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Suggest Treatment For Severe Fatigue,muscle Pain And Swollen Lymphnode
Question: I just turned 35. Female. 5 months ago had severe fatigue and muscle pain and one small swollen lymphnode on ride mid lateral neck. Thought I had mono though no fever, sore throat, cough or other cold like symptoms. All blood test normal. Negative ct of chest, abd, and neck at that time. I now have one more on right side and 3 on left side of neck. Small grape size or a little smaller, bigger than a pea. Palpable but not visualized by the naked eye. On the left side they are on mid lateral, above collar bone and lower back of neck. No infectious reason. Taken numerous antibiotics. No worsening of growth but not smaller. Rubbery feeling not hard and fixed like I was told cancerous nodes are. No weight loss though I can't gain weight which for me is great as I usually gain weight quickly. Headaches, fatigue yes. Had bone and joint pain but discovered one month ago my vitamin D level was critically low. Had all other test a month ago including all hormones and everything else normal. Can Low Vit D cause this or should I start being checked for auto immune? I have 3 kids and work long shifts as an ER ARNP so of course I'm fatigued. It's just a little worse than it's ever been despite rest. Everyone just tells me it's part of being a working mom. Would love to know your thoughts/recommendations?
Brief Answer:
Possible viral infection or infected salivary gland...
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
You are saying to have swollen lymphnodes:
- 1 small on right side
- 3 on left side of the neck
and you are also not reporting to have fever, cough, sore throat or cold like symptoms.
At this point, I'd ask if you have any tooth gone bad?
2. Apart bad teeth, another possibility could be infected/inflammed salivary glands at the bottom of the mouth that you feel like a lymph node.
3. As your job requires being in contact with many patients with various diseases, that would increases chances to get frequent viral infections although you do not feel sore throat. Look for any possible ulcer or any cold sores inside your mouth.
4. Low levels of vit. D is a cause for being fatigue most probably to being busy with your work and children. It will also be a cause of weaken immune system, thus, making you more susceptible to viral infections.
5. To my opinion, they are sign of viral infection. Antibiotics won't help as they won't fight virus only bacteria.
All the best!
Dr.Albana
Possible viral infection or infected salivary gland...
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
You are saying to have swollen lymphnodes:
- 1 small on right side
- 3 on left side of the neck
and you are also not reporting to have fever, cough, sore throat or cold like symptoms.
At this point, I'd ask if you have any tooth gone bad?
2. Apart bad teeth, another possibility could be infected/inflammed salivary glands at the bottom of the mouth that you feel like a lymph node.
3. As your job requires being in contact with many patients with various diseases, that would increases chances to get frequent viral infections although you do not feel sore throat. Look for any possible ulcer or any cold sores inside your mouth.
4. Low levels of vit. D is a cause for being fatigue most probably to being busy with your work and children. It will also be a cause of weaken immune system, thus, making you more susceptible to viral infections.
5. To my opinion, they are sign of viral infection. Antibiotics won't help as they won't fight virus only bacteria.
All the best!
Dr.Albana
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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