    it was 15.3cm. I feel completely fine, and have no symptoms of pain. also my red and white blood cells came back normal from my blood work. my liver levels are high due to non alcholaic fatty liver.

    i dont have any symptoms of a cold or viral infections.

    prescriptions I take

    lexapro 10mg
    and bystolic 5mg for blood pressure
    xanax 0.25 for as needed anxiety

    my question is 15.3 that bad?
    do have anything to worry about if i feel fine
    and my blood work was ok?

    • ANSWER:

  14. QUESTION:
    Has anyone else had these symptoms?
    I have had more blood drawn from me then I care to remember.

    I have been to the family doctor, hepatologist, rheumatologist, had CAT scans, MRI's, etc. etc.

    My liver enzymes go way up and way down for no reason, I have an inflamed liver that is enlarged double the size it should be, I have tested negative for Hep A, B, C all for the past five years, the only test positive was a slightly high diffuse pattern ANA test.

    Some days or weeks I am fine. Then all the sudden, it feels like half my brain and face get this funny feeling, if the pain gets too severe, I get tremors in my face and head like a parkinsons patient, not all the time. My muscles hurt so bad and get so weak sometimes I can not hold up my head.

    The sun makes it worse.

    My joints hurt, my muscles hurt, then one day it goes away til it feels like coming back again.

    I am so frustrated it has been 5 years!! Also There was pericardial fluid noted on an abdominal CAT,

    DOES ANYONE EVER HAVE THESE SYMPTOMS? ANY IDEAS? HELP PLEASE!

    • ANSWER:
      I don't know. My first thought would be some kind of an allergy. Have you ever kept a journal of every single thing you eat and how it makes you feel? You might try that for a while and see if there are patterns.

      My other thought was a problem with artificial sweeteners. Do you eat a lot of Nutrisweet or Splenda (I personally can tolerate any of those things- they make me sick.
      Here's a list of symptoms
      http://www.sweetpoison.com/aspartame-side-effects.html

  15. QUESTION:
    I have been diagnosed with an Enlarged Spleen, what is going on?
    I was having pains in my left side in back and front, so the doctor ordered a CT scan of my chest and abdomen. He then informed me that I have an enlarged spleen, he then did blood work and said that he could find no reason why it is enlarged. This was 2 months ago now I am having more pain and I can't stop burping, it is really weird I haven't stopped burping for like a week now. I can't find anything online to support these symptoms. Does anyone know what is going on here and what to do? I can always go to the doctor, but I don't know if I have a legitimate reason to. Would my liver or gall bladder have something to do with this?
    Thanks

    • ANSWER:
      If you have done some research you have learned that an enlarged spleen is not a disease in itself, but a symptom of something that is happening in your body. Liver disease is one of the conditions that can cause an enlarged spleen. If an enlarged spleen is causing you pain, something is wrong, and you should probably get a second opinion.

      There is also the possibility that your current symptoms could be related to something else and not related to your spleen at all. Your pain and symptoms do sound similar to a gall bladder attack, which I am familiar with. Either way, I think you do need to see a doctor again. Take care.

  16. QUESTION:
    Could something be seriously wrong with me even if I feel fine?
    So here's my story.

    I thought I had an ovarian cyst in February - felt pressure in my vaginal area. Went to the doctor who felt around and said she thought my gall bladder is enlarged.

    Off for an ultrasound I went. No cysts but my liver was mildly enlarged at 17.5cm. Had blood tests and everything was normal except my ERC level, which measures inflammation in the body was elevated to 22. It should be no higher than 20 for someone my age. My doctor said she can classify it as normal.

    Now, for the past 2 months still I have not been feeling great, but I don't have any liver disease symptoms like yellowing, fatigue, itchiness, bloating etc.

    My problems now are a mild ear ache, my lymph nodes in my neck feel mildly swollen, my liver feels mildly enlarged etc. I have no pain, I just feel that something is not right.

    I have another doctors appointment, but that's not until May.

    What do you think?? Think I could have something wrong with me?? The fullness / swelling I feel is on my right side near my ribs, towards my back.

    I'm a thin, 24 year old woman who is active, doesn't drink or smoke, and I have no other health conditions.

    • ANSWER:
      I would get in touch with the doctor office and talk to the
      nurse there. Tell them your symptoms. The doctors leave
      room, for a certain time period, to see patients who need
      immediate care. If not, then you can request that any
      cancelation they have, to notify you, so you can see them
      sooner. Having swollen glands in the neck area and an
      enlarged liver could mean you have a virus like
      mononucleosis or it may be coming from an ear infection.
      However, a real diagnosis has to be made on this.
      You should have more blood testing done...no one blood test
      is 100% accurate.

      Hope this information is of some help to you. Best wishes and
      I hope you start to feel better.

  17. QUESTION:
    Blood Test and Hepatitis concern?
    Hepatitis and blood question please?
    Hello, I found that I have Hep. B chronic. also exams result as: X-Ray (Pulmonory venous pressure and/or lung disease), CT (mosaic attenuation pattern) other CT (mosaic perfusion), Ultrasound (enlarged liver), blood hep. B and H. Pylori, Stress test (normal), EKG (normal)
    Now: another blood test - alt 85 and ast 48 (what is that means in this situation?
    My symptoms: upper abdominal chest pain (severe) with swollen on my lef side under the rib cage. Chest and back pain radiating toward lower back with some symptoms of cramp. Deep mid chest towards left pain and lack of breath (breating seems to be normal but with difficult) and tiredness.

    DO YOU THING I HAVE ANY SERIOUS CONCERN LIKE: Cirrhosis, hepatocellular carcinoma, cancer. Please give me your opnion and knowledge. appreciate if you do not send me website. I just need your knowledge and opinion - thank you very much

    • ANSWER:
      The ALT and AST tests are liver enzymes. Your ALT is very high, and your AST is slightly elevated compared to norms. This means that liver cells were damaged at the time of the test. This does not mean anything one way or another about your liver's ability to function - it only means that something is stressing or killing some of the liver cells. The cause for the cell damage could be several things, depending on what your were doing up to the night before the test. If you were drinking more than a small amount of alcohol, or taking Tylenol or prescription medication that affects the liver, you would expect these two enzymes to be elevated.

      The pains you are reporting are unlikely to have anything to do with the elevated liver enzymes - these levels commonly occur anytime a person takes Tylenol or has more than one or two drinks of alcohol. The pains could be caused by an enlarged liver or spleen, they could be from indigestion or other intestinal distress, or signs of coronary disease.

      If I were you, I would take one half of an aspirin, and call 911 or have someone drive me to the ER right away to make sure these are not signs of a heart attack.

  18. QUESTION:
    hepatitis and blood question please?
    Hello, I found that I have Hep. B chronic. also exams result as: X-Ray (Pulmonory venous pressure and/or lung disease), CT (mosaic attenuation pattern) other CT (mosaic perfusion), Ultrasound (enlarged liver), blood hep. B and H. Pylori, Stress test (normal), EKG (normal)
    Now: another blood test - alt 85 and ast 48 (what is that means in this situation?
    My symptoms: upper abdominal chest pain (severe) with swollen on my lef side under the rib cage. Chest and back pain radiating toward lower back with some symptoms of cramp. Deep mid chest towards left pain and lack of breath (breating seems to be normal but with difficult) and tiredness.

    DO YOU THING I HAVE ANY SERIOUS CONCERN LIKE: Cirrhosis, hepatocellular carcinoma, cancer. Please give me your opnion and knowledge. appreciate if you do not send me website. I just need your knowledge and opinion - thank you very much

    • ANSWER:
      From your description it sound like you have cirrhosis, (we'd worry about cancer if you had said "I'm losing weight")

      Your enlarged liver on the RIGHT SIDE may be causing what is called portal hypertension which causes venous blood backflow (like a traffic jam) to the spleen, (your spleen is on the left) it is a very vascularized organ and is probably being inflatted like a water balloon, causing you pain on the LEFT SIDE. The cirrohosis which is (the breakdown/destruction of liver cells) caused by the Hep B. virus is the culprit behind the liver enlargement.

      The reason you have chest symptoms is also due to this cirrohosis, in all that destruction of liver cell, there are protolytic liver enzymes that are released. No longer confined to the liver they may react with the inner lining of your body cavity called the pleura. This will cause the pleura to be stiffen or even inflammed, and since the liver is within proximity to the pleural lining of your lungs (ex. diaphram), you develop a difficulty to breath and pain upon breathing, because of this inflammation. It also explains in small part to your abdominal pain, but more due to the enlargement of your liver.

      Paul R. did a great job of explaining to you what the labs were for, it is important to note the numbers (normal ALT & AST are 8-20u/L), the higher the numbers are the worse condition your liver may be in.

      As for your back pain, I am concern that you may have some sort of kidney involvement. But if you are on a Hep B medication called Adefovir (Preveon) then it is a side effect of that medication. While the liver is a hardy organ and will regenerate, you need to see a good doctor and stick with the prescribed regiment.

      Also please do not drink alcohol, or take tylenol (they are process by your liver, which is on sick leave right now, and should not be stressed). Consult your doctor if you are going to take any over the counter medication including those herbal medicines. Also be careful of what you eat, especially seafood & shellfish.

  19. QUESTION:
    I've been experiencing abdominal symptoms for 10 days plus now..any insight on what this could be? ?
    I've gone into the ER 3 times this past week, a bunch of tests and physicians visits later (waiting on test results currently) --

    I have the following symptoms:
    Abdominal swelling (severe, almost 2x as large as normal, look like I'm approximately 6 months pregnant)
    Left side abdominal pain/pressure (upper)
    Swelling following eating ANYTHING.
    Periods of alternating constipation and MULTIPLE bowel movements.
    Increased bowel sounds

    CT scan preliminary assessment shows enlarged spleen, completely full colon, colon swelling, stomach swelling, liver swelling, size differential in the kidneys, unexplained spots on the left kidney (the smaller one), the liver, the spleen and the descending colon.

    My ER bloodwork (now am on bloodwork set # 4, 3 from the ER, now one from the physician) shows elevated AST and ALT levels along with mildly elevated WBC.

