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What Causes Swollen Lymph Nodes In Neck With Sore Throat And Fatigue?

Posted on Wed, 18 Mar 2015

Question: have had swollen lymph nodes in my neck a sore throat fatigue and feel dizzy if I exert myself am on antibiotics 5 days now no change have had symptons for 7 weeks

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Investigations as symptoms are for 7 weeks...

Detailed Answer:
Hi.
Thanks for your query.
Read the history and understood the problems.

To recapitulate: Male /63 - symptoms for 7 weeks - (quite a long time) - Swollen lymph nodes in the neck - sore throat - ''fatigue'' - feel dizzy on exertion - on antibiotics for 5 days - no change.

7 weeks is a long to have symptoms.
I would advise the following in such a situation:
Investigations:
Blood- CBC, Sugar
Urine and stool as a routine.
Ultrasonography of the neck and guided FNAC (Fine Needle Aspiration Cytology)

This may give a probable diagnosis, which is the most important part.
Please continue the medical management as must have been advised by your Doctor. Also ask for check up of the throat as you have sore throat also.

I hope this answer helps you to get an early diagnosis and proper treatment.
Please feel free to ask for more relevant questions or if you eel that there is a gap-of-communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (34 minutes later)

just had my test come back not related to this problem just routine I was out of range on wbc 3.4 giga/l and neutrophils 1.7 other than that my occult blood from stool is normal range36 ng/ml and my urinalysis is normal and in range all other parts of hematology are within range also my differential my general chemistry is all normal my throid function is 3.5 mu/l in range.could I possibly just have virus that is just hanging around as I am able to go to work,but cannot train in the gymn also with 5 days left on antibiotics could they still work if it is an infection.If I do not feel better after my antibiotics are finished I will go to my doctor and see what I can do from here

Answered by Dr. T Chandrakant (28 minutes later)

Brief Answer:
Antibiotic can help if it is an infection - consult your Doctor please

Detailed Answer:
Thanks for your feedback.
Noted the reports you have provided. Yes, this can be a virus if it is hanging around. It might have probably not helped by antibiotic due to this reason.
You are able to go to work but can not train in the Gym.
The antibiotics may not help after 5 days of course. May be you have to have changed antibiotic and anti-inflammatory medicine like ibuprofen.

But it is difficult to believe that virus can make you suffer for so long.

Reduced WBC count and Neutrophils can be due to a viral infection as well as due to Enteric infection. Rest of the reports are normal. It is better to get this

This is a good decision to visit the Doctor and get the remaining investigations and clinical judgment if there is no relief within 5 days.

I hope this answer helps you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (28 minutes later)

thankyou for your time as I was saying it comes and goes also my lymph glands seem to go uo and down seem to be down first thing in the morning,i forgot to say that it started with swollen glands for the first 3 or 4 weeks than I was really sick but no fever just weakness and nausea than I got better except for the glands I work in a warehouse with heavy lifting so if I was really sick I could not do it,i also find that I am very tired at night sleep off and on for 9 or 10 hrs a day.I am only saying all this in case it might be helpful I am going to take your advise and see my doctor who really takes care of me.also I wonder if my medications could have something to do with it I take Plavix and crestor, buporion 100mg of testosterone an aspirin and coverseyl plus which is a high blood pressure pill

Answered by Dr. T Chandrakant (27 minutes later)

Brief Answer:
Thanks for feedback - needs investigations

Detailed Answer:
Thanks you so much for your nice feedback.
With the history of changing size of the nodes, feeling sick, weak and nauseated without any fever in the initial period, your nature of work, all are suggestive for a need to have proper clinical evaluation and investigations as suggested.
Read the list of medicines you have been taking - Plavix, Crestor, Buporion, testosterone, aspirin and Coverseyl plus, I do not think are related to the present problem under discussion.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (17 minutes later)

okay thanks for your time I have always looked at it as I am a member of a team me and my doctor I have responsibilities and he has responsibilities mine are to monitor and convey to him when I have persistant symptoms. take care
live long and prosper

Answered by Dr. T Chandrakant (6 minutes later)

Brief Answer:
Thanks for your appreciation

Detailed Answer:
Thanks for your appreciation, Sir.
Yes, this is very true, this has to be a Team work for better diagnosis and results.

Please go through all the investigations as your treating Doctor would advise.

You may please rate this answer before closing and you may contact in future on
http://bit.ly/askdrtchandrakant whenever you need my services, which I will be glad to fulfill.

Please take care, get an early diagnosis and let me know.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar