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Lymph node pain and treatment, Anxiety attacks - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello!
Doctor :   hi,how can i help u
Doctor :   please proceed with your query
User :   I have a question, well more like I wanted to know what may be happening with messs
Doctor :   please proceed with your query
User :   well you see I have been feeling very lightheaded, and recently having alot of mini anxiety attacks.. also- it doesnt happen everyday- but when i breath it feels like I didnt breath, like I skeep breaths and that triggers a sort of anxiety attack. (or is it panic attack.. dunno). Also I have been Having node pain but they nore enlarged they just hurt!, behind my ears, on my side neck, below my armpits
User :   they are not enlarged*
Doctor :   ok
Doctor :   i will help u in this
Doctor :   can i ask few Q
User :   yup!
Doctor :   wats your age
User :   22
Doctor :   since how many days do yu have this problem
User :   lightheadness a week maybe... node pain for a while now , and the skiping breaths I dont know,, it doesnt happen very often, but it does happen
Doctor :   do yu have fever or body rash
User :   body rash?
User :   no fever
Doctor :   rashes over the face or body
Doctor :   any difficulty in swallowing
User :   no, no difficulty in swallowing, and if a sudden outbrake of cherry angiomas inst considered a rash then i dont think so haha.
Doctor :   ok
Doctor :   do yu have headache
Doctor :   chills or rigors
User :   Rigors?
Doctor :   feeling too cold and shivering
User :   oh, no, im more like almost always hot XD
Doctor :   is the lymphnodes behind the ears, side of neck and armpits red in color
Doctor :   is painful to touch
User :   they hurt randomly but they arent red nor do they enlarge they just hurt, i feel the pain under my arms and if i press the one on the side of my neck just below the ears it hurts
Doctor :   any joint pain or body ache
User :   well, a bit but thats related to my heriated back disc
Doctor :   do yu have earache or discharge from the ears
User :   nop!
Doctor :   running nose or headache
User :   nop
User :   none
Doctor :   tired ness or fatigue
User :   im always sleepy, but I have wierd sleeping patterns, i sometime sonly sleep 4 hours
Doctor :   any wt loss
User :   due to diet
Doctor :   are yu stressed and tensed
User :   i dont know,, I dont feel like i have a reason to be stressed right now
Doctor :   did yu do any blood investigations
Doctor :   did yu take any medications
User :   yes but there is nothing wrong with them... and Im started to get annoyed because my nodes do hurt
User :   but since nothing apeared nor they were enlarged they just didnt really care
Doctor :   ok
Doctor :   no medications also
User :   right now none,, oooooooooo but tat is recent ,, meticorsen
Doctor :   ok
Doctor :   its a course of steroids
Doctor :   how did yu feel after taking a corse
User :   a corse of steroids?!.. I dont know,, i was in cozumel and the docotor said i got dysihdrosis
User :   but,,, its almost one week later and its preatty much gone,, I developed a wierd rash in cancun
User :   it was a few blister looking things that i scratched and then they would spread
User :   so my hands and feet had this mini mini blisters and medium sized ones too,, and the doctor said it was dyshidrosos and gave me that
Doctor :   ok
Doctor :   its a dyshidrosis ezcema
Doctor :   a allergic reaction
User :   oh,, then it was acute
User :   i guess..?
Doctor :   yes
User :   hahahaha its gone so i dont take the medicines anymore
Doctor :   its a skin condition that is characterized by small blisters on the hands or feet
Doctor :   and vesicals later
User :   it wasssssssss so itchy,,, whats a vesical?
Doctor :   ok
Doctor :   thats important feature of this disease
Doctor :   vesicle is a fliud filled cavity
Doctor :   its like blisters
User :   oh!
User :   i see i seee
Doctor :   Dyshidrosis has been historically linked to excessive sweating
Doctor :   do yu sweat a lot
User :   oh, well,, sun,,, rash,, makes sense hahaha!. Nop it was the sun
Doctor :   ok
Doctor :   it can also be due to allergic to caffeine in coffees, teas, and carbonated beverages.
