Low body temperature stomach pain

Signs and Symptoms of Acute Myeloid Leukemia (AML)

Acute myeloid leukemia (AML) can cause many different signs and symptoms. Some are more common with certain subtypes of AML.

General symptoms

People with AML often have several non-specific (general) symptoms. These can include:

  • Weight loss
  • Fatigue
  • Fever
  • Night sweats
  • Loss of appetite

These are not just symptoms of AML. More often they are caused by something other than leukemia.

Symptoms caused by low numbers of blood cells

Many signs and symptoms of AML are the result of a shortage of normal blood cells, which happens when the leukemia cells crowd out the normal blood-making cells in the bone marrow. As a result, people don’t have enough normal red blood cells, white blood cells, and blood platelets. These shortages show up on blood tests, and they can also cause symptoms.

Symptoms from low red blood cell counts (anemia)

Red blood cells carry oxygen to all of the cells in the body. A shortage of red blood cells can cause:

  • Tiredness (fatigue)
  • Weakness
  • Feeling cold
  • Feeling dizzy or lightheaded
  • Headaches
  • Pale skin
  • Shortness of breath

Symptoms from low white blood cell counts

Infections can occur because of a shortage of normal white blood cells (leukopenia), specifically a shortage of infection-fighting white blood cells called neutrophils (a condition called neutropenia). People with AML can get infections that don’t seem to go away or may get one infection after another. Fever often goes along with the infection.

Although people with AML can have high white blood cell counts due to excess numbers of leukemia cells, these cells don’t protect against infection the way normal white blood cells do.

Symptoms from low blood platelet counts

Platelets normally help stop bleeding. A shortage of blood platelets (called thrombocytopenia) can lead to:

  • Bruises (or small red or purple spots) on the skin
  • Excess bleeding
  • Frequent or severe nosebleeds
  • Bleeding gums
  • Heavy periods (menstrual bleeding) in women

Symptoms caused by high numbers of leukemia cells

The cancer cells in AML (called blasts) are bigger than normal white blood cells and have more trouble going through tiny blood vessels. If the blast count gets very high, these cells can clog up blood vessels and make it hard for normal red blood cells (and oxygen) to get to tissues. This is called leukostasis. Leukostasis is rare, but it is a medical emergency that needs to be treated right away. Some of the symptoms are like those seen with a stroke, and include:

  • Headache
  • Weakness in one side of the body
  • Slurred speech
  • Confusion
  • Sleepiness

When blood vessels in the lungs are affected, people can have shortness of breath. Blood vessels in the eye can be affected as well, leading to blurry vision or even loss of vision.

Bleeding and clotting problems

Patients with a certain type of AML called acute promyelocytic leukemia (APL) might have problems with bleeding and blood clotting. They might have a nosebleed that won’t stop, or a cut that won’t stop oozing. They might also have calf swelling from a blood clot called a deep vein thrombosis (DVT) or chest pain and shortness of breath from a blood clot in the lung (called a pulmonary embolism or PE).

Bone or joint pain

Some people with AML have bone pain or joint pain caused by the buildup of leukemia cells in these areas.

Swelling in the abdomen

Leukemia cells may build up in the liver and spleen, making them larger. This may be noticed as a fullness or swelling of the belly. The lower ribs usually cover these organs, but when they are enlarged the doctor can feel them.

Symptoms caused by leukemia spread

Spread to the skin

If leukemia cells spread to the skin, they can cause lumps or spots that may look like common rashes. A tumor-like collection of AML cells under the skin or other parts of the body is called a chloroma, granulocytic sarcoma, or myeloid sarcoma. Rarely, AML will first appear as a chloroma, with no leukemia cells in the bone marrow.

Spread to the gums

Certain types of AML may spread to the gums, causing swelling, pain, and bleeding.

Spread to other organs

Less often, leukemia cells can spread to other organs. Spread to the brain and spinal cord can cause symptoms such as:

  • Headaches
  • Weakness
  • Seizures
  • Vomiting
  • Trouble with balance
  • Facial numbness
  • Blurred vision

On rare occasions AML can spread to the eyes, testicles, kidneys, or other organs.