    I have two more days before my results are put together (blood and CT) and given to me from the physician. I'm wondering what type of GI disorder this fits with. The ER released me with Gastroenteritis..but it doesn't seem to fit with the primarily left side swelling and pain.

    I'm not pregnant, I'm an otherwise healthy 24 year old girl. Onset was very acute, last week Monday and have not regained normalcy since. Presented with tachycardia, mildly elevated temperature, GI symptoms and had numbness in the left side for a week (that's gone away). I've been going between periods of no appetite and increased appetite (especially for sweets which I NEVER have). I usually train 5-7 days / week, exercise very frequently, eat a very balanced diet...have never had any problems in the past, weigh 135, 5 foot 4 (though with the swelling am up to 147 in 10 days...that's 12lbs!!) and am experiencing absence of menstrual cycle and nausea (not pregnant - serum tests are negative) - late by now 9 days. HELLLLLLLLLLLLLLLLLLLLP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    • ANSWER:
      This is one for the gastroenterologist to sort out. I know it's hard in the waiting, but even with all the things you list- there are still lots of other test results needed to even give you an intelligent guess. The elevated AST and ALT levels suggest there is trouble involving your liver, but there are plenty of other things that can cause that to happen. If you are in the habit of taking any sort of nutritional supplements, be sure you mention all of them to your doctor, including any alternative or questionable things. The doctor won't care legal, illegal or otherwise- only that he's got the fullest picture. I believe it's not going to be something as simple as gastroenteritis, no- this isn't a case of bad burritos. But unfortunately, that still leaves a lot of other possibilities. I don't want to list them all because some of the choices are frightening, and there's no point worrying yourself even sicker. If you haven't got somebody nearby to provide you support during this, I do suggest you get somebody. It's miserable to be sick and on your own.

  20. QUESTION:
    Extremely elevated liver ALT/AST levels alone grounds for ER visit?
    My wife was taken to the ER last week. The pain lasted maybe 2 hours and was mainly pain and nausea. We were informed there that she has gallstones and evidence of an enlarged bile duct (perhaps from passing a stone). Her ALT/AST levels from a liver function blood test were elevated at the time, but on a second pass blood test the day after were elevated even more so - on the order of 600 and 1000. We received the results from this second pass just today. My wife is at home now and is not showing any symptoms. So with ALT/AST levels this high from a test last week, and not showing any other symptoms, should we take her to the ER? Or just wait to see if she has any more 'attacks'? FYI we have an appointment with a surgical group to plan the removal of her gallbladder late next week.

    • ANSWER:
      If she is in " pain ", take her to the ER. She may have to have surgery alot sooner and the doctors will be notified of that.

      The liver makes bile that flows from the liver, through tube like structures(known as ducts) to the gallbladder to be stored and concentrated. When we eat and the food goes from the esophagus, to the stomach, and the first part of the intestines...hormones signal the gallbladder to contract and release this bile back into the ducts to flow to the intestines to help emulsify the fats we eat so they can be digested.

      Anything that blocks the flow of this bile, can cause the bile to back up into the liver and damage the liver cells. The cells of the liver, that become damaged, will cause the enzymes inside of them...to leak out and go higher on the blood work.

      The doctors can see these stone on an ultrasound and should be able to see if the stone is moving or completely blocking the ducts. If she is not in pain, contact the doctor office and let them know about the higher elevation and they will give you instructions on what to do...
      I think you should take action on this because there may be more than one stone in the ducts or the stone has become stuck and is not moving.

      Here is a very good link on the gallbladder and from there,there is a link about the surgery. Just click on it:
      http://www.markfuscomd.com/gallbladder.htm

      Best wishes to you both.

  21. QUESTION:
    What is the cause of foot,hand swelling and joint pain if all arthritis is ruled out?
    I`m a 34 year old that woke up one morning to swollen hands,feet along with pain in arms, shoulders, knee`s. Couldn`t make a fist with hands. My condition has worsened with prolonged pain in joints during the day, very uncomfortable sleeps (waking up to numbness pain and tingling of the arm, shoulder). I have been like this for a month and have been to the doctor to rule out liver kidney heart problems. Rheumatoid arthritis, lupus,thyroid, pv have been negative as well. The only thing that stands out irregularly on tests are my enlarged red blood cells. Doctors still haven`t diagnosed me and conditions are worsening with debilitating pain when I walk or try lifting anything light above my shoulders. My finger grip is painful even when I try lifting a pillow or trying to pull bed sheets over to my side at night. I`ve been talking about this to family and friends but trying to hide how much pain I`m really in. Sometimes I can`t even lye down beside my husband because I usually annoy him with constant turning positions as I can`t get comfortable at all when lying down, it`s so painful in shoulders, neck and arms resulting in numbness. I was prescribed teva-neproxin for pain and swelling ( a potent non-steroid drug to especially reduce swelling) this had absolutely no effect on me whatsoever. If anyone out there who might have some background on these symptoms could help...maybe direct me in the right step of where to go to get a diagnosis, or give me some idea`s as to what this may be I could share them with my doctor. Thanks

    • ANSWER:
      One question is how much exercise do you get? If you don't get much or none your body is building up waste materials inside because it takes the exercise to move it on out of your body. Drinking lots of water is best as well, and cutting way, way back on any sugar intake. If these things are under control you then have to look at some of the joints and pains you are having.
      You can have tight muscles in your back helping this to become a problem. Here is how to release that and do the neck as well:
      Neck
      Invert your hands and put them next to your head placing your thumbs in under your ears and you lower your head until your neck is fully extended, release the pressure but hold your head there for another 30 seconds.
      With your neck in the bent position, replace your thumbs in under the ears and your fingers behind your neck but right next to your skull this time. Press your fingers and thumbs together again and hold. Relax your body while waiting. When the muscles have all released, slowly lift your head until it’s level again, release the pressure but hold your head like that for another 30 seconds.
      Back:
      (do from a sitting position)
      Place your left hand on your left leg next to your body. Place your right hand over your left shoulder and find the muscles next to your spine and press on them and hold. After 30 seconds slowly lower your body forward and to the outside of your left leg, keeping your left arm fairly straight as you do. When you reach your lap remain there for another 10 seconds, release the pressure but rest there for another 30 seconds. Then reverse your hand positions and do your right side.
      Go through them once and see if you feel any difference. Then you said hands so you should do the wrists and that goes like this:
      Wrist:
      With hand resting in front of you and your wrist bent half way closed, press down hard slightly behind the wrist and hold that pressure. After 30 seconds slowly open your wrist up as far as you can, release the pressure but hold your wrist open for another 30 seconds.
      Try releasing your arms by pressing into the middle of the arm and holding pressure there for 30 seconds, then straighten your arm out, release the pressure but hold it straight for another 30 seconds.
      Then with your arm resting in your lap press into the bicep and hold the pressure there for 30 seconds. Then slowly straighten the arm out so the muscle is stretched, release the pressure and hold the arm stretched for another 30 seconds.
      for your legs, while sitting, wrap both hands around the muscle just behind the knee and squeeze and hold. Bigger muscle longer time. Also while holding the pressure, relax your body and try holding tension in your hands because of your grip. After one minute, slowly slide your foot forward until extended, release the pressure but continue to hold extended for another 30 seconds.
      For your lower leg, put it in your lap and wrap both hands around it about mid way , so you are kind of on the bottom of the muscle. Squeeze tight and hold. Relax again. after 45 seconds slowly raise your toes up as far as they will go, release the pressure but hold the toes up for another 30 seconds.
      See where this gets you and what pains you may have left. Let me know about them, if any, and I will try to help with them as well.

  22. QUESTION:
    Help with a diagnosis, doctors/nurses please?
    I have been struggling with receiving an accurate diagnosis since March of '08, my symptoms are upper left quadrant abdominal pain, constant upper body twitches described as Myoclonus, daily headaches, low grade fevers (99-101), shaking/tingling of extremities, shortness of breath, chest pain, rapid heart beat (145 at rest),balance problems... I've had CT's that show slightly enlarged liver, and MRI that showed mild terminal mylenation, i've had blood tests that are basically normal, I've had an irregular period for a while, pituitary tumor was suggested but MRI 8 months ago was normal. Please if you have any ideas at all. Thank you.

    • ANSWER:
      I had/have a lot of your symptoms so have gone through a lot of testing over the last 10 yrs. Have you been tested for Lyme disease, or Lupus or other Autoimmune diseases?

  23. QUESTION:
    Could drinking alcohol cause my right side to hurt if I have Mononucleosis?
    I was diagnosed with Mono about a month ago. The doctor checked my spleen and said it wasn't particularly enlarged, gave me some steroids for my throat pain and have been symptom free for over 3 weeks now. So I tried drinking alcohol again for the first time two nights ago. I woke up yesterday with a pain in my side. I thought it was nothing and continued on with my day. During lunch I had a small drink which I did not finish and about two ours later the pain in my side began to effect my breathing. I couldn't sleep last night because it hurts to lie down or switch positions, and it hurts when I breath in deeply. The pain is only on my right side and I have no other symptoms. It's been almost 24 hours sense my last drink and the pain is still there.

    Could my liver be enlarged? If it is, should I seek help or will it go away on it's own? Will taking pain killers only make it worse?

    • ANSWER:
      probably enlarged, wait a few days and look what will happen, does it go worse or better. and look everyday your own sclera (the white of the eye). especially down portion of it. it must always be white, not yellow. do you have fever? if one of them happens go for help.
      get well soon. by the way DO NOT DRINK in this time.
      another possible diagnosis;
      - pulmonary emboli
      - pneumothorax

  24. QUESTION:
    Tonsils and lymphoma?
    In late October of 2009, I was experiencing a lot of fatigue and pain coming from my lower left ribs. I also noticed a lymph node on the right side of my neck was significantly harder and larger than the other side.

    I went to my primary care physician who ordered a basic blood test and sonogram of my upper abdomen. The sonogram showed mild hepatasplenomegaly (slightly enlarged liver and spleen) but the bloodwork was all normal. After seeing a gastro specialist, a more in-depth bloodwork (15 viles and nearly 30 tests total) was normal, but I am still having pain in my upper abdomen, especially around the spleen. Doctor suggested it was just a bug.

