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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Yellow-green Phlegm, Back Pain, Swollen Lymph Nodes And Tiredness?

Hi..

I'm a 33 yr old female been having a cough for alittle over 2 weeks. I cough up some yellow greenish phlem. I have a pain in my right side of my upper back all day. Sometimes it radiates to my lower back right side. I also have had 2 swollen Lyphm Nodes in left side of my neck for over 1 year now. One above my collar bone and the other in the back of my neck. I also feel like I have difficulty swallowing and Breathing. I'm always tired and when I walk quickly I feel shortness of breathe and get a pain under my right side of my rib cage feels like its behind my right breast...
Mon, 3 Feb 2014
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General & Family Physician 's  Response
Hello.
I would come up with these possibilities for these symptoms ( phlegm, cough, breathlessness, fatigue, tiredness, right chest pain with lymph nodes enlargement ), these includes.
1 Pleural effusion as all these symptoms indicate fluid in right side pleura . Diagnosis can be confirmed by X ray chest with physical examination by a physician . Also get in blood for E S R and sputum for A F B .
2 The next reason may be tubercular lymphadenitis as you mentioned that two swollen lymph nodes are in the neck , so reason may be due to tuberculosis . Get in excision of these ( biopsy ) lymph glandes for tubercular examination or other bacterial infection.
3 Bronchiectasis may be the next reason in such type of cases as large amount of yellow greenish phlegm may be due to bacterial as well fungus infection . Get in culture of this phlegm.
As all these symptoms are getting worse so consult a physician and get his opinion as physical examination is very important .
Good luck.
Dr. HET
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What Is The Treatment For Yellow-green Phlegm, Back Pain, Swollen Lymph Nodes And Tiredness?

Hello. I would come up with these possibilities for these symptoms ( phlegm, cough, breathlessness, fatigue, tiredness, right chest pain with lymph nodes enlargement ), these includes. 1 Pleural effusion as all these symptoms indicate fluid in right side pleura . Diagnosis can be confirmed by X ray chest with physical examination by a physician . Also get in blood for E S R and sputum for A F B . 2 The next reason may be tubercular lymphadenitis as you mentioned that two swollen lymph nodes are in the neck , so reason may be due to tuberculosis . Get in excision of these ( biopsy ) lymph glandes for tubercular examination or other bacterial infection. 3 Bronchiectasis may be the next reason in such type of cases as large amount of yellow greenish phlegm may be due to bacterial as well fungus infection . Get in culture of this phlegm. As all these symptoms are getting worse so consult a physician and get his opinion as physical examination is very important . Good luck. Dr. HET