Enlarged lymph nodes

Rarely, AML can spread to lymph nodes (bean-sized collections of immune cells throughout the body), making them bigger. Affected nodes in the neck, groin, underarm areas, or above the collarbone may be felt as lumps under the skin.

Although any of the symptoms and signs above may be caused by AML, they can also be caused by other conditions. Still, if you have any of these problems, especially if they don’t go away or are getting worse, it’s important to see a doctor so the cause can be found and treated, if needed.

Causes of abdominal pain and chills

Here, we list some of the common causes of stomach pain and chills:

1. The common cold

Share on PinterestA bacterial or viral infection can cause stomach pain and chills.

Most adults can expect to have two or three colds every year, according to the Centers for Disease Control and Prevention (CDC). Children usually have more.

The common cold causes symptoms including:

  • body aches and pains
  • coughing
  • chills
  • fatigue
  • headache
  • nausea or stomach ache
  • a runny nose
  • sneezing
  • a sore throat

Symptoms typically improve after 7–10 days, though a cough can persist for 2 weeks or more.

Treatment involves home remedies such as resting, staying hydrated, and taking over-the-counter (OTC) medications.

2. Gastroenteritis

Gastroenteritis occurs when the stomach and intestines are inflamed due to a bacterial or viral infection.

Viral gastroenteritis, which some doctors call stomach flu, is the most common form. Other causes include reactions to food or medications.

In the United States, around 179 million cases of acute gastroenteritis each year, according to a study in the journal Emerging Infectious Diseases. This makes it one of the most common illnesses.

Signs and symptoms of gastroenteritis include:

  • diarrhea
  • headache
  • low-grade fever or chills
  • muscle aches
  • nausea
  • stomach cramps
  • vomiting

Symptoms can persist for up to a week. Some treatment options include resting, staying hydrated, eating soft foods, and taking OTC medications.

3. Salmonella infection

Infection with Salmonella bacteria is a common occurrence in the U.S. It causes 1.2 million illnesses annually, according to the CDC. People typically get the infection as a result of consuming contaminated food or water.

Symptoms usually begin within 12–72 hours of infection and may include:

  • diarrhea
  • fever or chills
  • headache
  • nausea
  • stomach cramps
  • vomiting

Treatment is typically unnecessary, and most people recover within a few days. During this time, self-care measures can reduce discomfort. People with severe symptoms may require medication or even hospitalization.

4. Urinary tract infection

A urinary tract infection (UTI) occurs when bacteria or other microbes infect the urinary tract. Females have a higher risk of developing UTIs than males do, with 40–60 percent of females experiencing one in their lifetime.

Symptoms may include:

  • an increase in urinary frequency
  • an increase in urinary urgency
  • burning pain when urinating
  • cloudy, strong-smelling, or pink urine
  • fever or chills
  • pain in the pelvis or back, which may radiate to the abdomen
  • passing small amounts of urine regularly

Most UTIs will require antibiotic treatment, but some home remedies can reduce discomfort until the infection clears up. Home remedies include drinking plenty of water, avoiding caffeine, and using a heating pad on the abdomen.

5. Kidney stones

Share on PinterestDrinking fluids can help small kidney stones pass through the urinary tract.

When minerals and salts build up in the kidneys, they can form hard deposits called kidney stones.

A 2018 review in the journal Advances in Urology suggests that 1 in 11 people in the U.S. develop kidney stones.

These hard deposits may not cause any symptoms until they change positions in the kidney or urinary tract.

Kidney stones can then result in:

  • changes in urinary habits and amount
  • cloudy, strong-smelling, or pink urine
  • fever and chills, in the case of an infection
  • nausea
  • pain in the abdomen, groin, sides, and back
  • painful urination
  • vomiting

Small kidney stones can pass through the urinary tract on their own. It is helpful to drink fluids and take pain relivers until the stone passes.

At other times, it is necessary to undergo surgery or another type of medical procedure to remove the stone.

6. Prostatitis

Prostatitis is inflammation of the prostate gland, which is just below the bladder in males.

Prostatitis has a prevalence rate of 8.2 percent and is “the most common urological diagnosis” in males aged 50 and under.