    However, my tonsil on the right side is significantly larger than the other and is incredibly painful and colored with dark spots. The pain radiates from my lower neck all the way to my head causing headaches on the right side. This is also the side of my hard lymph node. The other tonsil seems totally unaffected.

    About one month ago I started having night sweats as well. Not every night, but in the last 3 weeks I have had about 3 episodes and they have never happened before. In general I feel OK, but the pain in my neck and abdomen is becoming outrageous and the night sweats are awful.

    I will need to go back to square one it seems, but I keep coming across lymphoma as a cause for all of these symptoms. Has anyone experience lymphoma with these symptoms combined with one particular tonsil very enlarged?

    I am a 22 year-old male and I do not smoke and drink socially perhaps once a week or every 2 weeks, not excessively. Other symptoms I've had through this whole ordeal is nonstop itching of my forearms, lower legs, and the back of my neck and head but with no rash.

    Please help! I am just trying to graduate from college this semester and get this problem out of my way!
    Forgot to elaborate: my right tonsil only became swollen and painful in the last week, just after my last visit to the gastro specialist.
    In response to iceman: Yes, I would say they are definitely night sweats. I wake up in the middle of the night and my hair is soaking wet and my shirt is damp or wet. I have never looked at my sheets but I would imagine they are wet; pillowcases are definitely wet and I usually grab another one if I wake up sweaty. I also tend to sleep in colder temperatures, so I ruled out having too much heat on.

    • ANSWER:

  25. QUESTION:
    could that be a tumor/cancer/or cirrhosis. please your opinion?
    I have sever left side pain (upper abdomen, chest and mid back radiating towards lower back)
    I have hepatitis b and other symptoms that I am trying to understand. Doctors think that I have something else besides hep. B - here I go:
    Blood test: ast 48, alt 85, cholesterol 256, triglycerides 211, VLDL cholesterol 42, LDL171, HDL 43, cholesterol/hdl ratio 6.0.
    CT -mosaic attenuation pattern, other CT mosaic perfusion, X-Ray - possible pulmonary venous pressure, ultrasound enlarged liver, ekg - normal, stress test - normal, blood pressure -normal.

    constant chest and back pain (mid), lower back pain, swollen abdomen with constant pain that is always followed by chest pain, breathing normal but feel lack of breathing, tiredness, depression, bitter mouth, nausea, sleeping over 10 hours a day (it is not because I want)

    Anything I do with the body it increase the abdominal pain is if I am stretching the skin and inside organ

    please give me your opinion

    • ANSWER:
      It is my opinion that you are exhibiting the symptoms of chronic active hepatitis. Begin treatment now so that you do not develop hepatocellular carcinoma in the future.

      http://www.hepb.org/patients/hepatitis_b_treatment.htm

      http://www.beyonddiscovery.org/content/view.article.asp?a=265

  26. QUESTION:
    LDL, VLDL, HDL, ASD - What could that indicate?
    Hello, I have hepatitis b and other symptoms that I am trying to understand. Doctors think that I have something else besides hep. B - here I go:
    Blood test: ast 48, alt 85, cholesterol 256, triglycerides 211, vldl cholesterol 42, ldl 171, hdl 43, cholesterol/hdl ratio 6.0.
    CT -mosaic attenuation pattern, other CT mosaic perfusion, X-Ray - possible pulmonary venous pressure, ultrasound enlarged liver, ekg - normal, stress test - normal, blood pressure -normal.

    I have constant chest and back pain (mid), lower back pain, swollen abdomen with constant pain that is always followed by chest pain, breathing normal but feel lack of breathing, tiredness, depression, bitter mouth, nausea.

    Anything I do with the body it increase the abdominal pain is if I am stretching the skin and inside organ

    please give me your opinion

    • ANSWER:
      your risk ratio is 6 it should be 4.5 you need to treat your cholesterol with lipitor..with periodic check of liver functions since u suffer hepatitis b...u need to follow with good doctor

  27. QUESTION:
    CVD question? please your opinion?
    Hello, I have hepatitis b and other symptoms that I am trying to understand. Doctors think that I have something else besides hep. B - here I go:
    Blood test: ast 48, alt 85, cholesterol 256, triglycerides 211, vldl cholesterol 42, ldl 171, hdl 43, cholesterol/hdl ratio 6.0.
    CT -mosaic attenuation pattern, other CT mosaic perfusion, X-Ray - possible pulmonary venous pressure, ultrasound enlarged liver, ekg - normal, stress test - normal.

    I have chest and back pain (mid), lower back pain, swollen abdomen with constant pain that is always followed by chest pain, breathing normal but feel lack of breathing, tiredness, depression, bitter mouth, nausea.

    what do you think that could be (your opinion please). I don't drink or use drugs, I have normal family life.

    thank you

    • ANSWER:
      you need total detoxification of your body i had an remidy contact me on 09810802670 ashish

  28. QUESTION:
    Do i have leukemia? Please help me. ?
    these are the symptoms:

    Symptoms of Acute lymphocytic leukemia (ALL)
    * Bleeding gums
    * Bone pain or tenderness
    * Easy bruising
    * Excessive or prolonged bleeding
    * Fatigue
    * Fever
    * Joint pain
    * Infection
    * Menstrual irregularities
    * Nosebleeds
    * Paleness
    * Palpitations
    * Pinpoint red spots on the skin
    * Shortness of breath (made worse by exercise)
    * Swollen glands (lymphadenopathy)
    * Swollen gums
    * Unintentional weight loss
    Exams and Tests:-
    A physical exam may reveal the following:
    * Bruising
    * Enlarged liver and spleen
    * Signs of bleeding (petechiae, purpura)
    Blood tests may show the following:
    * Abnormal WBC count
    * Anemia on a CBC
    * Low platelet count
    A bone marrow aspiration may be show abnormal levels of certain cells.
    ALL may also change the results of the following tests:
    * T-lymphocyte count
    * B-cell leukemia/lymphoma panel
    * White blood cell differential

    i have all of those except these:
    Excessive or prolonged bleeding
    fever
    Menstrual irregularities
    infection
    Nosebleeds
    Pinpoint red spots on the skin
    Swollen glands (lymphadenopathy)
    Swollen gums
    Unintentional weight loss
    I have anemia
    i dont know if i have these:
    * Bruising
    * Enlarged liver and spleen
    * Signs of bleeding (petechiae, purpura)

    • ANSWER:
      Only your doctor can tell you that.

  29. QUESTION:
    I need a doctor or someone who knows what could be wrong with me please! im sick all the time?
    About me: Im 17, a senior this year and suppose to be graduating(im missing so much school tho because of this), im 4'11, and im a girl

    What my problem is: Im nauseous allllll the time no matter what, i never feel great or how im suppose to, not extremely nauseous all the time but its always there, when i eat it gets worse, and other triggers such as my period or some of the tests ive been threw with stuff you have to drink or getting a stomach virus will put me in the hospital because i throw up and cant stop till i am given drugs. I also get pain where my liver is.. about 2 and a half months ago i weighed 102 lbs, i have dropped 12 lbs for no reason and i now look anorexic ( I am not anorexic by the way). I have gained 3 lbs back and currently don't seem to be losing weight right now. If i start losing weight again, theres not much more i can lose. Those are my biggest issues tho...

    My Symptoms:

    nausea
    weight loss
    pain where my liver is
    constipation/diarrhea
    my heart has moments where it races occasionally
    sometimes i get hot for no reason(and my heart will speed up)
    occasionally get light headed
    back hurts
    sometimes neck and right shoulder hurt
    headaches
    feel run down

    History/What I have had done:
    Last year in October I had my gallbladder out because I would get the same nausea, run down tired feeling I have now and get pain close to the area I have pain now. When they took it out it made me feel much better! they said i had no gall stones, and the only problem they found was that my gallbladder had worked so hard it had tightened up so much and toughened because it worked so hard. So i felt good for about 8 or 9 mnths an now this has started.

    I also get the worst! periods, im not sexually active because i have chosen to wait till im older, and have never been checked down there, i am however on birth control, that keeps me out of the hospital every month because i get it so bad. I thought many girls have this problem tho and are also having to take it for the same reason. I do plan on getting checked but could that really have something to do with me being sick?

    Anyways in the past month Ive had an
    endoscopy
    colonoscopy
    ct scan
    mre(the new mri to look at my organs)
    stool test
    bloodtests for ciliac, and other things
    Im having more blood tests tomorrow to check for much much more

    Its all embarrassing really but i gotta find out wats wrong and i tried to make it so my information was easy to read, i hope it worked

    Please if you are going through the same thing, or your a doctor, or you know what this could be at all please let me know anything, all my results for everything have come back normal, could my liver be the problem? thats where my pain is but its not enflamed or enlarged according to my tests, nothing shows up. I just wana feel good and i dont know what to do. anythings appreciated. thank you

    • ANSWER:
      I don't think doctors have time to come on Y/A, so I don't think you will get any replies from them. My goodness with all of the tests you have already had, no one one here could possibly tell you what is wrong if the doctors can't figure it out. Have you thought about seeing a psychiatrist or someone like that. You really need help. Hope you find something out soon and I hope it is good news and you can get fixed up soon. Hang in there.

  30. QUESTION:
    Whats wrong with him? *Medical scenario*?
    Danny is a 42 year old man who has come to your office with two major concerns. Danny has played the bagpipes for a number of years with a local pipe band. He makes a tidy sum on the side playing for weddings, parties, and of course, funerals. Lately though his fingers have been rather stiff and painful. In order to be able play up to his usual standard, he’s had to rely on ibuprofen or Aleve. On the medical history form, under symptoms and general complaints you notice that Danny has checked off ‘fatigue’ and ‘joint pain’
    His second major complaint is rather more worrisome. His girlfriend, Melanie, is in the sonography program at SPCC and she got Danny to come in for a body scan so she could practice; they discovered that he had a slightly enlarged liver. (Melody has made him promise to curtail his drinking at the various Highland Games until this ‘liver thing’ is sorted out)
    Upon reviewing Danny's family history form, you observe that his father suffers from type II diabetes, though it is well controlled. His father’s oldest brother died from restrictive cardiomyopathy several years ago. His paternal grandparents, who were born in Scotland, are now in their 90’s and in remarkablly good health. Danny makes a face and says that is “beacause Maw maw and Paw paw are vegetarians.”
    Danny's mother, also one of your patients, and though a strict non-drinker is suffering from cirrhosis of the liver. His materal grandfather, a native of Ireland, died of liver cancer before Danny was born.
    Based on this information, and research from your text and the internet, how will you advise and help your patient?

    haha, only in A&PII .. I have several of these to do and I am just trying to get a hint as to know in what direction i need to go for the rest of them!

