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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Breathlessness And Fatigue?

For the past year and a half I have had night sweats and then since oct 2010 I have had breathlessness, fatigue, small lymph nodes,fevers,itching and when I drink alcohol my lymph nodes hurt. My consultant thinks these are from tb as I tested positive with the quanitferon test in June 2009. I have been on treatment for 5 weeks with no improvement and have developed a cough which is not there all the time. I have had a normal ct scan to check for lymphoma. Is this tb or could it be lymphoma.
Mon, 31 Aug 2015
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General & Family Physician,  's  Response
Hello thanks for asking from HCM for your doubts

I can understand your concern. You are suffering from night sweats, breathlessness, fatigue, fevers, palpable lymph nodes, itching etc symptoms since last 5 years. You were positive with Quantiferon test in June 2009. These symptoms can be seen classically in tuberculosis especially in extra pulmonary tuberculosis. You also have developed cough which can be considered as a symptom.

To confirm the diagnosis I will suggest you to visit a physician. Get your total blood work up along with ESR done. Raised ESR is one of common finding in TB. Also get your lymph node biopsy, chest X ray done. This will help to find out any granulomatous lesion of TB. Also get repeat Quantiferone test done. These tests will supplement the diagnosis. If everything comes negative then we can think of some other possibilities. Saroidiosis, Lymphoma could be other rare possibilities. Visit a physician for help.

Thanks, Hope this helps. Good Luck
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What Causes Breathlessness And Fatigue?

Hello thanks for asking from HCM for your doubts I can understand your concern. You are suffering from night sweats, breathlessness, fatigue, fevers, palpable lymph nodes, itching etc symptoms since last 5 years. You were positive with Quantiferon test in June 2009. These symptoms can be seen classically in tuberculosis especially in extra pulmonary tuberculosis. You also have developed cough which can be considered as a symptom. To confirm the diagnosis I will suggest you to visit a physician. Get your total blood work up along with ESR done. Raised ESR is one of common finding in TB. Also get your lymph node biopsy, chest X ray done. This will help to find out any granulomatous lesion of TB. Also get repeat Quantiferone test done. These tests will supplement the diagnosis. If everything comes negative then we can think of some other possibilities. Saroidiosis, Lymphoma could be other rare possibilities. Visit a physician for help. Thanks, Hope this helps. Good Luck