Bacterial prostatitis, which results from bacterial infection, causes:

  • difficulty urinating
  • flu-like symptoms, such as chills
  • cloudy or bloody urine
  • frequent urination
  • pain in the abdomen, lower back, genitals, or groin
  • painful urination and ejaculation

Treatment may include taking antibiotics and other medications. Using heating pads, making dietary changes, and making lifestyle changes may provide some symptom relief.

7. Mononucleosis

Infectious mononucleosis, or the kissing disease or mono, passes between people through saliva. Along with stomach pain and chills, symptoms include:

  • fatigue
  • fever
  • headache
  • a sore throat
  • skin rash
  • swollen lymph nodes in the neck and armpits
  • swollen tonsils

Symptoms usually do not appear until 4–6 weeks after infection and last for up to 2 months.

Treatment includes resting, staying hydrated, and taking OTC pain relievers. Some people may require medications for secondary infections.

8. Pneumonia

Pneumonia is a lung infection that causes inflammation of the air sacs. In the U.S., it is “a leading cause of hospitalization” in both adults and children.

Pneumonia symptoms, which range in severity, include:

  • chest pain
  • chills
  • coughing up phlegm
  • diarrhea
  • difficulty breathing
  • fatigue
  • fever
  • nausea
  • stomach pain
  • vomiting

Pneumonia can be life-threatening for older adults, children, and those who have a compromised immune system. People who have symptoms should always speak with a doctor.

Treatment includes taking medication, resting, and other home remedies. Some people may require hospitalization.

9. Gallbladder inflammation

Gallbladder inflammation, or cholecystitis, is swelling of the gallbladder, which is a pear-shaped organ in the abdomen.

Gallstones are the most common cause of gallbladder inflammation. According to a 2012 study in the journal Gut and Liver, around 10–15 percent of adults will develop gallstones. Other causes include tumors and infections.

Cholecystitis symptoms, which often get worse after eating large or fatty meals, include:

  • abdominal pain and tenderness, usually in the upper right or center
  • fever or chills
  • nausea
  • pain in the back or right shoulder

If left untreated, gallbladder inflammation can cause severe complications. Some treatment options include hospitalization, fasting, intravenous fluids, and taking pain relievers. Surgery may be necessary to remove the gallstones or the entire gallbladder.

10. Pelvic inflammatory disease

Pelvic inflammatory disease (PID) occurs when sexually transmitted bacteria, including chlamydia or gonorrhea, spread to the fallopian tubes, uterus, or ovaries.

Research from 2017, which appeared in Morbidity and Mortality Weekly Report, suggests that 4.4 percent of sexually experienced females of reproductive age have PID.

PID does not always cause symptoms. Sometimes, people only realize that they have the condition when they experience difficulty getting pregnant.

If symptoms do occur, they include:

  • bleeding between periods
  • bleeding during or after sex
  • chills
  • difficult or painful urination
  • fever
  • heavy and foul-smelling vaginal discharge
  • pain in the lower abdomen and pelvis

Doctors usually prescribe antibiotics to people with PID. Sexual partners also require treatment.

Without treatment, the infection can cause chronic pelvic pain, ectopic pregnancy, and infertility.

11. Appendicitis

Appendicitis is inflammation of the appendix, which is a piece of tissue attached to the large intestine.

Appendicitis affects 1 in 1,000 people in the U.S., usually those aged 10–30 years old.

The condition causes pain on the lower right-hand side of the abdomen. This tends to get worse over time and may occur alongside:

  • constipation
  • diarrhea
  • fever or chills
  • loss of appetite
  • nausea

Surgery is usually necessary to remove the appendix.

12. Diverticulitis

Diverticulitis occurs when diverticula, which are bulging pouches that form in the gut’s lining, develop an infection or inflammation.

According to the National Institute of Diabetes and Digestive and Kidney Diseases, these pouches may form in 35 percent of U.S. adults aged 50 and below, and in 58 percent of all people over the age of 60. However, most cases do not progress to diverticulitis.