    • ANSWER:
      sounds like he has haemochromatosis

      a thumbs down and Im right.. nice one..
      he has arthopathy form iron deposits in his joints tiredness from iron overload , iron storage in his liver cuases it to be enlargedits autosomal recessive conidtion and iron overload in his fathers pancreas cuased him to be diabetic,
      his grandparents were vegiees so they didnt have extra iron in their diets so didnt affect them
      and grandfather had liver cancer from liver cirrhoisis (non alcohol related) from iron overload damage
      fathers brother had cardiomyopathy from iron overload in his myometrium

  31. QUESTION:
    How do I get a Doctor to listen to me?
    I have been sick since 10/2010. It started out with a sender feeling under the ribs. Since then the pain has gotten worse. They have done CT Scan and Ultra Sounds. I have Polysplenia with Abnormal inferior vena cava.

    They say the pain has nothing to do with the polysplenia, but they never measured any of the 3-4 spleens I have to see if they have changed in size. I also have an enlarged liver. At one point before I got sick I had high enzymes and they thought I had Hepatitis. I did not have it, or anything like that. But they did find I was not immunized and I had to get the series of shots.

    Now I have had another ultra sound and they have measured the largest spleen to compare to 12/2010 CT Scan.

    My pain has now spread across the bottom of both my breasts, in my left flank, I feel high when I have taken no pain killers or anything intoxicating. I have night sweets now this is a recent thing. I am extremely hot all the time with no fevers. I sleep with ice packs. It may be so hot outside but I am shivering and need to take a hot shower. I shiver so bad I hide under the covers. Recently my bones have started to really hurt, and I can barley walk because my legs also hurt so badly. I have also had weird tingling in my hands and have to take some kind of nerve medicine to make it go away. They have done blood tests and all blood tests come back normal, they say my liver is just fatty because I am over weight and have diabetes (my A1C is 6.4 though, which is really good, and it has been like that for over a year since I started meds). No one really even wants to look at my spleen.

    Has anyone out there had these symptoms and it took a while to get an answer? Did your blood tests come back normal, and then all of the sudden they found out what was wrong? What tests did they finally do? Did they have to do Ultra Sound tests and CT Scans over and over? Please someone please help. Thank you.

    • ANSWER:
      Anyone that has an enlarged spleen and an enlarged liver plus their liver enzymes are elevated and they are obese and have a fatty liver points to there possibly being liver damage or liver failure. There is a condition called NASH in which a fatty liver progresses to becoming cirrhosis which is when healthy liver tissue is replaced with scar tissue. All hepatitis means is that the liver has active inflammation happening. If your liver and spleen are enlarged, then most likely there is inflammation happening. When you say you don't have hepatitis, you are probably referring to the viral hepatitis A, B, C, and D that people can get. This is only one type of hepatitis, the viral kind. Your results when tested were negative, but that is just for the viral kind of hepatitis.

      There are many other conditions that can cause hepatitis and liver damage such as biliary disease, fatty liver that progresses to NASH, too much iron in the body, autoimmune disease, medications that affect the liver, alcohol and drug abuse to name the most common reasons.

      I had cirrhosis and a liver transplant. My liver failure was caused by an autoimmune disease in which my body attacks the small bile ducts in my liver which led to cirrhosis. After many years of inflammation, it will cause the liver to enlarge and the spleen will enlarge also since the liver is not functioning like it should. This enlarged spleen will then trap platelets which has to do with your blood clotting properly. This causes your platelet count to be low. If your platelets are lower than normal and your enzymes remain high, I think your doctor should revisit that there could be a liver problem after all. I'm not saying this is the problem, but just a suggestion of things to check. I don't know why they are focusing so much on this enlarged spleen when they should be doing a biopsy of your liver first in my opinion That is the most definitive test you can have. There is a reason it is enlarged and the job it does is so much more important than the spleen. The liver has about 500 functions.

  32. QUESTION:
    Has anyone had a hiatal hernia? If so could you please answer a few questions?
    I was wonder how severe your symptoms got and if you needed surgery to correct the problem.

    I have had right sided stomach pain that has gotten progressively worse over the last two years. Now I even have shortness of breath to go along with the chest pains, heartburn and the belly pain that sometimes shoots right through to my back.

    I have had all sorts of tests done; CT scan, hida scan, endoscopy, upper GI, ultra sound, stress test, cardiac catherazation, and I'm sure I am still forgetting a few.

    So far all that has been found is a kidney that is not working, an enlarged kidney, (both of which the dr. thinks came from all the urine infections I had as a child), an enlarged liver, severe acid reflux and a hiatal hernia.

    Thanks for any help anyone can give me.
    Dio, do you do that sitting up or lying down? And it is for sure on your left side and not the right? Or would it be on both sides at the same time?

    I'm willing to try anything at the moment.

    Thanks.
    Jo, I have been taking Nexium and Reglan (metoclopram) for months now and my belly still seems to have gotten worse, I also was told to take Gaviscon and I tend to drink that like water when the pain is really bad.

    I do not drink any caffine and only smoke once in a while.

    I have been sleeping at an angle for a long time now. In fact, I now sleep by myself on an inflateble bed in the living room since my husband doesn't like laying on the angle I jack my bed to.

    Thanks.

    • ANSWER:
      Hi, It sounds like you have been through the mill and back again. It also sounds real familiar. I have a hiatal hernia and also had surgery for it. Hang in there it should get better.

      The surgery that I had was an open(as opposed to laproscopic, when they do not open you up) Nissen Fundoplication. They didn't use to have the laproscopic procedure available. They wrap the top of your stomach, or the fundus, around where the stomach and esophagus are joined. It is usually that sphincter that is weak and will not hold food and acid down.Exactly how they do this especially laproscopically I have no idea.

      There is a conflict going on in the medical community because this is not necessairly a cure long term. Mine lasted until a few years ago and I am not a candidate for a redo. You have to meet certain qualifications for the surgery. One of them is a good enough swollowing reflex and you have to have failed medication and general lifestyle changes.

      They symptoms that I get include a lot of reflux, chest pain going to my back, inability to eat before I go to bed or I actually get food back and worry about inhaling it. Also a lot of acid.

      Have they given you any medications for this? There are a lot of them and they work well used regularly. Prilosec& Zantac are a couple. They keep you from secreating as much acid. Some things that help are watching your diet so that you stay away from real acidic foods, caffiene and don't smoke. Otherwise raising the head of your bed by six inches at least is helpful. You also tend to slip to the bottom of the bed.

      Did you see a gastroenterologist? They are specialists in GI disorders and usually give you a lot of options. If you did see a specialist it would be realistic for you to get a second opinion. There is no easy answer for this one and it is an important disease to manage well. Folks who have perpetual reflux are at high risk for cancer of the esophagus. I am glad that you had the cardiac tests because women are very under treated for cardiac problems. I sure hope you find an answer to this. Google WebMD and Mayo to see what they have to say about it also. Be an informed patient. It is essential.Best of luck

  33. QUESTION:
    What can we do to help my Dad get well?
    I don't know how to help him! He is wasting away before our eyes and we don't know what to do about it. We've gone to tons of doctors and all they do is give him more drugs and he doesn't get better.

    This might get long, there is a lot of history.

    My Dad is 50 and he acts like he's 90. He has degenerative spine disease, IBS and just recently, Gastritis. He is addicted to pain medicine because of his back and is at that limit for the amount he can take of Hydrocodone, so he's been cutting back on that to get morphine patches. But he's still in pain most of the time. Recently in the last 6 months he's hardly able to work (worse than the last 2 years, where he's had issues but he was able to work 3 of the 4 weeks in a month at least! now he works maybe 2 days in a month if at all!). Now he stays in bed all day and we can hardly get him on the phone (this worries us the most, since my Mom is busy working 3 jobs (two of her's and she is able to pick up his work as well) so she can't be home with him to take care of him and watch over him. They live out in the country so it's hard to get someone to be able to check on him when we can't get in touch.

    So as for his symptoms, there's a few years here that should be mentioned. He's had a weird fungus infection on his hand that lasted a year or so and was 'cured' with steroids though it comes back sometimes. It's very painful on his hands, but he was still able to bear it and work. Then his weight keeps fluctuating, partly because of the prednisone and partly because of his diet. He will not eat anything for days besides icecream or a tuna sandwich.
    Then just recently in the last 3 months he's been puking for weeks everything he eats and he's barely able to keep any food down. He was diagnosed with gastritis 3 weeks ago and he's on medicine. He still pukes and they can't do tests on him to check his esophagus because of him being sick (they've put off the test 3 times). We don't know what to do, who we can talk to. We've been seeing a stomach doctor, a gastroenterologist?, and his GP. We even took him to the hospital two weeks ago because he was severely dehydrated and they didn't want to admit him! He's tiny, he looks sick and dogged, I've never seen my Dad like this ever. He's always been a strong man and now he looks so frail. Would depression do this? They have a lot of money troubles due to the medical expenses and cut in pay (my mom was laid off last year and his business wasn't doing well then, it is even worse now and my mom still has a K pay cut even with her two jobs). I try to help them but I can't be working my job to pay their bills. He's a worrier and I know he must have depression from all this and for a while too. He's been tested for his liver, it's fine, they've scanned him for cancer, none. Nothing abnormal in any of his x-rays. Just an inflamed stomach and at one time about 2 years ago, an enlarged liver. I don't know much more, I don't know how much they don't tell me.

    Any ideas?! How can we make sure he gets help? What else can we do? We feel so helpless!
    What surgery would be done for the spine disease? I don't remember any mention of surgery about this, it seemed like it was just something he was going to live with. I might ask about it and find out, that's a good question.

    Also, surgery might be a no because pain management is a problem. He had a herniated disk a few years ago that he put off for a year before getting surgery and it was horrible afterwards because they couldn't manage his pain since he has such a high tolerance.

