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What Do These CBC, Chest X-ray And FNAC Report Indicate?
Question: Hi,
my wife has neck lymph node, first it was one, when we show to one doctor on 9th march , he prescribed some atibioteic, but on 10th she was getting body pain, so we went to another doctor on 11th and show to one ENT specialist and he did nasal endoscopy and he prescribed the below medicine (zecof,enzioflam,Pand and clonex), but she was getting full stomach pain on 12th night and 13th full day, so stopped medicine on 12th night, after that she got mouth ulcers , so I started with Bcopmlex and pracetamol 650mg tablet for 2 days and on 16th again I went to see doctors and he ask to do some testing CBC,montaux test an chest x ray. an they ask for go for FNAC. I am attaching all the prescription here and report here, please suggest, if nothing goes wrong. Now some time she is having body pain and sometime slight headache, doctors prescription they are writing as cervical lymph..
Thanks,
XXXXX
my wife has neck lymph node, first it was one, when we show to one doctor on 9th march , he prescribed some atibioteic, but on 10th she was getting body pain, so we went to another doctor on 11th and show to one ENT specialist and he did nasal endoscopy and he prescribed the below medicine (zecof,enzioflam,Pand and clonex), but she was getting full stomach pain on 12th night and 13th full day, so stopped medicine on 12th night, after that she got mouth ulcers , so I started with Bcopmlex and pracetamol 650mg tablet for 2 days and on 16th again I went to see doctors and he ask to do some testing CBC,montaux test an chest x ray. an they ask for go for FNAC. I am attaching all the prescription here and report here, please suggest, if nothing goes wrong. Now some time she is having body pain and sometime slight headache, doctors prescription they are writing as cervical lymph..
Thanks,
XXXXX
Brief Answer:
Go for FNAC if size of the lymph node increases
Detailed Answer:
Hi Sir,
I have gone through your question, reports of your wife and understand your worry and concern and it suggest that all the reports are within normal limit except the ESR.
I would like to suggest that your wife may go for FNAC of the cervical swelling if the size and or number of the cervical lymph node increasing.
I would like to reassure you that there is no need to worry if the size of lymph node is decreasing.
However, for better and sooner diagnosis, I would like to suggest that consult with your ENT specialist for oropharyngeal examination.
Regards
DR Hariom Sharma MS, XXXXXXX
Go for FNAC if size of the lymph node increases
Detailed Answer:
Hi Sir,
I have gone through your question, reports of your wife and understand your worry and concern and it suggest that all the reports are within normal limit except the ESR.
I would like to suggest that your wife may go for FNAC of the cervical swelling if the size and or number of the cervical lymph node increasing.
I would like to reassure you that there is no need to worry if the size of lymph node is decreasing.
However, for better and sooner diagnosis, I would like to suggest that consult with your ENT specialist for oropharyngeal examination.
Regards
DR Hariom Sharma MS, XXXXXXX
Above answer was peer-reviewed by :
Dr. Sonia Raina
Hi Dr. XXXXXXX
lymph nodes are now not increasing or enlarging, also the pain is not there much. I am planning to go for FNAC Monday, the only concern now I have is she sometime will be ok and sometime getting tiredness or leg pen on muscle below knee but these are not constant. any food item like green leafy vegetables, you suggest which can have some improvement on her situation.
Thanks,
XXXX
lymph nodes are now not increasing or enlarging, also the pain is not there much. I am planning to go for FNAC Monday, the only concern now I have is she sometime will be ok and sometime getting tiredness or leg pen on muscle below knee but these are not constant. any food item like green leafy vegetables, you suggest which can have some improvement on her situation.
Thanks,
XXXX
Brief Answer:
Take pomegranates and blueberries
Detailed Answer:
Hi Sir,
I have gone through your follow up question and your plan is good.
I would like to suggest that your wife may take pomegranates and blueberries in her diet every day.
No need to worry, wish her good health.
Regards
DR Hariom Sharma MS, XXXXXXX
Take pomegranates and blueberries
Detailed Answer:
Hi Sir,
I have gone through your follow up question and your plan is good.
I would like to suggest that your wife may take pomegranates and blueberries in her diet every day.
No need to worry, wish her good health.
Regards
DR Hariom Sharma MS, XXXXXXX
Above answer was peer-reviewed by :
Dr. Sonia Raina
Hi, I have provided some attachments. Please review them.
Brief Answer:
Send me either clear picture or video
Detailed Answer:
Hi Sir,
I have gone through your attachments and I would like to suggest that please sir send me either clear picture or video attachment (link) to review them.
It is difficult to me to comments correctly because images are blurred.
Regards
DR Hariom Sharma MS, XXXXXXX
Send me either clear picture or video
Detailed Answer:
Hi Sir,
I have gone through your attachments and I would like to suggest that please sir send me either clear picture or video attachment (link) to review them.
It is difficult to me to comments correctly because images are blurred.
Regards
DR Hariom Sharma MS, XXXXXXX
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi Dr. XXXXXXX
I have attached few reports, today FNAC wasn't done, it is scheduled for tomorrow.
attached is the ultra sound report of today and the first nasal endoscopy which was done on 10th. yesterday I visited one ENT specialist, and she gave below medicine, which i stared from today lunch and stopped old one. the new one are entrogermina, nupatch and hifinac. so gave around 2 Pm entrogermina and in morning nupatch appplied, but hufinac I haven't given yet, as prescribed as morning and night. Please suggest, if I can give hifinca, if she is suffering more pain now and then in night also. Also please suggest, some time she is having fever, is it ok if I give calpol along with these medicine, whenever he has fever.