Symptoms include:

  • constipation or diarrhea
  • fever or chills
  • nausea
  • stomach pain, which may be severe and persistent
  • vomiting

Mild cases typically clear up by taking antibiotics, resting, and making dietary changes. Severe cases may require surgical intervention.

Other causes

Stomach pain and chills may have other less common symptoms, including:

  • cystic fibrosis, a genetic disorder that causes organ damage
  • epididymitis, or inflammation of the epididymis, which is a coiled tube at the back of the testicles
  • heart attack, but only in rare cases
  • leukemia, a cancer of the blood and bone marrow
  • malaria, an infectious disease that mosquitoes carry
  • meningitis, or inflammation of membranes that cover the brain and spinal cord
  • pancreatitis, or inflammation of the pancreas
  • peritonitis, or inflammation of the peritoneum tissue in the abdomen
  • scarlet fever, a bacterial illness
  • shingles, a viral infection similar to chickenpox
  • tuberculosis, a bacterial infection of the lungs
  • Weil’s disease, a bacterial infection often transmitted by rodents
  • yellow fever, an infection that mosquitoes carry

Body Temperature

How It Is Done

Before you take a temperature, read the instructions for how to use your type of thermometer. Some common ways to take a temperature are described below.

How to take an oral temperature

Oral (by mouth) is the most common method of taking a temperature. For you to get an accurate reading, the person must be able to breathe through his or her nose. If this is not possible, use the rectum, ear, or armpit to take the temperature.

  1. Place the thermometer under the tongue, just to one side of the center. Ask the person to close his or her lips tightly around it.
  2. Leave the thermometer in place for the required amount of time. Time yourself with a clock or watch. Some digital thermometers give a series of short beeps when the reading is done.
  3. Remove the thermometer and read it.
  4. Clean a digital thermometer with cool, soapy water and rinse it off before you put it away.

How to take a rectal temperature

This is the most accurate way to measure body temperature. It is recommended for babies , small children, and people who can’t hold a thermometer safely in their mouths. It is also used when it is very important to get the most accurate reading.

  1. Apply a lubricant jelly or petroleum jelly, such as Vaseline, on the bulb of the thermometer. This will make it easy to insert.
  2. With a baby or small child, turn the child facedown on your lap or on a flat covered or padded surface, such as a bed. Choose a quiet place so that the child won’t be distracted or move around too much.
  3. Spread the child’s buttocks with one hand. With the other hand, gently insert the bulb end of the thermometer into the anus. Push it in about 0.5 in. (1.25 cm) to 1 in. (2.5 cm). Don’t force it into the rectum. Hold the thermometer in place with two fingers close to the anus (not near the end of the thermometer). Pressing the child’s buttocks together will help keep the thermometer in place.
  4. Leave the thermometer in place for the required amount of time. Time yourself with a watch or clock. Some digital thermometers give a series of short beeps when the reading is done.
  5. Remove the thermometer and read it.
  6. Clean a digital thermometer with cool, soapy water and rinse it off before you put it away.

Do not use a thermometer to take an oral temperature after it has been used to take a rectal temperature.

How to take an armpit (axillary) temperature

Taking a temperature in the armpit may not be as accurate as taking an oral or rectal temperature.

  1. Place the thermometer under the arm with the bulb in the center of the armpit.
  2. Press the arm against the body, and leave the thermometer in place for the required amount of time. Time yourself with a watch or clock.
  3. Remove the thermometer and read it. An armpit temperature reading may be as much as 1°F (0.6°C) lower than an oral temperature reading.
  4. Clean a digital thermometer with cool, soapy water and rinse it off before you put it away.

How to take an ear (tympanic) temperature

Ear thermometers may need to be cleaned before they are used.

  1. Check that the probe is clean and free of debris. If dirty, wipe it gently with a clean cloth. Do not put the thermometer underwater.
  2. To keep the probe clean, use a disposable probe cover. Use a new cover each time you take an ear temperature.
  3. Turn on the thermometer.
  4. For babies younger than 12 months, gently pull the earlobe down and back. For children older than 12 months and for adults, pull the earlobe up and back. This will help you place the probe in the ear canal.
  5. Center the probe tip in the ear, and push gently inward toward the eardrum. Do not force it in.
  6. Press the “on” button to display the temperature reading.
  7. Remove the thermometer, and throw away the used cover.