    • ANSWER:
      OK- what he needs is a referral to a specialist pain clinic. I will add to this when I get home and can check with a friend who is an expert in this field: we are in the UK, but she may well be able to advise as she has contacts globally, and may at least be able to come up with some names for you. His insurance should pay out as a decent pain specialist has a much better chance of getting someone back into work etc that standard medics.

      I would be amazed if he wasn't depressed, and depression has a massive effect on everything.

  34. QUESTION:
    help i donno what this is!?
    hello am 25 years old male I am a smoker and stopped drinking alcohol since the start of 2010 been suffering weird things lately, symptoms began with itchy redness on chest that wont go away even with creams , that was in July 2010, later in November i started experiencing numbness in hand fingers and legs while sleeping, itchy red eyes, drumming sensation in my left ear (only when i try to sleep) pain in my leg bones, urinary tract infection,high heart pulse, difficultly balancing myself while walking, moles turned red (i have so many of those) I had night sweats for a couple of days no swollen lymph nodes. I also had a high fever for couple of days as well, acid reflux with changes in bowel movement, i also suffered from loss of appetite for a while also a cough with green septum, fatigue, Oral thrush and weight loss & waking up many times at night. some of these symptoms subsided but some are still there, what i am suffering from now is weight loss, oral thrush, drumming sensation in my left ear, itchy red eyes, constipation, itchy rash with blusters on chest, numbness sometimes in my hand fingers at night, slight bone pains, I had many tests done these tests were:

    CBC x 5
    The first one was normal WBC 5000
    Second test showed elevated WBC 10400.
    Third test showed also elevated WBC 11400.
    Fourth Test Showed Normal results WBC was 8000
    Fifth test showed also normal results WBC was 7000

    -----------------------------------------------------------------------------

    3 abdominal ultra sounds
    First one showed normal results except a 7mm left kidney stone
    Second one showed enlarged liver due to fatty infiltration and the kidney stone
    After having the stone removed the ultra sound showed normal results.

    -------------------------------------------------------------------------------

    Brain and cervical spine MRI

    All normal no abnormalities.

    --------------------------------------------------------------------------------
    2 chest xrays

    first one was normal
    second showed the bronchovascular lungs land markings are increased associated with peribronchial walls thickening

    ---------------------------------------------------------------------------------------

    Chest CT Chest CT

    all normal except for : collapse consolidation is seen at the inferior segment.

    ---------------------------------------------------------------------------------------

    One Mole Biopsy

    Showed irritated compound nevus and the immunostaining revealed that less than 1% of the nevus cells are positive which is consistent with the benign nature of the lesion .

    ------------------------------------------------------------------------------------

    Urine Analysis x2

    first one showed mucus with wbc count 30 and rbc 5

    second one showed normal results wbc was 2 and rbc was 2-3 (ghost) with few mucus.

    --------------------------------------------------------------------------------

    Thyroid stimulating hormone

    was normal

    --------------------------------------------------------------------------------

    Stool Analysis

    was normal

    ------------------------------------------------------------------------------

    Glucose, Fasting serum

    was normal

    ---------------------------------------------------------------------------

    Esophago-gastro-duodenoscopy

    Small hiatus hernia
    peptic esophagitis (GERD, grade a)
    Chronic gastritis with antral erosions

    --------------------------------------------------------------------------

    Heart Electrocardiography x3

    were normal

    -------------------------------------------------------------------------
    heart echo

    was normal

    -----------------------------------------------------------------------

    Uric Acid serum

    normal

    -----------------------------------------------------------------------

    CRP high sensitivity serum

    was 12.07 MG/L

    ---------------------------------------------------------------------

    Electrolytes serum ( sodium, potassium, chloride)

    all normal

    --------------------------------------------------------------------

    Urea & creatinine serum

    normal

    ------------------------------------------------------------------

    b12 serum

    was 257.5
    -----------------------------------------------------------------

    Protein, Bilirubin, alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, blod urea nitrogen

    were all normal

    I have been treated for my abnormal results but i sill feel generally unwell with my rash, oral thrush, weight loss, red eyes are still there please help me tell me what should i do next!! I am dying to find an answer and get back to my life as it was!

    • ANSWER:
      There are so many symptoms, but some of them sound like shingles.

      http://www.medicinenet.com/shingles/article.htm

  35. QUESTION:
    Should I get a Second Opinion?
    I am a 25 year old white female. I am 5’-8” and when this started I weighed 280, but I currently weigh 306. I have been overweight for the last 15 years.

    I have been having problems with my heart since February of this year. I went to the emergency room with chest pain and chest palpitations. For the entire 12 hours that I was in the chest pain unit, my heart rate was over 100 bpm. After they ran all of their tests, I was told that I had tachycardia and referred to a cardiologist, which I was able to see 2 days later.

    The cardiologist ordered a coronary CT angigram, which showed that I had 0 calcium/plaque build-up, a mildly enlarged heart, and a mildly enlarged liver. After the cardiologist received the results to the CT he told me that I am “too young to have anything wrong with my heart” and to return to my regular physician. He said I was probably having esophageal spasms.

    A doctor at my general practitioner’s office told me I had costocondritis and ordered a Holter monitor since it had been over a week since the ER visit and I still had a heart rate over 100 bpm. The Holter monitor showed that I had PVCs, PACs, and SVTs. My regular doctor suggested that I go back to the cardiologist because I was having “bona fide arrhythmias”.

    So, I returned to the original cardiologist, and for the next few months he put me on different beta blockers and limited activity. He never ordered another test to determine why I was having arrhythmias.

    My symptoms have been getting progressively worse, and my heart will start to race for no apparent reason. I can be sitting down doing nothing and my heart will start beating out of control. My heart will sometimes beat fast if I walk up stairs, and sometimes will beat normally. The fast heart rate is not linked to activity.

    Two weeks ago, on my last visit (when none of the beta blockers have worked), the cardiologist referred me to an electrophysiologist, who just happened to be in the same practice.

    Well, last Friday I went to see the electrophysiologist. He came into the room, told me to “bear with [him] since [he] hadn’t had a chance to finish going through [my] chart,” looked through my chart, and started asking me questions about my history. After taking a shortened history he told me that the problem with my heart is that I am overweight. He said that my body is putting too much strain on my heart. He also ordered a sleep study to determine if I have sleep apnea.

    Should I get a second opinion, since these two doctor’s think that I am too “young to have a heart condition” and that the condition I do have is caused by my obesity?

    I should also mention that the electrophysiologist told me that I needed to have gastric bypass, which my insurance does not cover (I looked into it last year).

    • ANSWER:
      I absolutely think you need to not only get a second opinion but a new cardiologist. You are not too young to have heart problems, as an RN student I did one of my clinicals on a cardiac rehabilitation unit (where open heart surgery patients rehabilitate) and I was surprised to see how many young people where there with complications. Look at it this way, you only have one heart! Don't take the situation lightly, go see someone else, you need to be your own advocate especially if you feel the doctors aren't taking your condition seriously, which unfortunately, and believe it or not, happens more often than you think. After all doctors are only just regular people like you and I and are capable of making mistakes as well! And if you get a second opinion and still are not satisfied don't be afraid to get a third or fourth, it can be hard to find a doctor you "click" with.
      While I don't know you history and can't make a diagnosis, being overweight will definitely be hard on your heart as I'm sure you know, and I hope the doctors have explained to you. When your body is overweight your heart has to work much harder to pump the blood through it, and thus the heart becomes enlarged to try and compensate and become stronger to pump the blood. But with tachycardia (heart rate faster than normal) your heart can only beat so fast for so long before it exhausts and can no longer keep up with the demands. You are already experiencing dysrhythmias. Like I said you only get one heart, so take care of it and see someone else.
      also I know losing weight is hard, but keep trying, have you given any thought to lap band surgery? As for the sleep apnea, being overweight can cause this as well, and can weaken the heart because when you sleep your heart slows, but when you stop breathing the heart has to quickly hurry up and start pumping fast to waken you and get you breathing (fight flight response) and to keep going from slow to fast like that puts a strain on the heart as well. Do you wake up feeling your heart is racing and gasping for air? If so you may have sleep apnea. But these are all things you can discuss if/when you go see someone new. good luck!

  36. QUESTION:
    What else can we do to get help for my Dad who is wasting away!?
    I don't know how to help him! He is wasting away before our eyes and we don't know what to do about it. We've gone to tons of doctors and all they do is give him more drugs and he doesn't get better.

    This might get long, there is a lot of history.

    My Dad is 50 and he acts like he's 90. He has degenerative spine disease, IBS and just recently, Gastritis. He is addicted to pain medicine because of his back and is at that limit for the amount he can take of Hydrocodone, so he's been cutting back on that to get morphine patches. But he's still in pain most of the time. Recently in the last 6 months he's hardly able to work (worse than the last 2 years, where he's had issues but he was able to work 3 of the 4 weeks in a month at least! now he works maybe 2 days in a month if at all!). Now he stays in bed all day and we can hardly get him on the phone (this worries us the most, since my Mom is busy working 3 jobs (two of her's and she is able to pick up his work as well) so she can't be home with him to take care of him and watch over him. They live out in the country so it's hard to get someone to be able to check on him when we can't get in touch.

    So as for his symptoms, there's a few years here that should be mentioned. He's had a weird fungus infection on his hand that lasted a year or so and was 'cured' with steroids though it comes back sometimes. It's very painful on his hands, but he was still able to bear it and work. Then his weight keeps fluctuating, partly because of the prednisone and partly because of his diet. He will not eat anything for days besides icecream or a tuna sandwich.
    Then just recently in the last 3 months he's been puking for weeks everything he eats and he's barely able to keep any food down. He was diagnosed with gastritis 3 weeks ago and he's on medicine. He still pukes and they can't do tests on him to check his esophagus because of him being sick (they've put off the test 3 times). We don't know what to do, who we can talk to. We've been seeing a stomach doctor, a gastroenterologist?, and his GP. We even took him to the hospital two weeks ago because he was severely dehydrated and they didn't want to admit him! He's tiny, he looks sick and dogged, I've never seen my Dad like this ever. He's always been a strong man and now he looks so frail. Would depression do this? They have a lot of money troubles due to the medical expenses and cut in pay (my mom was laid off last year and his business wasn't doing well then, it is even worse now and my mom still has a K pay cut even with her two jobs). I try to help them but I can't be working my job to pay their bills. He's a worrier and I know he must have depression from all this and for a while too. He's been tested for his liver, it's fine, they've scanned him for cancer, none. Nothing abnormal in any of his x-rays. Just an inflamed stomach and at one time about 2 years ago, an enlarged liver. I don't know much more, I don't know how much they don't tell me.

