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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chills, Nausea, Fatigue And Swollen Neck Glands?

MY daughter who is 13 has been having chills hot and cold nausea , fatigue and swollen gland on the bak of neck . We were told that her ferritin was low at17.0 ug\L about 2 months ago so the doc prescribed iron pills. My daughter did not show any improvement with her symptoms so we brought her back and the doc ordered x ray and more bloods. The doc called yesterday to inform us that he did not receive all of the reports back yet but her esr was 42 and Thyroid came back all is normal and he told us to stop the iron pills that she does not need them. He sounded very concerned about this esr test could it be serious and what could cause this test to be so high.
Tue, 17 Mar 2015
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General & Family Physician 's  Response
Hello
I had gone through your question and I appreciate your concern
high ESR could be related to infection or inflammatory conditions
High ESR with swollen lymph glands in neck is suggestive of infection like tuberculosis

in my opinion you should get an FNAC of the swollen lymph glands to confirm the diagnosis
you should be worried but not too much it's very much treatable condition

She may require a course of antibiotics or DOTS therapy under supervision of your doctor

hope this answers your question
you can upload me the reports and photograph for more clarification I will gladly answer you
best wishes
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What Causes Chills, Nausea, Fatigue And Swollen Neck Glands?

Hello I had gone through your question and I appreciate your concern high ESR could be related to infection or inflammatory conditions High ESR with swollen lymph glands in neck is suggestive of infection like tuberculosis in my opinion you should get an FNAC of the swollen lymph glands to confirm the diagnosis you should be worried but not too much it s very much treatable condition She may require a course of antibiotics or DOTS therapy under supervision of your doctor hope this answers your question you can upload me the reports and photograph for more clarification I will gladly answer you best wishes