How to take a temporal artery temperature

  1. Remove the cap over the cup part of the thermometer, if it has a cap.
  2. Turn on the thermometer.
  3. Place the thermometer cup on the skin in the center of the forehead. Make sure nothing is between the thermometer cup and the skin.
  4. Press the button for making a measurement.
  5. Slide the thermometer across the forehead to one side (not up or down).
  6. Listen for a sound. Most of these thermometers make a beep or other sound when they are ready to read.
  7. Remove the thermometer from the forehead, and read the temperature.

How to take a forehead temperature

Forehead thermometers are not as accurate as electronic and ear thermometers. If your baby is younger than age 3 months or your child’s fever rises higher than 102°F (39°C), check the temperature again using a better method.

  1. Press the entire plastic strip firmly against a dry forehead.
  2. Hold the strip in place for the required amount of time. Time yourself with a watch or clock.
  3. Read the temperature before removing the thermometer.
  4. Clean the thermometer with cool soapy water and rinse it off before you put it away.

How to use a pacifier thermometer

Pacifier thermometers are not as accurate as electronic and ear thermometers. If your baby is younger than age 3 months or your child’s fever rises higher than 102°F (39°C), check the temperature again using a better method.

  1. Some pacifier thermometers can be used as regular pacifiers. Attach the temperature part if you need to.
  2. Let your child suck on the nipple for the required amount of time. Time yourself with a watch or clock.
  3. Remove the pacifier, and read the temperature.
  4. Clean the pacifier with cool, soapy water and rinse it off before you put it away.

What Is Peritonitis?

Peritonitis, a painful infection of the lining of your gut, requires immediate medical attention.

Peritonitis is a bacterial or fungal infection of the peritoneum, the thin, silk-like membrane that lines your inner abdominal wall.

The peritoneum protects the organs within your abdomen, such as your liver, stomach, and intestines.

Peritonitis results in pain, inflammation, and irritation, and requires immediate medical attention to treat the infection and any underlying condition that may have caused it.

Causes of Peritonitis

Peritonitis is caused by a collection of blood, body fluids, or pus in the abdomen. There are two types of peritonitis:

Spontaneous peritonitis is most often caused by an infection in fluid that collects inside the abdomen.

The fluid buildup tends to occur with advanced liver or kidney disease, and in people who are on peritoneal dialysis for kidney failure. It can also be due to inflammation, infection, or injury of the intestines.

Secondary peritonitis occurs due to another condition in the body, such as an infection that spreads from the digestive tract caused by a ruptured appendix, a stomach ulcer, diverticulitis, or a perforated colon, for instance.

Injuries like gunshot or knife wounds can also bring about the infection, as well as the use of dialysis catheters or feeding tubes.

Peritonitis caused by bacteria can also develop into sepsis, which is a very serious infection of the bloodstream.

Premature babies who have underdeveloped organs (necrotizing enterocolitis) may also be susceptible to secondary peritonitis.

Symptoms of Peritonitis

Signs and symptoms of peritonitis may include:

  • Abdominal pain or tenderness
  • Bloating or feeling full
  • Fever
  • Nausea and vomiting
  • Loss of appetite
  • Diarrhea
  • Inability to pass stool or gas
  • Low urine output
  • Thirst
  • Fatigue
  • Chills
  • Joint pain
  • Dizziness or weakness

People who receive peritoneal dialysis may experience the following symptoms:

  • Cloudy dialysis fluid
  • White flecks, strands, or clumps (fibrin) in the dialysis fluid

Premature babies with necrotizing enterocolitis may show the following signs and symptoms, which usually develop in the first two weeks:

  • Bloating or swelling in the abdomen
  • Not feeding well
  • Frequent vomiting, maybe greenish
  • Bloody stool, constipation, or diarrhea
  • A redness or abnormal color to the abdomen
  • Lack of energy
  • Fever
  • Low or unstable body temperature, slowed heart rate, or low blood pressure
  • Pauses in breathing (apnea)

Complications of Peritonitis

If left untreated, peritonitis can cause the following:

  • A bloodstream infection called bacteremia
  • Sepsis
  • Hepatic encephalopathy, the loss of brain function caused by the liver’s inability to remove toxins from the blood
  • Hepatorenal syndrome, which occurs when there’s progressive kidney failure in people with cirrhosis of the liver
  • Death

Diagnosis of Peritonitis

If you’re on peritoneal dialysis, your doctor may be able to diagnose peritonitis simply by your signs and symptoms, particularly if you are experiencing cloudy dialysis fluid.

