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What Causes Upper Left Abdominal Pain While On Amoxicillin?
Question: Recently had strep infection treated with Amoxicillin; a few weeks later had filling repaired and began having palpitations, near syncope, left upper abdominal pain (US ruled out desending aortic aneurysm, doctor said pain was over stomach). In the last few days have had weakness, fatigue, tachycardia (100-118) and elevated BP (130/90), normally 118/80 ish. Went to ED, I have elevated Auto WBC (14.68 k/mcl), elevated MPV (11.2FL), elevated Neutrophil relative percent (87%), low Lymphocytes relative percent (8%), High Absolute Neutrophil Count (12.79 K/mcl), High immature Granulocytes (0.06 K/mcl). All other values of CBC with diff normal. High albumin (5.2g/dl), high total protein (8.4g/dl) in Hepatic Function panel. BMP showed high Glucose (114mg/dl) and Low Creatine (0.62 mg/dl). Lipid panel, TSH, 2 view chest X-ray urinalysis, 12 lead ECG, Lipase fine. HCG negative. Currently wearing Holter monitor for 48 Hrs. Suspect I have Bacterial vaginosis for a week or two and have developed runny nose with scratchy throat, mild GI upset, temp of 100.0 yesterday (Family members do also). I am 33 yr old female and have history of migraine,PCOS, Eczema, and psoriasis. I often get dehydrated and have taken IMITREX, IB profen, Tylenol regularly for years for the migraines. Last pregnancy was 22 months ago weight loss has been gradual but last 6-10 lbs came off during last few weeks; currently at 124. My children were ill during this time, under a lot of stress and haven't been eating well. What do you suspect and what should I do to get to the bottom of this?
Brief Answer:
sounds like a common respiratory tract infection
Detailed Answer:
Hello,
the symptoms of runny nose, scratchy throat, fever are usually caused by common respiratory tract infections like influenza or others. The tests are consistent with an infection. The high granulocyte count (both mature and immature) raise some concerns for bacterial infection. The negative urinalysis, negative X-ray, the spread in your family members and common respiratory tract symptoms are reassuring and usually indicate a viral pathogen (which also means that with the exception of influenza, no specific treatment is available).
I don't see any connection to the other events you've mentioned (the strep throat, etc).
If you get serious headache that looks different from your migraines then this infection could be evolving into sinusitis. In such a case, visit the doctors again would be recommended.
I hope this answers your question. Please use your follow-up questions if you need more details.
Kind Regards!
Brief Answer:
I don't see why
Detailed Answer:
I didn't even think about blood malignancies because there are no such clues. The CBC indicates infection. The immature forms are common during the course of bacterial infections but some viral infections like influnza may also induce them. The same applies for the high white blood cells count.
The only reason to explain the high albumin (your globulins are 3.2 which is OK) is dehydration. A high globulin value would have been suspicious... To get the globulins value you should subtract the albumin from total proteins. The rest of your liver function tests are fine.
Kind Regards!
sounds like a common respiratory tract infection
Detailed Answer:
Hello,
the symptoms of runny nose, scratchy throat, fever are usually caused by common respiratory tract infections like influenza or others. The tests are consistent with an infection. The high granulocyte count (both mature and immature) raise some concerns for bacterial infection. The negative urinalysis, negative X-ray, the spread in your family members and common respiratory tract symptoms are reassuring and usually indicate a viral pathogen (which also means that with the exception of influenza, no specific treatment is available).
I don't see any connection to the other events you've mentioned (the strep throat, etc).
If you get serious headache that looks different from your migraines then this infection could be evolving into sinusitis. In such a case, visit the doctors again would be recommended.
I hope this answers your question. Please use your follow-up questions if you need more details.
Kind Regards!
Brief Answer:
I don't see why
Detailed Answer:
I didn't even think about blood malignancies because there are no such clues. The CBC indicates infection. The immature forms are common during the course of bacterial infections but some viral infections like influnza may also induce them. The same applies for the high white blood cells count.
The only reason to explain the high albumin (your globulins are 3.2 which is OK) is dehydration. A high globulin value would have been suspicious... To get the globulins value you should subtract the albumin from total proteins. The rest of your liver function tests are fine.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Do you suspect Blood cancer d/t CBC BMP and Hepatic function test? There were concerns of blood cancer at the hospital.What would cause a high MPV with a normal Platelet Count?
Brief Answer:
not important, please read about the causes below
Detailed Answer:
This marker is rarely important with normal platelet counts. It may indicate artifacts (false reading that is), thyroid disorders, increased production of platelets (caused by increased consumption of platelets or bone marrow disorders including neoplastic ones), formation of platelet clumps (aggregations of platelets that form larger particles), etc. Infections may also cause such a reading.
Since you're concerned about neoplastic disorders of the bone marrow ("blood cancer"), a normal platelet count is against them.
Kind regards!
not important, please read about the causes below
Detailed Answer:
This marker is rarely important with normal platelet counts. It may indicate artifacts (false reading that is), thyroid disorders, increased production of platelets (caused by increased consumption of platelets or bone marrow disorders including neoplastic ones), formation of platelet clumps (aggregations of platelets that form larger particles), etc. Infections may also cause such a reading.
Since you're concerned about neoplastic disorders of the bone marrow ("blood cancer"), a normal platelet count is against them.
Kind regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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