Doctor :   the dehydrating effects of alcohol may exacerbate the severity of the fissures and cracking.
User :   I seee. well It was the forst time I had it, so I think it was the sun and repelant and buggspray all in one and reaction came!. But yea I only took meticorsen for hmm 3 -4 days
User :   oh,,,, wow ,, poor people
User :   that must hurt
Doctor :   ok
Doctor :   Meticortisone is the treatment of choice
Doctor :   Emollients during the drying/scaling phase of the condition, to prevent cracking and itching.
User :   Hmm,, I dont think I need emmlients since mine is almost vanished hehehe, I am more conserned on the node pains
Doctor :   ok
Doctor :   following a attack of Dyshidrosis and treatment with meticortisone
Doctor :   can result in lymph node pain
Doctor :   this is becasue at the time of dyshidrosis the body immune system is reduced
User :   but, this node pain ive had since , almost a year now. and this,, it was a week ago... So
Doctor :   did the pain aggravete after the attack
Doctor :   or it remained same
User :   all the same
Doctor :   ok
Doctor :   did yu do the blood counts
Doctor :   and ultrasound abdomen
User :   yes all is good..... no no abdomen ultasound
Doctor :   did yu take a corse of antibiotics
User :   nop
Doctor :   as per your history dihyrosis is commpletely cured
User :   Im glad, that itch was misserable
Doctor :   ok
Doctor :   i can understand the discomfort at the attack
Doctor :   thats good yu have cleared with it
User :   yes thank you! hehe unlike what I have now, I was able to get a diagnosis!
Doctor :   do yu have any lymphnode pain in the groin
User :   now, I just have to deal with the node pain, and sometimes skipping breaths because no one can see anything *wrong with it* even though im the one getting hem hehe
User :   no, I dont think so, I think its only upper body nodes
Doctor :   wat is the size of the lymph node
User :   i think they are normal
User :   i cant feel any growth at all
Doctor :   ok
Doctor :   as per your symptom history
Doctor :   painful lymphnode warns infection in the body
Doctor :   but there are no other sympoms suggestive of infection
Doctor :   including the blood test
Doctor :   this type of medial condition
Doctor :   we label it as idiopathic lymphnodes
Doctor :   ideal would be to go for a corse of antibiotics and antiinflammatory
User :   whats an Idiopathic lymphnode?
Doctor :   and get an ultrasound scanning done
Doctor :   where no cause is found
User :   But how can nodes be acting up like that with no cause
Doctor :   is the swelling there
User :   even though they are not enlarged they are swollen?
Doctor :   is the swelling present
User :   and the abdomen ultasoun is for?.... si my nodes have been swollen for almost a year?
Doctor :   to rule out enlarged spleen
Doctor :   which is associated with swollen lymphnodes
User :   do you know what series of blood tests do I need for this node pain?,, also what can explain my sudden skips of air, that I feel like i didnt breath,, ore like I dont
Doctor :   Complete blood count
Doctor :   peripheral smear examination
Doctor :   Platelet count
Doctor :   urine routine
Doctor :   and ultrasound abdomen
User :   I see. okay thank you,, and the breathing,, why cant i sometimes breath? well,, just a one breath that feels like the worst sensation haha
Doctor :   do yu have difficulting in breathing
User :   no not right now,, its just a single breath that doesnt arrive to my lungs it like fals short
Doctor :   do yu have hurried respiration
Doctor :   does deep breaths casues chest pain
User :   no chest pain, and i have a reg respiration i think haha
Doctor :   ok
User :   its just that one breath that doesnt go to my lungs,, and im not saying it happens eeeeeveryday because it doesnt hahaha
Doctor :   do yu hyper ventilate
Doctor :   while respiration
User :   not normally
User :   but i guess i did a few times and triggered anxiety attack
User :   but again,,, i dont usually hyperventilate
Doctor :   ok
Doctor :   anxiety attack usally has this type of breathing problems
Doctor :   need to tackle anxiety first
User :   yea those are probably psychological issues,, but i wonder if the node pain is related to anxiety disorder?