    Any ideas?! How can we make sure he gets help? What else can we do? We feel so helpless!

    • ANSWER:
      I'm sorry to hear about your father. I hope I can help.

      All too often, when doctors prescribe a drug for one thing it causes side effects, so they prescribe another drug for the side effect. This goes on and on until the patient is taking handfuls of drugs but just keeps getting sicker. Natural cures have always worked very well for me and when I tell friends and family to look for natural things, it usually works for them too.

      Many illnesses are caused by a lack of nutrition. Vitamin and mineral supplements (natural ones, of course) may help and definitely won't hurt. Two sites that I would recommend are: herbalhealer.com and naturalnews.com. I have no connection with either of these companies. I have been buying from herbal healer and taking their advise for about seven years now. I haven't even had as much as a cold in years!

      I hope this helps. There's a saying; "you are your own best doctor" (or something like that), and I believe that is very true, especially after seeing doctors many years ago that never helped anything.

  37. QUESTION:
    Glandular Fever???
    Okay a few weeks ago i had some blood tests done to check everything out and it came back that I have an enlarged liver so the doctor did another test to see what it was (he said it was one of three thing Hepititis, Glandular Fever or a Virus) the results came back in and he said that it showed that i HAD glandular fever but i didnt have it anymore, now in the 3 months before that I had ongoing body pain, lightheadedness, diahreah, nausea and no appitite to the point where if i put food in my mouth i gagged, im just wondering if they where the symptoms of the Glandular fever i had had in my system, all of that has cleared up now but im still feeling tired all the time, so my question is where they the symptoms and how long does it take for the tiredness to pass? Thanks heaps.

    • ANSWER:
      Congratulations, you had mono and didn't really realize it. That's what gladular fever is, an infection by the Epstein-Barr virus. You describe the typical infection course as well. So is the residual fatigue you experience. That can hang in there for months sometimes, as your body finishes up cleaning house and putting everything back in order. It's a tough fight for the body to kill off a virus, and that one is particularly tough to fight sometimes. In the meantime, you will do best to function as your body tell you. You need simply to take life a little slower for the moment. If you eat a well balanced diet, so you will have good nutrition, and you rest, the fatigue should gradually disappear on it's own. As long as the liver remains enlarged, you will have to avoid strenous physical activity, and contact sports though. On the positive side, you have had it, now you have antibodies, and you will never get mono again.

  38. QUESTION:
    Large diffuse B cell lymphoma,Stage 4,and what do my uncle's symptoms mean ?
    I got a great answer when I posted this question yesterday,So now I'm just looking for more answers.Because I'm still wondering why my uncle's been having such severe back and stomach pain,where the spleen is.And why does my uncle have hemorrhages in the sinus cavities?

    My uncle I think,has Large Diffuse B cell lymphoma.I say i think because my uncle's doctors won't give him or my family much information about my uncle's condition.

    So,I'm looking for information like What exactly is it? And what are the survival rates for stage 4 patients?

    And my uncle has,what feels like too him,a blockage in his intestines.And is still losing vision in both eyes,and has hemorrhages in his sinus cavities. And his liver,is sort of failing,and his spleen feels enlarged too my uncle. And my uncle says that he's in severe pain in both stomach and back.

    And my uncle's starting chemo therapy today,after being in the hospital for 2 weeks, So I just want any information about Large Diffuse B cell Lymphoma.Or maybe he has something else?

    Yeah, he's on morphine minnie,and thanks for answering too!!!!!!
    Thanks for the optomism iRun,hopefully the chemo will work fast.

    • ANSWER:
      Diffuse Large B Cell Lymphoma. Diffuse means spread through. Stage 4 means it is in more than one lymph node, above and below the diaphragm and in other organ(s). The back and stomach pain is from the swollen lymph nodes and spleen. The pains can be 'everywhere'. The swollen lymph nodes press on other organs. The spleen is most likely very enlarged. If the liver is affected then there will be a lot of pain in the 'stomach', middle of the body area. Loss of vision indicates the lymphoma has spread to the CNS (central nervous system).

      The chemo will shrink the tumours and some or all of the cancer will be destroyed. A scan later on will show what effect the chemo is having. The prognosis is different for every patient. It depends how well the chemotherapy works. Age is a factor as well. Lymphoma once in remission is likely to recur at a later date. I have met several people in whom it has recurred, one after 3 years, one after 13 years and one for a 3rd time.

      Is your uncle having morphine to relieve the pain?

  39. QUESTION:
    glandular fever.....3rd week in!?
    i have had glandular fever for a few weeks now - the most awful virus i have experienced :-(
    It has spread to my tonsils and caused tonsilitus .....does anyone know what the last stages of this virus is? Is it on its way out my system, or am i to expect worse?!
    Its driving me crazy in constant pain and feeling so weak and tired all the time. I have been in hospital over a weekend due to inflamed spleen and liver and am taking codeine for all the pain....also on lots of vitamins, etc for my immune system...

    does anyone know anything about this virus or had it before and can tell me what they experienced?

    symptoms i have experienced:
    swollen glands in groin, neck, throat, underarms
    muscle aches
    fever
    nausea
    tonsilitus
    chronic fatigue
    enlarged/inflamed liver and spleen
    headaches
    oh and im really NOT hungry at all im literally force feeding myself what i can but its uncomfortable on my liver to eat more that like 4 mouthfuls.

    I hope your fatigue goes soon honey! this sounds so awful and I know how you feel about the tiredness and weakness...I can barely get out of bed to use the toilet!!!

    x

    • ANSWER:
      Oh dear bless ur heart.. i had it not long ago well i had it in august and it lasted right up untill the end of december. i am still on leave from work as i am CONSTANTLY tired from it .. im sure the docters will tell u to take it easy and that u will always be tired. i never got headaches, but for 3 months i was sleeping on the sofa every night as i cud barely make it up the stairs, i was constantly asleep thru out the whole day and only woke up to try a bit of chicken soup and bread, which eased my throat a bit. unfortuntly i lost weight and i loved my figure before, thankfully its slowly coming back. u wiill not be able to eat anything for weeks./months im sorry to say :-( i really hope u are feeling better soon x

  40. QUESTION:
    My LYMPH NODES are extremely palpable (for years) i have lost TOO MUCH WEIGHT, what is wrong?
    Hello....if anyone would like to try to DIAGNOSE ME, I'd be SO GRATEFUL AT THIS POINT!
    ..... i'm 30 year old female, with a 10 year old son and had a thoracic fore gut tumor(benign) removed from my chest @ 15, a good portion of which was attached to my lungs, aorta,esophagus, Trachea.
    To Date- no known complications or regrowth.
    109 lbs
    5'3"
    hypothyroid, on synthroid
    Had IUD recently placed in cervix
    amphetamine salts,celexa, lorazapam for depression/fatigue and ADD
    MY SYMPTOMS:
    CURRANTLY AND THIS PAST YEAR: Generalized Swollen lymph glands(some firm and hard in groin area. Also where my hairline is in the back of my neck behind my ear i guess, and a few large ones up the side of my neck aligned with my shoulder), Re currant low Grade Fever(no higher than 101 w/out infection),Itchy Skin, Memory Loss,Hair loss, Acne,Bowel Changes,On and Off fatigue, mucus in my stool(for one year at least.More mucus than actual stool on average! SORRY TO BE SO GRAPHIC! Lower Back Pain, DULL ACHING PAIN on the inside of my knees,stiff neck,ankle pain after being on my feet for more than an hour.Also extremely dry; mouth,skin,hair,eyes,&nostrils, dizziness upon standing, sweats,wounds heal slowly, weird painless swelling above my butt where my dimples are(no dr has been able to guess why/what this swelling might be),diarrhea and constipation, tenderness above my belly button, hyper pigmentation on abdomen, arms and feet, anxiety, blood pressure has steadily increased throughout all of my many dr's visits this past yr.
    ADDED RECENT SYMPTOMS:Kidney pain, visible blood in urine: for 2 months now! it was bright red and then less visible for awhile and now dark brown like tea and extremely strong smelling, hardening and bloating of abdomen, extreme fatigue, productive cough, chest pain, neck pain,easily exhausted, unexplainable bruises, muscle spasms and bulging type pain JUST under my rib on both sides separately, weird stabbing pain on my left groin area near my larger lymph glands that makes my tendon look swollen, thrush, protein in urine, HI albumin in urine, repetitive rbc in urine, BUT NO INFECTION!! (multiple negative cultures), kidney stone shows on CT in an area that is expected to be asymptomatic and may not even pass. BUT I DO HAVE difficulty urinating and cramping JUST PRESCRIBED CIPRO FOR A SECOND TREATMENT. (not sure exactly why since culture is consistantly negative)

    Many tests HAVE BEEN DONE: .....All Basics(CB C's, liver, etc panels) + Lyme Disease,Hep(B,C etc), ANA,Sed Rate,R.F.,AIDS, Celiac Disease,Fecal Bacterial+Viral cultures,Lupus,Syphilis, Gonorrhea, Chlamydiae,Anemia, scleroderma, h. pylori, bladder cancer,
    P.C.P. says: hematologist &will do allergy & routine testing upon insurance ok
    E.N.T(ear,Nose&throat) says: inflammation or irritation down deep in my throat(but i smoke so...)
    GASTROENTROLOGIST says: gastritis, hemorrhoids,IBS, lymphoid aggragates in non lymph areas
    UROLOGIST says: extreme gross & microscopic unexplained hematuria, referral to hematologist(concerned about enlarged lymph's in groin and unexplained hematuria---------says kidney stone most likely not causing this amount of rbc,did FISH URINE TEST...NO CALL SO I'M GUESSING ALL CLEAR ON RESULTS)
    HEMATOLOGIST says: i'm thin so nodes are more palpable s we should wait. does not believe biopsy is neccessary at this point
    RHUEHEMATOLOGIST says: no signs autoimmune, non arthritic/ lupus like disease
    GYNOGYNECOLOGIST says: no infection, no discharge see urologist...
    DERMOTOLOGIST says: see rhuemotologist! lol, biopsied pigmented marks(inconclusive-possibe allergic reaction)

    i am waiting on results of a chest CT from HEMATOLOGIST because he heard alot in my lungs and another aids test(that'll be 4 tests in the last yr(all negative)

    I'M SURE THERE IS MORE INFO I"M NOT OFFERRING
    but i can't remember everything! lol any EDUCATED ADVICE would be appreciated
    THANK YOU!!!! i feel so helpless when i am sooo tired or weak..... i just want a solution!
    PLEASE HELP!

