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Swollen salivary glands with fever - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3385 Questions
User :   Hi, may I answer your health queries right no
User :   Hello?
User :   Hello?
Doctor :   HI,
User :   Hello
Doctor :   Dr xxxxx here
Doctor :   How can i help you ?
User :   I have a small problem.
Doctor :   please proceed
User :   I have had swollen salvary glands for months, since March, in Sept/Oct I started having swollen Salvary glands and pain on both sides of my Thyroid.
Doctor :   ok,
User :   I had to go out of town in Nov. to wyoming and became ill with something that felt like a bad cold or flu.
User :   I felt horrible, bad sinuses and lost my voice. I was very run down.
Doctor :   May i know the exact site and the gland involved ?
User :   Now, My Salvary glands just under my chin on both sides is swollen, my Thyroid gland is swollen and painful and my neck is stiff, painful, and I have a headache.
User :   I went to the ER today because I couldn't get a doctors.
Doctor :   ok, Do you have fever ?
User :   appointment.
User :   I have a low grade fever for over a month along with the neck pain.
User :   99.9
User :   All my tests came back negative today.
User :   the urine was clean, the blood work normal and the x-ray normal.
User :   I feel like crap.....yesterday, I took two naps with a hot pad on my neck. I was so surprised when they didn't find anything.
Doctor :   ok,
User :   As I was reading just a minute ago about toxoplasmosis, I remembered that my cat scratched me really bad back in sept. or oct.
User :   We have nine cats.
User :   I still have a scar on my chest from it.
Doctor :   ok,
User :   I have all the symptoms including a couple of the more severe.
User :   I still have the bad headache and Encephalitis was listed as one of the severe possibilities.
User :   I know I sound paniced, but I was wondering if it would be okay to wait for my family doctor appointment tomorrow afternoon.
Doctor :   ok,
User :   most people don't usually have symptoms with this...
User :   and I do not have a blood test to verify this.
User :   the ER doesn't seem too worried.
Doctor :   ok,
Doctor :   At first i would like to tell that the possibilities of toxoplasma encephalitis is very far
Doctor :   as the symptoms will be very sever and diverse
User :   It's the only thing I can think of that explains the pain and condition that I'm in.
Doctor :   if you still want to rule out the best tool for it would be a MRI of the brain
Doctor :   no, not really
Doctor :   do you have vomiting ?
User :   no vomiting.
Doctor :   Try this, can you bend your neck and touch the chin to the chest ?
User :   just really bad headache, swollen neck, low grade fever, night sweats,
User :   yes I can touch my chin to my neck, still.
User :   does that mean I don't have to worry.
Doctor :   And did you ever had seizures in recent times ?
User :   I just don't understand how I could feel like death warmed over and nothing shows up on the tests.
User :   I take tegretol for epileptic seizures but its for BPD.
Doctor :   ok, but no seizures in recent right ?
User :   something to do with misfires that happen in the anger area of the brain.
User :   a misfire, seizure? Same thing?
User :   when I get upset, there's a short that causes it to spiral into worse anger.
Doctor :   yes, but any increase in the severity or frequency since the other symptoms started ?
User :   but this isn't really about that.
User :   I'm not sure, I never really thought of it as seizures. I do know that I'm having a very hard time with memory and I find that I'm spacing out a little more during recall.
User :   I wouldn
User :   wouldn't call that a seizure.
User :   just slow.
Doctor :   ok, with all this information , i consider the chances of toxo are very very remote
User :   I didn't see the possibility until after I left the ER.
User :   I have nine cats and one of them had an infection on her backside right before I left.
User :   I carried her to the vet and had her treated for flees.
User :   but they never checked her for anything else.
User :   I know it sounds crazy and with my background, I guess I can blame you.
User :   The scratch was deep. four or five claw marks acrossed my chest.
Doctor :   No, please proceed , a good history will help us a lot to arrive at a perfect diagnosis
User :   They are in the litter box all the time....toxo thrives in feces.
User :   It bled, I didn't think much of it. I put neosporine on it and a big 3 inch wide bandaid.
User :   I got sick two or three weeks later with a bad cold or something, fever, lost voice, really ill. but I couldn't stop, I was there to help my daughter who had twins Nov. 1
User :   I now there are specific test to do to verify.
User :   but I have a headache, no vomit, and I wanted to know if it was okay to wait until tomorrow, when I see my family Dr. at 145pm.
Doctor :   yes, its ok till tomorrow
User :   You think I crazy huh?
Doctor :   NO, Not at al
User :   I really do feel bad.
Doctor :   you are just a bit more anxious
User :   I'm okay now that I got it out.
Doctor :   i understand it , anybody in pain do sound the same way
User :   I thought they would say it was a sinus infection.
User :   but they didn't.
Doctor :   ok, Need not worry , i still do not thin toxo would be a chance
User :   I also know encephalitis involves a headache.
User :   extreme, I know.
Doctor :   i think you have caught a viral flu and a superadded bacterial infection for which you may need to be put on antibiotics
User :   That would be great....I really don't want to be sick.
Doctor :   yes, toxo do involve headache an sinusitis also do
User :   My glands have been swollen, originally since march.
User :   a very long time for gland swelling?
Doctor :   but in toxo there will be many more other symptoms which will be very sever and painful
User :   I have had the gland swelling before....along with weight loss, which I have also had this time as well.
Doctor :   gland swelling could be explained by the viral infection and secondary bacterial nfection
User :   I have lost 30 lbs. since july,
User :   I have been taking Vyvance....I guess that explains it.
Doctor :   yes, clearly
User :   I had a friend that complained for months about a pain they told him was nothing.
User :   it was cancer, and it killed him.
User :   he kept telling them everytime he went, that it hurt.
User :   I just don't want to ignore the symptoms and then find out later that I should have said something.
User :   my right eye is stinging too.
Doctor :   that is fine , the best way to rule out toxo in you would be by a MRI scan of the brain and a PCR test for toxo in the blood
User :   it can wait until tomorrow? without worries?
Doctor :   And you can screen your cats for toxo by getting their stool tested for toxo cysts
Doctor :   you can wait till tom
Doctor :   do not worry
User :   If Iget a CAT scan will it show the same info.....
Doctor :   yes, but MRI is the best
User :   someone told me a CAT scan of my glands would be a good idea.
Doctor :   as its low cost
Doctor :   but MRI s best for both

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