Doctor :   no
User :   Oh, but i thought then that i would be solved!.. sob* then its 2 different things
Doctor :   node pain is not related to anxiety
Doctor :   but the breating issue is realted to aanxiety
User :   Oh, I see, and so eht elightheadnesss ive been feeling and the attack must be all anxiety
User :   to what,, I have nooooooooo idea... but its happening
Doctor :   the best way of tackling axnxiety
Doctor :   is relaxtion techiniques and exercises
User :   I see
Doctor :   i will advice yu few exercises
Doctor :   to over come anxiety
User :   okay!
Doctor :   breathign exersise
Doctor :   before doing this exercise
Doctor :   be relaxed
User :   haha okay
Doctor :   sit on a chair
Doctor :   take a deep breathe and release
Doctor :   do this for 4-5 times
User :   okay!
Doctor :   and the now gently close the nose with fingers
Doctor :   and breathe thru mouth
Doctor :   for 2-3 mins
User :   ohhhhhh so no nose breathing, interesting
Doctor :   a brisk walking for 20 - 25 min
Doctor :   for 3-4 days in a week is a good exercise to overcome anxiety
User :   im going to do it then
User :   and well for the nodes,,, well get the blood counts,,, is there any lymphathic type of study i can take?
Doctor :   do yu know wats brisk walking
User :   yes
User :   fast phase right?
Doctor :   the speed is less than jogging
User :   yea, okay! ill brisk walk
Doctor :   more than that of normal walk
User :   okay
Doctor :   with free movements of shoulders and arms
Doctor :   walk on a plain surface
User :   treadmill
User :   mk! starrting tomorrow i will brisk walk for 25 minutes
Doctor :   it should be done out side
Doctor :   environment
User :   ohhhhhh
User :   okay, outsideeeeee
Doctor :   this brisk walking is called aerobic exercise
User :   a yes
Doctor :   at the time of exercise there is a relaese of harmone like substance called ENDORPHINS
User :   and endorphins make you happy!
Doctor :   which reduce the stress and tension levels
Doctor :   elate the mood and also overcome the anxiety attacks
User :   well thank you for the excercise for my anxiety attacks! it svery helpful
Doctor :   this exercise and propere berathing technoque
Doctor :   will help u to rule out the anxiety
Doctor :   now regarding the lymph nodes
Doctor :   need to go for the investigations i have said
Doctor :   and a course of antibiotcs and anti inflamatory will help u a lot to reduce the pain and swelling
User :   okays,what antibiotics should I take
Doctor :   its III generation cephalosporins
Doctor :   Cefixime 200 mg
Doctor :   once daily for 6 days after the food
User :   is it over the counteR?
Doctor :   this should be doc prescription
User :   oh
Doctor :   not over the counter
Doctor :   but anti inflamatory is over the counter
User :   so i guess i need to go see someone for that
Doctor :   Tab. Brufen 400 mg once daily after the food
Doctor :   yes thats right
Doctor :   Is there any thing else i can help you with
User :   no, thank you very much for your time! I guess there really isnt anything wrong just wierd node pain
User :   but I will go take the blood exams and get them seen my a doctor here in ny
Doctor :   no nothing serious
Doctor :   not to worry
Doctor :   yu will get cured soon
User :   okay! thank you very much! makes me feel more at ease!
Doctor :   Please fill the feedback form say done when done.
Doctor :   be mentatlly relaxed
User :   Hehehe I will! somehow! thank you very much Doctor!! ;)
Doctor :   ok take care bye for now
User :   baiiii
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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