    • ANSWER:
      See what the CT results are. If you get no answers there, I would go to a different hematologist and insist on a biopsy. If you can't get answers switch to a hospital that specializes in diagnostics.

  41. QUESTION:
    Am I in danger of actually dying? (acetaminophen overdose)?
    Serious responders please I am truly worried. I'm 19 years old, weigh about 105lb, and I'm pretty healthy overlooking the fact I'm a little underweight. I took about 15 to 20 tylenol extra strength tablets that's the 500mg of acetaminophen in the course of about 24-30 hours I can't remember exactly. Anyways after I took the 15th-20th pill maybe 2 hours later I started feeling really nauseated and began to vomit. I vomited 3 times and felt sick for a good 4-6 hours after I vomited. But, after I felt completely fine, I still feel completely fine now it is about 34 hours after my last ingestion of any tylenol and its been approximately 26-28 hours of feeling completely fine. I'm worried because I read that the symptoms are exactly what I went through and after the initial phase it's common to feel fine this is why I'm worried but, from what I've read it also states that I should feel a pain in my upper right quadrant due to liver enlarging but I don't feel the pain or anything as a matter of fact. I guess my question is should I still be worried about my liver being damaged to a state where it would lead to failure or should I be OK if I haven't felt any more symptoms. I would go to the E.R. but, I really can't afford it even if payment options we're available.
    Plus, from what I've read it's to late for any treatment anyways if my liver has been damage it's too late to correct the damage. Oh, and the reason I took the pills were for my toothache I took about 2-3 pills every 2-4 hours and ended up taking anywhere from 15 to 20 in total like I said. I had no idea tylenol was even dangerous even in high doses...how stupid of me huh. Any help is appreciated....

    • ANSWER:
      It's too late to be able to rectify the situation (34 hours on...).

      Definitely don't do it again. Don't take any medication without knowing what the recommended dose is and don't take any more than recommended. It doesn't matter if you're 250 pounds or 150. It doesn't matter if your 6'2" or 5'0". All medications have recommendations that apply to all adults.

      Take care. =)

  42. QUESTION:
    Should I put my dog down?
    My beautiful shih tzu is 11 1/2 years old. He has Cushings disease, so he urinates alot and his hair is falling out. He also has an enlarged heart and liver. Today I found out he is very diabetic as well. The vet said he would need insulin. My dog is still attentive and will engage in activities with my 3 boys if they bring his toys out to play with him. I guess I want to know when is it just to much on them. I've been told that the symptoms he has do not cause him pain.
    I should add that I picked him up from a kennel Monday morning and he has not eaten since. He also will not take any of the heart medication that I normally wrap up in his treats. He spits the treat back out. He has been going in rooms and laying in areas that he doesn't normally go in and is no longer waiting at the door we normally come in when we come home. He gets up when he hears my boys squeak his toys, but doesn't chase them around. He goes to them, gets the toy, and lays down.

    • ANSWER:

  43. QUESTION:
    Leukemia..? help please?
    my uncle had leukemia and died ok and i gt vry weak sum times so i searched the symptoms online :

    * Fatigue
    * Malaise (vague feeling of bodily discomfort)
    * Abnormal bleeding
    * Excessive bruising
    * Weakness
    * Reduced exercise tolerance
    * Weight loss
    * Bone or joint pain
    * Infection and fever
    * Abdominal pain or "fullness"
    * Enlarged spleen, lymph nodes, and liver

    i have all but two of those symptoms? what does this mean?

    • ANSWER:

  44. QUESTION:
    Do I have Leukemia?????????
    my uncle had leukemia and died ok and i gt vry weak sum times so i searched the symptoms online :

    * Fatigue
    * Malaise (vague feeling of bodily discomfort)
    * Abnormal bleeding
    * Excessive bruising
    * Weakness
    * Reduced exercise tolerance
    * Weight loss
    * Bone or joint pain
    * Infection and fever
    * Abdominal pain or "fullness"
    * Enlarged spleen, lymph nodes, and liver

    i have all but two of those symptoms? what does this mean?
    I am going to the doctor but is it a high chance?

    • ANSWER:
      It means you should go to your doctor and ask them. You're not going to get a solid professional opinion form anyone on YA answers, and if anybody on this site does try to tell you that you do have leukemia, they are idiots.

  45. QUESTION:
    Concerned about lymphoma or worse?
    This may be quite long, but please bear with me. I'm very worried.

    I'm a 20 year old male, ~150lbs, 6'1". Starting around christmas I had abdominal pain. I had unspecific abdominal pain for a couple weeks before seeing my doctor. I got an abdominal CT scan, an ultrasound for my gallbladder, an upper endoscopy, and a colonoscopy. All of these tests came back normal. I also had blood work done and it was all normal except for slightly elevated bilirubin (1.2.)

    It has now been about 5.5 weeks since the pain began and my symptoms have changed quite a bit. A week ago I developed some enlarged lymph nodes below my jaw and in my neck (4 I think). I have also been having abdominal pain/discomfort, but it is mostly at the bottom left or bottom right of my rib cage, and sometimes through my left and right sides. My stools are usually normal, although seem thinner than normal (before I started feeling sick).

    I went to another doctor recently because I was feeling short of breath here and there lately, as well as random chest pain/tightness (doesn't happen very often, and when it does, doesn't last long. Hurts more with breathing deeply). He confirmed that I had swollen nodes and examined me. He ordered a chest x-ray and blood work again. He also said that he has seen viral infections that result in some abdominal pain, swelling of spleen/liver, and the swollen lymph nodes, and that it could last for 4-6 weeks, but usually doesn't. The chest x-ray came back normal, and the blood work was normal except for the following slight elevations:

    Calcium: 10.3
    Albumin: 5.2
    A/G Ratio: 2.4
    Total Bilirubin: 1.4
    AST: 43

    I'm very concerned that this may be lymphoma, or even myeloma or leukemia. I have had some night sweats in the last 2-3 weeks. I have also felt very tired/lethargic lately. If anyone has any ideas or experience with this, I'd appreciate it very much. I'm very scared right now. Sorry for the long post, but I wanted to be as detailed as possible. Thanks.

    • ANSWER:
      I would think there would be issues with the white blood cells in your CBC (which I'm sure they did) if it was lymphoma. But I may be wrong. Just keep bugging the doctor until they give you an answer. They know more than anyone on here.

  46. QUESTION:
    Will a hepatitis test by my doctor show any kind of hep, including alcoholic hep?
    I have been seeing my doctor for a year and a half now, with various symptoms ranging from dizziness, major fatigue, convulsions as I fall asleep, vomiting, diarrhea, abdominal pain, mental changes and almost constant flu like symptoms. I had endoscopy a couple of months ago as I was being sick every day for about a month. I cannot tolerate alcohol any more. The pain in my abdomen has now settled to below the ribs on the right and also under the right ribs and my right side. All are over the liver and my doc did LFT bloods which came back normal. I haven't been tested for hepatitis yet, but i'm fairly sure I will be soon. My concern is that I was a previously fit and healthy individual and these symptoms started really suddenly one day after a drinking session the night before. (about 3/4 btl of vodka.)

    I also have reactions to almost al meds i've been given, like my liver cannot process them. Sorry for the long story. Basically I would like to know if a hepatitis test will show all types of hp, or are there different tests for each type of hep.

    My other concern is that I also get lower right abdo pain and think that if it's not my liver, could it be my gall bladder or appendix.

    the doctors have been pretty much stumped by my symptoms and it seems that if you don't have a lump or obvious illness, then they haven't got a clue. The doctors were not concerned about my symptoms but one night I felt so ill i ended up at A&E who ccouldn't believe that the doctors hadn't given me any meds or referred me for more tests. Thankfully I am now going to be seen at hospital, but not for another month.

    I should also say that I have lost a lot of weight, so suddenly that the doctor told me to weigh myself every day and go back if I lost any more. When she said this, I had lost 4 pounds in 7 days but had not altered my diet in any way.

    I should point out that I AM NOT an alcoholic and am not a heavy drinker. The concern about alcohlic hep is because I had drunk 3/4 btl of vodka the night before the sudden onset of symptoms. This was over a year and a half ago and i've gotten nowhere with the doctors. I admit I used to drink fairly heavily on a night out, which was only at weekend. I very rarely drink at all now. I think there have been 4 or 5 occassions this year that I have had a couple of drinks. (new year, birthdays) and I do mean a couple. But on my birthday I had a pint of cider and then spent the next hour being sick, bringing the cider back up. That is why I am concerned about my liver.

    One other thing I would like to add is that I took Roaccutane when I was a teenager, for acne. I was on it for 6 months. I know now that it has been well documented for causing liver damage which is another worry for me.

    I also don't think I have had any alcohol now since May. I don't have a problem with alcohol, it doesn't bother me if I drink or not. But I would like to have a beer now and again, it just seems like I can't tolerate it.

    Over the year and a half, I have had 4 LFTs, all normal. I have also had all other standard blood work done, an endoscopy, an ultrasound (which was normal and my liver was NOT enlarged). I have also had an ECG for my heart, a chest X-ray, been to ENT about the dizziness and also had a head and neck MRI, and my eyesight tested(for the dzziness), had a blood test and a sample taken during biopsy for H-pylori and a muscle enzyme blood testAll tests came back completely NORMAL, and the doctors really do not know what is causing my symptoms. Also my blood prssure, blood sugar etc is all fine.
    I also have pain in my lower back and in my back over my kidneys

    • ANSWER:

  47. QUESTION:
    Steroid induced Cushing's disease in dogs? Spinal cancer?
    I realize that this is very long, but I just wanted to be as thorough as possible as our dog is very sick right now.

