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What Causes Abdominal Distension And Chest Pain In A Cancer Patient?
I had a precancerous lymphoma tumor removed about four years ago done great for a about two years then four d myself in and out of ER and GP office with being told numerous times I only have mono again (50 cases of mono in a little over a year?) but now I am experiencing severe abdominal swelling I am having chest pain, pounding heartbeat, pain in right arm and right side I have an enlarged liver and spleen, right flank pain and multiple enlarged lymph nodes in my neck and jawline. I am afraid of going and spending all night in an ER just to be sent home yet again without a clue or once more with only mono . Any suggestions or ideas that could point me in the right medical direction
Tue, 21 Feb 2017
Thank for your concern.
Yes. there is need for concern and you need medical attention
Your symptoms and signs needs examinations before treatment
Two major differential diagnosis
1. Lymphoma beacause of the swollen Lymph nodes liver and spleen
2. Leukaemia
investigation
1. Full haemogram to check hb, WBCs levels to rule out leukaemia and levels of platelets
2. abdominal CT scan to assess the liver. spleen. other masses in the stomach.
3. Fine needle aspirate for cytology
4. open biopsy for histology.
The treatment will depend on the out come
For this one you need to consult haemato-oncologist. For further manangement
Yes. there is need for concern and you need medical attention
Your symptoms and signs needs examinations before treatment
Two major differential diagnosis
1. Lymphoma beacause of the swollen Lymph nodes liver and spleen
2. Leukaemia
investigation
1. Full haemogram to check hb, WBCs levels to rule out leukaemia and levels of platelets
2. abdominal CT scan to assess the liver. spleen. other masses in the stomach.
3. Fine needle aspirate for cytology
4. open biopsy for histology.
The treatment will depend on the out come
For this one you need to consult haemato-oncologist. For further manangement
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