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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Lymph Node, Sore Throat, Difficulty Swallowing, Blood Work Shows High Levels Of Esophilia, Lymph Node Prominent. Advise?

Hi, I have received blood work back indicating that my levels of esophilia (spelling?) are high. I have just come off being sick with a virus of some sort for the last 5 weeks, left lymph node in neck is very swollen and my throat is sore again. The sore throat was the initial symptom of my most recent illness and strep was ruled out. I had an ultrasound done on my neck and the lymph node was described as "prominent". I am not supposed to have a CT scan done with infusion to see if other lymph nodes in my chest are swollen. One last thing, I had a root canal done in January of this year and thought that perhaps I had some infection in my mouth but I visited the dentist, had xrays done and supposedly there is no infection. I would rather go in and have an ENT now look at my throat because I am having a hard time swallowing. Any suggestions on what I should do first? I am not happy with my GP at this point. Thanks, Helen
Thu, 23 May 2013
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ENT Specialist,  's  Response
Hello

Thanks for writing to H.C.M.

I read your query regarding sore throat, swollen lymph nodes, difficulty in swallowing for last 4 weeks. Your blood investigation report is normal except increase in eosinophil count.

You have also being investigated for strep infection and that had been ruled out.

According to your medical history and duration of illness of 4 weeks it appears as you are having some lesion in your pharynx. this lesion had given rise to cervical lymphadenopathy. So it will be better to consult an ENT doctor for xamination of throat and if necessary than do direct laryngoscopy to get the correct picture of existing pathology. If neede biopsy may be taken from lesion.

FNAC from neck gland may also be done to find out the cause of lymphadenopathy.

I hope above explanation answers your query.

Regards.
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Swollen Lymph Node, Sore Throat, Difficulty Swallowing, Blood Work Shows High Levels Of Esophilia, Lymph Node Prominent. Advise?

Hello Thanks for writing to H.C.M. I read your query regarding sore throat, swollen lymph nodes, difficulty in swallowing for last 4 weeks. Your blood investigation report is normal except increase in eosinophil count. You have also being investigated for strep infection and that had been ruled out. According to your medical history and duration of illness of 4 weeks it appears as you are having some lesion in your pharynx. this lesion had given rise to cervical lymphadenopathy. So it will be better to consult an ENT doctor for xamination of throat and if necessary than do direct laryngoscopy to get the correct picture of existing pathology. If neede biopsy may be taken from lesion. FNAC from neck gland may also be done to find out the cause of lymphadenopathy. I hope above explanation answers your query. Regards.