Do you feel sick with Hodgkin's lymphoma?

Some people have Hodgkin lymphoma in their bone marrow when they're diagnosed. If you have this, it can cause the following symptoms: shortness of breath and tiredness because of anaemia from a low red blood cell count. increased risk of infections because of a low white cell count.

cancerresearchuk.org - Symptoms | Hodgkin lymphoma - Cancer Research UK

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Symptoms

The most common symptom of Hodgkin lymphoma is a painless swelling in a lymph node. This can be in an area of the body such as the neck, armpit or groin. Lymph nodes commonly swell if we have an infection but they usually go back to normal over a short time. With lymphoma, the lymph nodes often grow slowly and may be there for months or years before they're noticed. But sometimes they grow very quickly. Usually, the swollen nodes don't hurt. But some people say their lumps ache or are painful. And for some they are painful after drinking alcohol.

Other general symptoms

You might have other symptoms such as:

heavy sweating, especially at night

high temperatures that come and go with no obvious cause, often overnight

losing a lot of weight over a short period of time, despite eating well

itching, which may be worse after drinking alcohol

cough or shortness of breath

tummy (abdominal) pain or vomiting after drinking alcohol

Hodgkin lymphoma in the bone marrow

Some people have Hodgkin lymphoma in their bone marrow when they're diagnosed. If you have this, it can cause the following symptoms: shortness of breath and tiredness because of anaemia from a low red blood cell count

increased risk of infections because of a low white cell count

bleeding problems such as nosebleeds, very heavy periods, or a rash of tiny blood spots under the skin because of a low platelet count

Other possible symptoms

Other symptoms will depend on where in your body the Hodgkin lymphoma is. Swollen lymph nodes can:

press on nerves and cause pain

cause swelling in arms or legs by blocking the flow of lymphatic fluid around the body cause yellowing of the skin and eyes (jaundice) by blocking the flow of bile from the liver None of these are common symptoms, but they can happen. You may also have small lumps (nodules) on your skin, usually near the swollen lymph nodes.

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What happens if lymphoma goes undiagnosed?

If left untreated, the disease will lead to death. If you decline life-saving treatment, you can choose to get support from palliative care (a medical team that manages your symptoms and pain).

familydoctor.org - Non-Hodgkin Lymphoma - Symptoms - Neck Swelling - FamilyDoctor.org

How is non-Hodgkin lymphoma diagnosed?

Your doctor will do a physical exam. He or she will look and feel for lumps in your neck, under your arm, and around your groin. He or she will ask you about your medical history and assess your risk. Your doctor will likely order a blood test. This involves inserting a small needle into the vein in your arm and withdrawing a small sample of blood. He or she will send the blood to a lab. The lab will look at your white blood cell count. If your doctor finds a lump, your doctor may order an imaging test (similar to an X-ray). This might include an MRI (magnetic resonance imaging), CT (computed tomography) scan, or PET (positron emission tomography) scan. An ultrasound might be used to see inside your body. This test uses a wand to move around the area in question. It creates pictures from sound waves as it moves across your body. To diagnose (or rule out) lymphoma, your doctor may order a biopsy. This involves inserting a needle into the lump to sample a small amount of tissue. Your doctor may give you medicine to make you sleep during the procedure. If the biopsy is minor, you may be given medicine to relax you during the procedure. All of these tests give your doctor information about the type, stage, and severity of the disease.

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