Conversation: The conversation between human and AI assistant.
[|Human|] I started having dull radiating pain in the abdomen 8 weeks ago. Had Abdominal/pelvic CT w/contrast and came back with lymphadenopathy and enlarged liver. Doctor suspected lymphoma. Went to onc and he ordered a needle biopsy and it came back negative so he sent me to my gastro doctor and they did exploratory laparoscopy. He saw me this week and it came back negative also. All panels/labs are normal and so are the blood tests for tumor markers. He said he cant figure it out and I still have a little bit of the dull pains in my back and axillary area. Axilla dull pain just started along with headaches. Any suggestions?
[|AI|]  Hi. Thanks for your query. Great understanding of the problem, thanks for putting up chronologically. With all the investigation coming normal, we can take this as a case of non-specific lymphadenopathy. The most probable cause for this reactive hyperplasia or infection of the lymphatic system. This can occur with no known cause and a blood culture and sensitivity may be in a position to give the direction. This can be a part of bacteremia or septicemia. A course of broad spectrum antibiotic and anti-inflammatory medicines may cure this. Request the Doctor for a 3-week course. If there is no response, request him (the Doctor) to go for a conventional excision lymph node biopsy. Pains in the back, maxilla and head can be explained by the bacteremia.