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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sore Neck, Back, Throat Gland Bigger, Itchy Scalp, Occasional Spots, Tiredness. High White Blood Cells Diagnosed Previously. Advise?

hi last year i was told i had high white blood cells and since then no diagnosis .my neck gets sore alot and the gland in my throat seems biger on one side than the other now my back is sore between my shoulder blades and teh musels in my neck are constantly sore .i mentioned to the specialist could it be from bad teeth as they are heavily filled but more or less brushed it off.i know there is somethink wrong my scalp comes out in itcy spots sumtimes too.and constantly feel tired .
Mon, 20 May 2013
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ENT Specialist 's  Response
Hello

Thanks for consulting H.C.M.

I read your query regarding Itchy scalp, sore neck and back, neck lymph nodes are enlarged on both sides and you have pain on back between shoulder blades. Your white blood cell count is also high.

Your all symptoms are in favour of some infective pathology going on, as you said your scalp is itchy means it is infected and this may lead to cervical lymphadenitis. At the same time you are also telling that your teeth are also heavily filled, so I would like to tell you that this dental problem is also responsible for your enlarge glands in neck. Your white blood cells are quite high in count is indicative of infection, but if it is same for about one year than proper investigation is needed to establish the diagnosis.

You are advice to do these investigations-

(a) C.T.scan of neck.

(b) FNAC from neck glands.

(c) X-Ray chest (P.A. view ).

(d) Blood- CBC, ESR, Blood sugar (F & PP ).

Beside this a thorough examination of HEAD & NECK is necessary and after co-relation of reports of investigations with examination findings one can reach to final diagnosis which may be accordingly plan for treatment.

Regards.

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Sore Neck, Back, Throat Gland Bigger, Itchy Scalp, Occasional Spots, Tiredness. High White Blood Cells Diagnosed Previously. Advise?

Hello Thanks for consulting H.C.M. I read your query regarding Itchy scalp, sore neck and back, neck lymph nodes are enlarged on both sides and you have pain on back between shoulder blades. Your white blood cell count is also high. Your all symptoms are in favour of some infective pathology going on, as you said your scalp is itchy means it is infected and this may lead to cervical lymphadenitis. At the same time you are also telling that your teeth are also heavily filled, so I would like to tell you that this dental problem is also responsible for your enlarge glands in neck. Your white blood cells are quite high in count is indicative of infection, but if it is same for about one year than proper investigation is needed to establish the diagnosis. You are advice to do these investigations- (a) C.T.scan of neck. (b) FNAC from neck glands. (c) X-Ray chest (P.A. view ). (d) Blood- CBC, ESR, Blood sugar (F & PP ). Beside this a thorough examination of HEAD & NECK is necessary and after co-relation of reports of investigations with examination findings one can reach to final diagnosis which may be accordingly plan for treatment. Regards.