Do I need to schedule a follow-up appointment with the doctor?
Hello Doctor, last week I went to the hospital for an upper gastrointestinal endoscopy and a barium X-ray.
This week, after reviewing the report, the doctor said I have stage II gastroesophageal reflux disease, gastritis, a gastric ulcer, and Helicobacter pylori infection.
I need to take medication for three months and then return for a follow-up to eradicate the Helicobacter pylori.
On the second day of taking the medication, I developed a painful swollen lymph node in my groin, and my body temperature has started to rise.
Although I haven't had a fever yet, it is higher today than it was yesterday and is gradually increasing.
I would like to ask the doctor if the pain in my swollen lymph node and the rise in body temperature are caused by the Helicobacter pylori infection? Do I need to go back for a follow-up appointment?
Ms. Chen, 30~39 year old female. Ask Date: 2016/05/13
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The lymph nodes in the groin are not significantly related to Helicobacter pylori.
If there is a wound on the foot, you can consult an infectious disease specialist.
If there is no wound, it is recommended to see a hematologist to determine the cause of the lymphadenopathy.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2016/05/13
More Info
It sounds like you are experiencing a concerning set of symptoms following your recent diagnosis of gastroesophageal reflux disease (GERD), gastritis, peptic ulcer disease, and Helicobacter pylori (H. pylori) infection. Given the complexity of your situation, it is essential to address your questions and concerns thoroughly.
Firstly, the symptoms you describe—specifically the swollen and painful lymph node in your groin and the rising body temperature—are noteworthy. While it is possible that these symptoms could be related to the H. pylori infection, they could also indicate another underlying issue. H. pylori is primarily associated with gastrointestinal symptoms, such as abdominal pain, bloating, and nausea, but it is not typically known to cause lymphadenopathy (swollen lymph nodes) or fever directly. However, if there is an infection or inflammatory response occurring in your body, it could potentially lead to these symptoms.
The presence of a swollen lymph node can indicate that your body is responding to an infection or inflammation. It is crucial to monitor this symptom closely. If the lymph node continues to swell, becomes increasingly painful, or if you develop a fever (a body temperature of 100.4°F or higher), you should seek medical attention promptly. These could be signs of a more significant infection that may require further evaluation and treatment.
Regarding your question about whether you should schedule a follow-up appointment, the answer is yes, especially given your new symptoms. It is essential to communicate any changes in your health status to your healthcare provider. They can assess whether your symptoms are related to your current treatment or if they indicate a different issue that needs to be addressed.
In the meantime, continue taking the medications prescribed for your H. pylori infection and follow any dietary or lifestyle recommendations provided by your doctor. It is also important to stay hydrated and monitor your symptoms closely. If you experience any worsening of your condition, such as severe abdominal pain, persistent vomiting, or significant changes in your bowel habits, do not hesitate to seek immediate medical attention.
In summary, while your current symptoms may or may not be directly related to H. pylori, the combination of a swollen lymph node and elevated temperature warrants further investigation. Scheduling a follow-up appointment with your healthcare provider is advisable to ensure that any potential complications are addressed promptly. Your health is paramount, and proactive communication with your medical team is key to effective management of your condition.
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