Thanks,
XXXX
I have attached few reports, today FNAC wasn't done, it is scheduled for tomorrow.
attached is the ultra sound report of today and the first nasal endoscopy which was done on 10th. yesterday I visited one ENT specialist, and she gave below medicine, which i stared from today lunch and stopped old one. the new one are entrogermina, nupatch and hifinac. so gave around 2 Pm entrogermina and in morning nupatch appplied, but hufinac I haven't given yet, as prescribed as morning and night. Please suggest, if I can give hifinca, if she is suffering more pain now and then in night also. Also please suggest, some time she is having fever, is it ok if I give calpol along with these medicine, whenever he has fever.
Thanks,
XXXX
Brief Answer:
It suggest that tubercular lymphadenitis
Detailed Answer:
Hi Sir,
I have gone through your attached reports, and they suggest that most probably your wife may be suffering from the tubercular lymphadenitis but confirmation may be due to the FNAC report or if she needed may go for the biopsy.
No need to start Tablet hifinac , better to wait for the FNAC report.
Regards
Dr Hariom Sharma MS, XXXXXXX
It suggest that tubercular lymphadenitis
Detailed Answer:
Hi Sir,
I have gone through your attached reports, and they suggest that most probably your wife may be suffering from the tubercular lymphadenitis but confirmation may be due to the FNAC report or if she needed may go for the biopsy.
No need to start Tablet hifinac , better to wait for the FNAC report.
Regards
Dr Hariom Sharma MS, XXXXXXX
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi Dr. XXXXXXX
FNAC is done and below is the examination report
Gross:received five alcohol fixed and two air dried unstained prepared smears.
Examination: smears are fairly cellular, show polymorphous populations of lymphoid cells with occasional tingible body macropahges. No Granuloma seen, No malignancy seen.
Diagn0sis : reactive hyperplasia
After this report the doctor suggested with the below medicine, Please suggest its ok, Now the nodes are not paining much when she press slight hard then it pains and also only few (two or three) are there, one is slight large, but that also reduced slightly, and it seems not its getting slight hard in touch then before. Medicine which are prescribed are below:
Hifenac, entrogermina,refzil 0, revier 20, bravitim, waiting for your reply
FNAC is done and below is the examination report
Gross:received five alcohol fixed and two air dried unstained prepared smears.
Examination: smears are fairly cellular, show polymorphous populations of lymphoid cells with occasional tingible body macropahges. No Granuloma seen, No malignancy seen.
Diagn0sis : reactive hyperplasia
After this report the doctor suggested with the below medicine, Please suggest its ok, Now the nodes are not paining much when she press slight hard then it pains and also only few (two or three) are there, one is slight large, but that also reduced slightly, and it seems not its getting slight hard in touch then before. Medicine which are prescribed are below:
Hifenac, entrogermina,refzil 0, revier 20, bravitim, waiting for your reply
Brief Answer:
Your wife`s treatment now is going in the right direction.
Detailed Answer:
Hi Sir,
I have gone through your follow up question. I would like to assure that your wife is not suffering from the cancer and tuberculosis. It is not a serious issue; her treatment now is going in the right direction.
It is essential that she follow the advice of her treating doctor and continue the medications till the infection is completely cleared.
Regards
Dr Hariom Sharma MS, XXXXXXX
Your wife`s treatment now is going in the right direction.
Detailed Answer:
Hi Sir,
I have gone through your follow up question. I would like to assure that your wife is not suffering from the cancer and tuberculosis. It is not a serious issue; her treatment now is going in the right direction.
It is essential that she follow the advice of her treating doctor and continue the medications till the infection is completely cleared.
Regards
Dr Hariom Sharma MS, XXXXXXX
Above answer was peer-reviewed by :
Dr. Sonia Raina
Hi Dr. XXXXXXX ,
She is taking prescribed medicine, and this is fourth day, she has now mouth ulcers may be due to the antibiotic power. Please let us know if can continue with medicine or should we take another medicine to get her relief from mouth ulcer.
Just wanted to share with you, that swelling in the neck has come down but its visible that slight swelling is there. but node is still there, which we can feel by touching.
Please suggest.
Thanks,
XXXXX
She is taking prescribed medicine, and this is fourth day, she has now mouth ulcers may be due to the antibiotic power. Please let us know if can continue with medicine or should we take another medicine to get her relief from mouth ulcer.
Just wanted to share with you, that swelling in the neck has come down but its visible that slight swelling is there. but node is still there, which we can feel by touching.
Please suggest.
Thanks,
XXXXX
Brief Answer:
Continue the same medicine with increase dose of enterogermina
Detailed Answer:
Hi Sir,
I have gone through your follow up question; and I would like to suggest that continue the same medicine with increase dose of enterogermina and local anti-ulcer gel after consulting with your treating ENT doctor.
No need to worry.
Regards
Dr Hariom Sharma MS, XXXXXXX
Continue the same medicine with increase dose of enterogermina
Detailed Answer:
Hi Sir,
I have gone through your follow up question; and I would like to suggest that continue the same medicine with increase dose of enterogermina and local anti-ulcer gel after consulting with your treating ENT doctor.
No need to worry.
Regards
Dr Hariom Sharma MS, XXXXXXX
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Sonia Raina
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