If your doctor needs further confirmation or if the infection may be a result of other medical conditions, your doctor will most likely perform a physical exam of your abdomen to feel if it is unusually tender or firm.

Your healthcare provider may also conduct one or more of these tests:

Peritoneal fluid analysis is done by using a thin needle to take a sample of the fluid in your peritoneum. An elevated white blood cell count in the fluid may indicate an infection or inflammation, and a culture of the fluid may also indicate if bacteria are present.

Blood tests can also reveal if you have a high white blood cell count, and a blood culture can determine if there are bacteria in your blood.

Imaging tests, such as an X-ray, ultrasound, or computerized tomography (CT) scan can check for fluid, gas, masses, or abscesses in your abdomen. or other perforations in your gastrointestinal tract.

Treatments of Peritonitis

Once the cause of peritonitis is identified, treatment should begin immediately. If left untreated, peritonitis can lead to severe, life-threatening conditions.

Treatment may include antibiotics to help fight the infection and keep it from spreading.

Surgery may be used to remove infected tissue, treat the underlying cause of the infection, and prevent the infection from spreading.

Other treatments, such as pain medications, intravenous (IV) fluids, supplemental oxygen, and a blood transfusion may be used if you are hospitalized for peritonitis.

If you are on peritoneal dialysis, you may need to receive dialysis in another way until your body heals from the infection.

If peritonitis persists or recurs, you may need to permanently switch to a different form of dialysis.

Signs and Symptoms of Childhood Leukemia

Many of the symptoms of childhood leukemia can have other causes as well, and most often these symptoms are not caused by leukemia. Still, if your child has any of them, it’s important to have your child seen by a doctor so the cause can be found and treated, if needed.

Leukemia begins in the bone marrow, which is where new blood cells are made. The symptoms of leukemia are often caused by problems in the bone marrow. As leukemia cells build up in the marrow, they can crowd out the normal blood cells. As a result, a child may not have enough normal red blood cells, white blood cells, and blood platelets. These shortages show up on blood tests, but they can also cause symptoms. The leukemia cells might also invade other areas of the body, which can also cause symptoms.

Symptoms from low red blood cell counts (anemia): Red blood cells carry oxygen to all of the cells in the body. A shortage of red blood cells can cause symptoms such as:

  • Feeling tired (fatigue)
  • Feeling weak
  • Feeling cold
  • Feeling dizzy or lightheaded
  • Shortness of breath
  • Paler skin

Symptoms from a lack of normal white blood cells: White blood cells help the body fight off germs. Children with leukemia often have high white blood cell counts, but most of these are leukemia cells that don’t protect against infection, and there aren’t enough normal white blood cells. This can lead to:

  • Infections, which can occur because of a shortage of normal white blood cells. Children with leukemia can get infections that don’t seem to go away, or they may get one infection after another.
  • Fever, which is often the main sign of infection. But some children might have a fever without having an infection.

Symptoms from low blood platelet counts: Platelets in the blood normally help stop bleeding. A shortage of platelets can lead to:

  • Easy bruising and bleeding
  • Frequent or severe nosebleeds
  • Bleeding gums

Bone or joint pain: This pain is caused by the buildup of leukemia cells near the surface of the bone or inside the joint.

Swelling of the abdomen (belly): Leukemia cells can collect in the liver and spleen, making these organs bigger. This might be noticed as a fullness or swelling of the belly. The lower ribs usually cover these organs, but when they are enlarged the doctor can often feel them.

