Do I have lymphoma?
I have been experiencing fever at night for a month, but it only reaches a maximum of 38 degrees Celsius and does not go any higher.
My gums are inflamed, and I initially thought it was a dental issue, but treatment has not been effective.
I also thought it might be a cold, so I took a lot of cold medications, but they haven't worked either.
Now, my gums are even more swollen and visible.
What should I do? What is happening to me?
Miss Hsu, 30~39 year old female. Ask Date: 2004/09/14
Dr. Chen Sirong reply Oncology
Hello: A fever at night lasting for a month may indicate a chronic infection.
Please visit a major hospital's dental and otolaryngology departments (to check for sinusitis).
If necessary, blood tests should be conducted to evaluate the blood cell counts for reference.
This response is provided by Dr.
Liu Tian-Cai from the dental department.
Reply Date: 2004/09/14
More Info
It sounds like you are experiencing a concerning set of symptoms, including persistent low-grade fever, gum inflammation, and possibly swollen lymph nodes. Given the complexity of your symptoms, it's essential to approach this situation with a thorough understanding of what might be happening.
First, let's address the fever. A low-grade fever, particularly one that persists over time, can indicate an underlying infection or inflammatory process in the body. Since you mentioned that your gums are inflamed and that you have sought treatment for what you thought was a dental issue, it’s possible that you may have a dental abscess or another oral infection. Such infections can lead to systemic symptoms, including fever and swollen lymph nodes, as your body responds to the infection.
The inflammation of your gums could also be a sign of periodontal disease, which can cause significant discomfort and lead to further complications if left untreated. If your dental treatments have not been effective, it may be time to revisit your dentist or seek a second opinion. They may need to perform a more thorough examination, including X-rays, to determine if there are any underlying issues such as tooth decay, abscesses, or other dental problems that could be contributing to your symptoms.
Now, regarding the swollen lymph nodes, particularly if they are tender or painful, this can also be a response to infection. Lymph nodes can swell in response to localized infections, such as those in the mouth or throat, or they can swell due to systemic infections. If you have noticed that the lymph nodes are persistently enlarged, it is crucial to have them evaluated by a healthcare professional. They may perform a physical examination and possibly order imaging studies or blood tests to rule out more serious conditions, including lymphoma or other hematological disorders.
Lymphoma, a type of cancer that originates in the lymphatic system, can present with symptoms such as unexplained fever, night sweats, weight loss, and swollen lymph nodes. However, it is important to note that many other conditions can cause similar symptoms, and the presence of swollen lymph nodes alone does not mean you have lymphoma. The fact that you are experiencing fever and gum issues suggests that there may be an infectious or inflammatory process at play.
In your case, since you have been experiencing these symptoms for a month, it is advisable to seek medical attention promptly. A healthcare provider can perform a comprehensive evaluation, including a complete blood count (CBC) and possibly imaging studies, to help determine the cause of your symptoms. If necessary, they may refer you to a specialist, such as an infectious disease expert or a hematologist, for further evaluation.
In summary, while your symptoms could potentially be related to lymphoma, they are more likely to be associated with an infection or inflammatory process, particularly given your dental issues. It is crucial to follow up with a healthcare provider to get a proper diagnosis and treatment plan. Early intervention can lead to better outcomes, so do not hesitate to seek help.
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