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Suggest Treatment For Pain In Soft Tissue Above Right Ribcage

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Posted on Mon, 24 Aug 2015
Question: I've had a swollen axillary lymph node on the right side for over two years now. Initially it was painless, but now it becomes sore. It is sometimes swollen to what seems like the size of a small ball(golf ball-ish). Sometimes the swelling goes down for a week or two, but then returns. No I am also experiencexperiencing pain in the soft tissue above my right ribcage. It feels like there may now be a few small swollen gland or something there too. I had an ultrasound of the lymph node about six months ago, and I was told not to worry about it. I have been tested for most infectious diseases and am negative. I do have quite a bit of fatigue, but this has been attributed to hypothyroidism which I was diagnosed with at the same time I had the ultrasound sound of my lymph node. Should I be worried?
doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Right Axillary lymphadenitis Under Investigation

Detailed Answer:
HI,Dear thanks for the query.
I studied your query in all its details.
I understood your health concerns.
After review of all the facts in the query,I feel its definitely a case to be worried as the nature of the lympnadenitis is still not clear, though your doctor's have declared that there is nothing to be worried.
I would need further information as follows to help you to find out the cause of the growing lymphadenitis with soreness-
When you get fatigue feeling?late in the day or early morning?
What about the weight loss or weight gain over last 2 yrs? and over last few months?
What about the appetite you have?Have you lost appetite over last 2 yrs.?
What about the sleep for 8 hrs?is it sound or disturbed?
Are the lymph nodes matted,fused or discrete ?
Are they soft /or firm?are they XXXXXXX or fixed to surrounding?
Any body pains and feverish feel in the later day?
Any body and muscle pain in early part of the day?
Besides these clinical and history points I need all the information on the following -
Please update hypothyroid and infectious disease tests / and USG reports done so far for the review.
Also Update all Reports of doctor's visit notes / and on the blood and other lab tests done and all the Radiological tests done for the review and study.
So please update all this information soon.
Current Plan of the Treatment-
Rest for 8 hrs by sound sleep.
Not to worry for the cause of the lymphadenitis, which will be worked out by me.
High protein bland non-spicy diet.
Avoid any excesses of tea/tobacco/smoking/alcohol.
Welcome for any further information and query in this regard to ME and HCM.
Don't Worry till next visit.I will give my further opinion next visit.
Have a good day.
Awaiting your more information for further study and opinion.
Dr.Savaskar M.N.
M.S.Genl-CVTS.

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Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest Treatment For Pain In Soft Tissue Above Right Ribcage

Brief Answer: Right Axillary lymphadenitis Under Investigation Detailed Answer: HI,Dear thanks for the query. I studied your query in all its details. I understood your health concerns. After review of all the facts in the query,I feel its definitely a case to be worried as the nature of the lympnadenitis is still not clear, though your doctor's have declared that there is nothing to be worried. I would need further information as follows to help you to find out the cause of the growing lymphadenitis with soreness- When you get fatigue feeling?late in the day or early morning? What about the weight loss or weight gain over last 2 yrs? and over last few months? What about the appetite you have?Have you lost appetite over last 2 yrs.? What about the sleep for 8 hrs?is it sound or disturbed? Are the lymph nodes matted,fused or discrete ? Are they soft /or firm?are they XXXXXXX or fixed to surrounding? Any body pains and feverish feel in the later day? Any body and muscle pain in early part of the day? Besides these clinical and history points I need all the information on the following - Please update hypothyroid and infectious disease tests / and USG reports done so far for the review. Also Update all Reports of doctor's visit notes / and on the blood and other lab tests done and all the Radiological tests done for the review and study. So please update all this information soon. Current Plan of the Treatment- Rest for 8 hrs by sound sleep. Not to worry for the cause of the lymphadenitis, which will be worked out by me. High protein bland non-spicy diet. Avoid any excesses of tea/tobacco/smoking/alcohol. Welcome for any further information and query in this regard to ME and HCM. Don't Worry till next visit.I will give my further opinion next visit. Have a good day. Awaiting your more information for further study and opinion. Dr.Savaskar M.N. M.S.Genl-CVTS.