Loss of appetite and weight loss: If the spleen and/or liver get big enough, they can press against other organs like the stomach. This can make the child feel full after eating only a small amount of food, leading to a loss of appetite and weight loss over time.

Swollen lymph nodes: Some leukemias spread to lymph nodes, which are normally small (bean-sized) collections of immune cells in the body. Swollen nodes may be seen or felt as lumps under the skin in certain parts of the body (such as on the sides of the neck, in underarm areas, above the collarbone, or in the groin). Lymph nodes inside the chest or abdomen can also swell, but these can only be seen on imaging tests, such as CT or MRI scans.

In infants and children, lymph nodes often get bigger when they are fighting an infection. An enlarged lymph node in a child is much more often a sign of infection than leukemia, but it should be checked by a doctor and followed closely.

Coughing or trouble breathing: Some types of leukemia can affect structures in the middle of the chest, such as lymph nodes or the thymus (a small organ in front of the trachea, the breathing tube that leads to the lungs). An enlarged thymus or lymph nodes in the chest can press on the trachea, causing coughing or trouble breathing.

In some cases where the white blood cell count is very high, the leukemia cells can build up in the small blood vessels of the lungs, which can also cause trouble breathing.

Swelling of the face and arms: An enlarged thymus might press on the superior vena cava (SVC), which is a large vein that carries blood from the head and arms back to the heart. This can cause the blood to “back up” in the veins. This is known as SVC syndrome. It can result in swelling in the face, neck, arms, and upper chest (sometimes with a bluish-red skin color). Symptoms can also include headaches, dizziness, and a change in consciousness if it affects the brain. The SVC syndrome can be life-threatening, so it needs to be treated right away.

Headaches, seizures, vomiting: A small number of children have leukemia that has already spread to the brain and spinal cord when it is first found. This can lead to symptoms such as headaches, trouble concentrating, weakness, seizures, vomiting, problems with balance, and blurred vision.

Rashes or gum problems: In children with acute myeloid leukemia (AML), leukemia cells may spread to the gums, causing swelling, pain, and bleeding.

If AML spreads to the skin, it can cause small, dark spots that look like common rashes. A collection of AML cells under the skin or in other parts of the body is called a chloroma or granulocytic sarcoma.

Extreme fatigue and weakness: A rare but very serious consequence of AML is extreme tiredness, weakness, and slurring of speech. This can occur when very high numbers of leukemia cells thicken the blood and slow the circulation through small blood vessels of the brain.

Again, most of the symptoms above are more likely to be caused by something other than leukemia. Still, it’s important to have these symptoms checked by a doctor so the cause can be found and treated, if needed.

What to know about high white blood cell count

An increase in white blood cells is known as leukocytosis. It typically occurs in response to the following conditions:

  • infection
  • immunosuppression
  • medications, including corticosteroids
  • a bone marrow or immune disorder
  • certain cancers, such as acute or chronic lymphocytic leukemia
  • inflammation
  • injury
  • emotional stress
  • labor
  • pregnancy
  • smoking
  • allergic reactions
  • excessive exercise

Certain respiratory illnesses, such as a whooping cough or tuberculosis, may cause the levels of white blood cells to increase.

In some cases, all white blood cells are affected. However, some people have a specific disease in which only one type of white blood cell is affected.

If levels of one particular type of white blood cell increase, this may be due to a specific trigger.

  • Monocytes: High levels of monocytes may indicate the presence of chronic infection, an autoimmune or blood disorder, cancer, or other medical conditions.
  • Lymphocytes: If there is an elevation in the level of lymphocytes, the condition is known as lymphocytic leukocytosis. This may occur as a result of a virus or an infection, such as tuberculosis. It may also be linked to specific lymphomas and leukemias.
  • Neutrophils: Increased levels of neutrophils in their body lead to a physical state known as neutrophilic leukocytosis. This condition is a normal immune response to an event, such as infection, injury, inflammation, some medications, and certain types of leukemia.
  • Basophils: Rising levels of basophils may occur in people with a history of underactive thyroid disease, known as hypothyroidism, or as a result of certain other medical conditions.
  • Eosinophils: If a person registers high levels of eosinophils, the body might be reacting to a parasitic infection, allergen, or asthma.