    My sister's pekingese, Titan, has had back problems for a long time now. Earlier this year we took him to the vet because he was moaning when picked up. The doctor realigned his spine with a gun-shaped instrument. Then a couple of months ago we took him back with the same problem. The vet told us that realigning his spine at that time could cause damage and instead put him on prednisone to control the inflammation in the area and had us make sure he wasn't climbing stairs/jumping up and down. We followed her orders and he did okay while on the meds. As he came off of them, however, we noticed that he was walking a little awkwardly but attributed it to his back issues and just kept him from running around.
    A couple of days went by like this until my sister came home late one night and found him sleeping up against her door. Usually he would move out of the way, but for some reason this time he couldn't. She pushed the door open and found him with absolutely no ability to use his back legs. He dragged them along behind him to make his way around the room.
    We called the emergency number for our vet and were told to bring him in before they opened that morning. She told us that he was suffering from Invertebral Disc Disease, looked him over and found that he had deep tissue pain, giving us hope that he would walk again. She put him on rounds of dexamethasone and had us cage-rest him.
    He completed two weeks on the full dosage and one week of a daily half dosage and was supposed to move on to a half dosage every other day. While on the full dosage he had bloody jelly-like diarrhea. Our vet had us change him over from dog food to boiled ground beef and rice, which ended that. After a few days, he regained the use of his legs, but was/is still extremely wobbly to the point that we have to hold him up when we take him to potty outside or he will usually fall.
    Thursday was the last day of his daily half-dosage of the dexamethasone, but over the past week we'd noticed some changes in him and decided to bring him back to the vet. His bones had become prominent and his belly felt full like a water balloon even though he'd always been on the skinny side. The vet said that he didn't look good and kept him overnight to run some blood work, get x-rays and do an ultrasound. She called us the next morning and told us that his liver looked enlarged, he was severely anemic, and that his tummy was full of fluid. She said the only way she could wrap it up in a "neat little package" would be cancer of the spine, that the steroids might have helped fight the cancer but that after a while they wouldn't be effective. She said that she was new to the ultrasound equipment, however, and referred us to another vet in the area who would be able to get more thorough results.
    The new vet, Dr. W, did an ultrasound on him and showed us everything that was going on inside. Titan's liver was enlarged and bright, spleen enlarged, had pockets of fluid in his abdomen/tummy, and a thickening of the wall of the gallbladder. He said that there could be a number of things that would cause this: pancreatitis, hemio-something, a reaction to the dexamethasone, and said that cancer was a small possibility, but that he didn't think that his back issues really had anything to do with it. He recommended we get him a blood transfusion to deal with the anemia right away and sent us back to our normal vet, who would do aftercare for a few days. They did the transfusion last night and are doing another one today. He has been eating and some of the fluid in his tummy seems to have gone down.
    After we dropped Titan off at our vet for the transfusion last night we came home and did some research based on his symptoms and history. One of the things we found out about was Cushing's Syndrome brought on by steroids (Iatrogenic), which could explain all of his symptoms. I also read that it is common in dachsunds, which made sense to me as they are commonly diagnosed with Invertebral Disk Disease and have it treated the same way Titan's was.
    I spoke to the vet this morning and asked her if she thought this could possibly be what is wrong with him. She told me that it wouldn't explain his boniness, which is completely opposite of what every site I've read on Cushing's has said, and that she still wasn't ruling out cancer.
    She also told me that they had given him a higher dose of dexamethasone today in case he had problems with inflammation. She had never told us that this would be done, and it was done in spite of the fact that he was now only supposed to have a half dosage of the dex. every other day until it tapered off completely according to her original prescription. He had had none yesterday. She had also given him antibiotics in case he had an infection anywhere.
    Once I corrected her about the inability of Cushing's to cause the boniness
    Sorry Y!A keeps cutting off my question as it's too long. I'll try to shorten it & resubmit.
    Also just wanted to point out that my dog has seen a second vet but he is unavailable to consult with again until Monday & as my dog is receiving the blood transfusions from our regular vet, he has to stay in their facility for at least a few more days before we can take him anywhere else for another opinion.

    • ANSWER:
      Dogs with Cushing's develop a skull like appearance. My 5 year old pomeranian has it. There is a specific test, to confirm Cushing's.. an experienced vet knows to send blood panels to the University of Tennessee. Dr. Oliver. I would seek out an experienced vet. Try asking your Humane Society. Or join Yahoos Cushing Syndrome group. They have a list of vets by area. Alot of vets know about Cushing's or treat it. Without being educated in new meds, etc.

  48. QUESTION:
    Regarding Infectious Diseases...?
    What Infection disease & infectious agent does the patient have?

    The patient was a 32 year-old male who presented to the emergency room with a 3 day history of fever (maximum temperature, 40 C), malaise, and back pain. Laboratory data revealed a white blood cell )WBC) count of 4,700/uL and abnormal live function test results. Blood cultures were done and were subsequently reported as negative. He developed anorexia and jaundice in addition to fevers and malaise. He denied a history of intravenous drug use, sexual contact (for 2 months), and transfusions. Five weeks ago he was visiting friends in NYC, and they ate raw oysters. Recent telephone contact with one of the friends revealed that he had a similar illness.
    On examination, the patient was mildly icteric. There was no rash or lymphadenopathy. The abnormal examination revealed a tender liver, which was slightly enlarged. The spleen tip was nonpalpable. Laboratory tests showed a aspartate aminotransferase (AST) of 2,501 U/liter, alkaline phosphatase of 298 U/liter, bilirubin of 2.2 mg/dL, and lactate dehydrogenase of 1,102 U/liter. Blood was sent for diagnostic testing. Over the next months his symptoms resolved and the liver function test results returned to within normal limits.

    • ANSWER:

  49. QUESTION:
    Terrified of pancreatic cancer?
    I don't know whether I'm just being a hypochondriac or not, but I've been having these weird symptoms lately. For the past few weeks, I've been having weird dull pains around my right upper abdomen, just below my chest and sometimes below my ribcage. I sometimes get a crampy feeling on my left side as well, and this has been going on for a few months, though it is far less persistent. For the past two days I've been getting this colicky weird pain on my lower right quadrant, and sometimes I can feel it in my lower left. Also, I've been itching a lot recently. I don't know if this is psychosomatic or not, can anybody enlighten me as to if that's possible or not? I lost weight a few weeks after I stopped lifting in June and July, going from 146 pounds to about 138, but I think it's stagnated since then (who knows, maybe I've even gained some this month). My appetite's been odd, it's there, but it's different than it used to be. I get upper cramp-like localized back pains from time to time, sometimes parts of my arms and legs feel cramped for no reason as well. And just a few hours ago, after eating a fatty meal, I had greasy diarrhea (I do have IBS, but I don't remember it ever giving my fatty stools (this is the first time I've seen this). Also, I feel more fatigued than usual. I can still exercise just as well as I used to, but if I'm not being active I feel like falling asleep. I don't know what's going on. I'm not scared of any other type of cancer except pancreatic. I heard it can effect people of all ages, even if it is rare. Does this sound anything like it?

    I don't have nausea or vomiting. My pain isn't severe, it's typically mild. I'm not yellow, my stools aren't pale, my urine isn't dark (but I read that itching is an early sign of jaundice). I can't tell if I have an enlarged spleen or liver, nothing's constantly tender, and my Dr. didn't feel anything out of the ordinary when I got my physical a week ago. Sometimes, though, my upper right or lower right abdomen feels mildly uncomfortable, though this does not last. The pain in my upper quadrant is worse on some days than others (it was worse yesterday than today, and the day before wasn't too bad). Also, the pain seems to react to stress.

    I have no family history of any type of cancer as far as I'm aware, no diabetes, no pancreatitis. I don't smoke, I don't drink often (and when I do it doesn't cause me problems). I'm a white 20 year old male, around 140 lbs. I do have a predisposition to Crohn's Disease, and I have acid reflux. Does this sound like Crohn's at all? Does it even sound like a gallbladder issue? Can someone point me in the right direction? I can't see anyone until Monday, I'd rather not go to the ER, I wanna go out and have fun tonight and if this is constantly on my mind I doubt that'll happen. I'd greatly appreciate any input. Thanks.

    • ANSWER:
      Pancreatic cancer in a 20 year old would be one for the record books. Two thirds of those diagnosed with it are over 70, and it's very rare in people under 40.

      See your doctor about your concerns

  50. QUESTION:
    PLEASE HELP....?!?!?!?
    ok my mom doesn't want to go to the doctor but i am really worried she has bleeding when she goes to the restroom to poop, she has bruises and this little red dots on her legs and she says her legs really hurt she is a waitress. for some reason it occur to me that she may have leukemia and i checked and article for the symptoms and this is what it said:

    In many cases, the first signs and symptoms of leukemia are nonspecific (vague). Early signs also may occur with other types of cancer or with other medical conditions. Although leukemia signs and symptoms vary depending on the type of disease, there are some general features. Broad symptoms of leukemia include the following:

    Fatigue
    Malaise (vague feeling of bodily discomfort)
    Abnormal bleeding
    Excessive bruising
    Weakness
    Reduced exercise tolerance
    Weight loss
    Bone or joint pain
    Infection and fever
    Abdominal pain or "fullness"
    Enlarged spleen, lymph nodes, and liver

    Chronic leukemia often goes undetected for many years and may be identified in a routine blood test. In fact, nearly one in five chronic leukemia patients do not report symptoms at the time of diagnosis. Most symptoms of acute leukemia are caused by low levels of normal blood cells, which is due to overcrowding of the blood-forming bone marrow by leukemia cells.

    she doesn't eat that much either because she says she feels like she is going to vomit, PLEASE HELP. (how can i convince her to go to the doctor)
    THANKS
    other symptom
    Tiny red spots in your skin (petechiae)
    but how can i tell her it may be leukimia she doesn't know what it may be and i really don't want to make her sad right now.

    • ANSWER: