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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Lymph Nodes And Spleen With Headaches?

My son is 10, 4'9" and weighs 63 pounds. He has not been himself lately. He recently had unexplained swollen lymph nodes, and a enlarged spleen. His most recent scan showed his spleen back to normal. His white blood count was low, and he had ketones in his urine. His dr. said he just had a virus. His only symptoms have been tiredness, asthma symptoms, and headaches off and on, and he is pale. No sore throat, or cough, or runny nose. Should I keep pressing the dr to run more tests? Could this still be a long lasting virus? What kinds of things should I have him tested for? We live in a very small town, with only one pediatrician, and I don't have a whole lot of confidence in him. Please help!!
Thu, 28 May 2015
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Internal Medicine Specialist,  's  Response
My first thought is that he might have infectious mononcleosis. This is a viral infection that is long lasting, causes fatigue, can cause spleen enlargement and low white count. Similar viruses may do the same. There are blood tests for infectious mono that you could ask the doctor to run. I would also request a complete blood count (CBC) to see if he's anemic, since you mention he looks pale. This may have been done already, since a white cell count is part of a CBC. The ketones may be related to not eating well, but they can appear in the urine with the onset of diabetes. It is very important that he have a blood sugar done to be sure this hasn't developed. Insulin diabetes not uncommonly develops after an acute viral infection in a young person that just doesn't seem to get better. It is the diabetes starting that causes the persistent symptoms. Getting the blood tests suggested should help rule out some serious conditions. Hope this helps.
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What Causes Swollen Lymph Nodes And Spleen With Headaches?

My first thought is that he might have infectious mononcleosis. This is a viral infection that is long lasting, causes fatigue, can cause spleen enlargement and low white count. Similar viruses may do the same. There are blood tests for infectious mono that you could ask the doctor to run. I would also request a complete blood count (CBC) to see if he s anemic, since you mention he looks pale. This may have been done already, since a white cell count is part of a CBC. The ketones may be related to not eating well, but they can appear in the urine with the onset of diabetes. It is very important that he have a blood sugar done to be sure this hasn t developed. Insulin diabetes not uncommonly develops after an acute viral infection in a young person that just doesn t seem to get better. It is the diabetes starting that causes the persistent symptoms. Getting the blood tests suggested should help rule out some serious conditions. Hope this helps.