There is, on occasion, no identifiable cause for the increase in white blood cells. This is known as idiopathic hypereosinophilic syndrome. It can lead to serious complications, such as damage to the heart, lung, liver, skin, and nervous system.

Those affected by idiopathic hypereosinophilic syndrome may experience symptoms such as:

  • weight loss
  • fevers
  • night sweats
  • fatigue
  • coughing
  • chest pain
  • swelling
  • stomach ache
  • skin rash
  • pain
  • weakness
  • confusion
  • coma

high white blood cell count and yet unexplainable abdominal pain…

there are other tests they can do before they do surgery, which i would consider to be last resort.
Exams and tests
While the history and physical examination are vitally important in determining the cause of abdominal pain, testing often is necessary to determine the cause.
Laboratory tests. Laboratory tests such as the complete blood count (CBC), liver enzymes, pancreatic enzymes (amylase and lipase), and urinalysis are frequently performed in the evaluation of abdominal pain.
An elevated white count suggests inflammation or infection (as with appendicitis, pancreatitis, diverticulitis, or colitis).
Amylase and lipase (enzymes produced by the pancreas) commonly are elevated in pancreatitis.
Liver enzymes may be elevated with gallstone attacks.
Blood in the urine suggests kidney stones.
When there is diarrhea, white blood cells in the stool suggest intestinal inflammation.
Plain X-rays of the abdomen. Plain X-rays of the abdomen also are referred to as a KUB (because they include the kidney, ureter, and bladder). The KUB may show enlarged loops of intestines filled with copious amounts of fluid and air when there is intestinal obstruction. Patients with a perforated ulcer may have air escape from the stomach into the abdominal cavity. The escaped air often can be seen on a KUB on the underside of the diaphragm. Sometimes a KUB may reveal a calcified kidney stone that has passed into the ureter and resulted in referred abdominal pain or calcifications in the pancreas that suggests chronic pancreatitis.
Radiographic studies.
Abdominal ultrasound is useful in diagnosing gallstones, cholecystitis appendicitis, or ruptured ovarian cysts as the cause of the pain.
Computerized tomography (CT) of the abdomen is useful in diagnosing pancreatitis, pancreatic cancer, appendicitis, and diverticulitis, as well as in diagnosing abscesses in the abdomen. Special CT scans of the abdominal blood vessels can detect diseases of the arteries that block the flow of blood to the abdominal organs.
Magnetic resonance imaging (MRI) is useful in diagnosing many of the same conditions as CT tomography.
Barium X-rays of the stomach and the intestines (upper gastrointestinal series or UGI with a small bowel follow-through) can be helpful in diagnosing ulcers, inflammation, and blockage in the intestines.
Computerized tomography (CT) of the small intestine can be helpful in diagnosing diseases in the small bowel such as Crohn’s disease.
Capsule enteroscopy, a small camera the size of a pill swallowed by the patient, can take pictures of the entire small bowel and transmit the pictures onto a portable receiver. The small bowel images can be downloaded from the receiver onto a computer to be inspected by a doctor later. Capsule enteroscopy can be helpful in diagnosing Crohn’s disease, small bowel tumors, and bleeding lesions not seen on x-rays or CT scans.
Endoscopic procedures.
Esophagogastroduodenoscopy or EGD is useful for detecting ulcers, gastritis (inflammation of the stomach), or stomach cancer.
Colonoscopy or flexible sigmoidoscopy is useful for diagnosing infectious colitis, ulcerative colitis, or colon cancer.
Endoscopic ultrasound (EUS) is useful for diagnosing pancreatic cancer or gallstones if the standard ultrasound or CT or MRI scans fail to detect them.
Balloon enteroscopy, the newest technique allows endoscopes to be passed through the mouth or anus and into the small intestine where small intestinal causes of abdominal pain or bleeding can be diagnosed, biopsied, and treated.
Surgery. Sometimes, diagnosis requires examination of the abdominal cavity either by laparoscopy or surgery.

NOTICE: the last option on the list is surgery. There are more advanced/modern and safe ways to view the abdomen without having to cut.

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