Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr. Henry.first i want to apologize in advance for the questions Im about to ask merely because i see how often you must get asked about problems pertaining to lymph nodes. i really am at a dead end though and feel helpless about it. i want to know whats going on with me :(diagnosed march 2010 though Im sure i got well before that. been on haart (atripla) since April. numbers have been perfect since. high cd4 800-1000 range. and UD viral load. had some issues with my lymph nodes that required biopsy of 2 of them on separate occasions. all benign.  since march 2011 started having intestinal complications, constant constant diarrhea blood in about 6+ bowel movements a week very thick white blobs of mucous in my stool. attached to the stool as well as being passed by its self. mucous was thick compared to the diarrhea. stool sample turned up blood in my stool and confirmed mucous but nothing else no disease or parasites or what not.  ALL OF MY LYMPH NODES literally every single one you could think to feel you can feel. are not only large but 90% of them all are solid. rock hard. not like they used to be... (large but still squishy.) most alarming for me are the ones in my  left groin. though last yr i had the ones on my right groin biopsied. my biggest concern with these are i not only feel the node its self but the entire lymphatic structure in my groin to be enlarged and very solid. i feel the stem system of one leading to the other. and they have only grown larger never do they shrink..ever. i read that most people vary depending on how their body responds to it, but should mine still be responding like this? i know it sounds as though Ive begun obsessing over my lymph nodes but i assure you believe it or not i really dont. for the most part i pay no mind to them at all except for public/social situations they come to mind only because they are quite visible on my neck when having a conversation with me. lately Ive been experiencing a random burning sensation at different times throughout the course of a day which feels like someone placing the head of a match on my skin. tolerable in pain but a very awkward sensation i can only describe as a burning.  could the colon problem and the lymph nodes be related? should my nodes have gone down? should haart have made any difference by now? what could be going on with my butt :( lol ? is this common? should i really go for another biopsy again? am i just one of the unfortunate who will always suffer from enlarged lymph nodes even ones obvious to other people looking at me? my numbers are fine what else can i do to not look sick? sorry for all the questions my infectious disease doctor is awful with answers.  they attempted to do a colonoscopy but my insurance denied the first request, its been resubmitted... what could the mucous be i havent had sex in ages... dont know how i ever could :(please.. give me your answers... i need them. im going nuts. thanks in advance,S-
[|AI|]  Thanks for asking at Chat Doctor. I read your question and I understand your concern. Enlarged lymph nodes, hard in consistency has two possibilities 1.lymphoma as non Hodgkin lymphoma is common in your case which has very slow growth2. Immunological reaction to ART. It will be differentiated by biopsy. Mucous in stool means infection as in your case cryptosporidiasis is common that May be the culprit. Just check your CD4 count and liaise with your doctor. Take Nitazoxanide 500 mg Two times a Day for three days.  Chat Doctor.