### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My wife had Non Hodgkins lymphoma 2 years ago and was treated with chemotherapy. She is now getting symptoms of severe cramping in the left lower leg , pains in the shoulder and is regularly woken up in the morning with headaches, and cramp. She has had a headache for 2 months now. We are concerned that the spleen has again enlarged (22cm last time) and that the lymphoma has come back again and/or spread. Our Dr just seems to sit and look, and suggested panadol, we are getting nowhere. Waht questions should we be asking our Dr. We are even going to try a new Dr .

### output:

Dear Metal, since your wife is already a case of treated non Hodgkin lymphoma. The symptoms you are stating may not necessarily be related to the disease. . The enlargement of spleen has many other causes and can be ruled out by simple ultrasonography. Headache, shoulder ache, leg cramps have many other causes like hypertension, anemia, nutritional deficiency essential nutrients and minerals like magnesium, calcium, It B1, B12and so on. Another imp. Factor may be stress related. These all need to be ruled out and patient reassured and I am sure these symptoms will wane off. With good nutritious diet and reassurance. There is a chance of recurrence of the disease for which you have to be under supervision of your physician. Since it is not known what stage of non Hodgkin lymphoma your wife had and what was the histological type of NHL, prognosis cannot be predicted. I am sure your wife will be well and there is no cause of panic. Truly,