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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Swollen Lymph Nodes In The Under Arms And Neck Indicate?

Just had my second spinal fusion done Aug 31. On the 17 I came down with right side pluera, they did cat scan to confirm. Lung is now just about cleared up after starting z pack. I have celiac and a bunch of stuff left over from not finding till about 34 I m 41. For the past four years I ve been showing my MD a node under my left arm that goes up and down all the time and I ve had nodes go up and down in my throat from allergies my whole life, but seemed to have stopped since the GF diet. I did get really sick and went to erase in July, had huge node up in neck and liver tests were way off. So I pulled myself off roxicodone and allopurinol for allopurinol causes nodes to swell and roxicodone effects immune system. However, had to go back to erase on the 18 for this lung pain and cat scan shows left hilar node 3.2 cm in length, likely reactive . No pathologically enlarged axillary, mediastinal lymph nodes. Sorry forgot mri back in August showed bilateral Ila nodes one 1.9 one 1.6. My doc is not concerned even though lymphoma and celiac go hand in hand, besides all the other strange symptoms. He says I do not have lymphoma maybe stomach cancer, I don t even know where that came from. He s sending me for an endo. I have been on morphine for pain since the other drugs literally feel like they are shutting my organs down. My abs lypmph reads 0.69 range1.0-4.8k/ultimate. Rbc 3.98 range 4.5-5.25m/ultimate. Lymphs read 9.5 range 18-42%
Mon, 30 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

* The presentation of narrated symptoms suggest that there can be immune response to underlying pathology of various grades.
* I recommend lymph node biopsy to get the pathological diagnosis and further care.

Hope I have answered your query. Let me know if I can assist you further.
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What Do Swollen Lymph Nodes In The Under Arms And Neck Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * The presentation of narrated symptoms suggest that there can be immune response to underlying pathology of various grades. * I recommend lymph node biopsy to get the pathological diagnosis and further care. Hope I have answered your query. Let me know if I can assist you further.