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What causes intermittent pain in throat and neck and swollen lymph nodes?

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Posted on Tue, 12 Jul 2016
Question: Observed Symptoms Duration Time: 5 weeks
Pain Scale = 01.00 - 10.00
1=low pain level 10=high pain level
Location: Right side, throat interior.
Throat/Neck Pain Level: 00.50 - 00.75
Throat/Neck Pain Duration: 5+ weeks
Frequency of Pain: intermittent 1 - 3 times per day.
The pain is intermittently felt only when swallowing food or water.
Pain Behavior: Pain location migrated 4.5 centimeters south from it's original location in the back of the throat within the 5+ week duration.
Lymph nodes were swollen before this pain in the throat appeared.
Lymph Node Activity: Slightly swollen, right side of the neck/shoulder intersection area.
Swollen Lymph Node Duration: 7 months. Currently almost back down to normal size.
Swollen Lymph Node Locations: 2 Posterier Cervical, 1 out of 2 Occipital, 1 Supraclavicular
The swollen lymph nodes have been swollen for 9-10 months before the interior throat pain appeared.
Within that 10 month frame, started taking daily dosages of liquid live probiotics from a dropper.
Oral Supplements Taking: Sunflower Lecithin Liposomal Vitamin C and collagen broth.
Removal of wheat and dairy from diet except for occasional cheese and butter/ghee.
Decreased sugar and salt intake.
Lymph nodes appear to be shrinking over time.






Resubmission/Edit/Errors

Observed Symptoms Duration Time: 5 weeks
Pain Scale = 01.00 - 10.00
1=low pain level 10=high pain level
Location: Right side, throat interior.
Throat/Neck Pain Level: 00.50 - 00.75
Throat/Neck Pain Duration: 5+ weeks
Frequency of Pain: intermittent 1 - 3 times per day.
The pain is intermittently felt only when swallowing food or water.
Pain Behavior: Pain location migrated 4.5 centimeters south from it's original location in the back of the throat within the 5+ week duration.
Lymph nodes were swollen before this pain in the throat appeared.
Lymph Node Activity: Slightly swollen, right side of the neck/shoulder intersection area.
Swollen Lymph Node Duration: 10 months. Currently almost back down to normal size.
Swollen Lymph Node Locations: 2 Posterier Cervical, 1 out of 2 Occipital, 1 Supraclavicular
The swollen lymph nodes have been swollen for 8 months before the interior throat pain appeared.
Within that 10 month frame, started taking daily dosages of liquid live probiotics from a dropper.
Oral Supplements: Sunflower Lecithin Liposomal Vitamin C and collagen broth.
Lugol's 2% iodine 1-2 drops mixed with water and 1 teaspoon raw apple cider vinegar. 2 Dosages.
Removal of wheat and dairy from diet except for occasional cheese and butter/ghee.
Decreased sugar and salt intake.
Lymph nodes appear to be shrinking over time.
doctor
Answered by Dr. Suresh Heijebu (9 hours later)
Brief Answer:
Possible IM?

Detailed Answer:
Hello, Sir.

I can certainly understand your concern.

I have worked through your query in detail.

The lymphadenopathy in your case is waxing and waning in its course.

Most likely this is infectious in origin probably viral in origin.

I advise you to get screened for infectious mononucleosis IM

Lymph node FNAC along with serum test called MONOSPOT Test will be helpful to aid in drug therapy.

A short course of steroidsay help.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (1 hour later)
I have had mononucleosis for 14 years.
I caught it from school desks.
doctor
Answered by Dr. Suresh Heijebu (12 hours later)
Brief Answer:
Further blood work is needed.

Detailed Answer:
Hello, Madam

This could be a possibile relapse of IM.

At this point to decide the further course of action, I advise you to get a complete blood picture and throat swab for Group A streptococcal infection.

Antibiotics have to be started if there is coexistent streptococcal infection.

Steroids have to be started only if there is significant reduction of blood counts or airway difficulty.

Complete bed rest is advocated for 3 weeks .

Get these tests and update me test results.

In case if the results are negative, no further action is required.Spontaneous resolution is expected .

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (24 hours later)
Hi Dr. XXXXXXX

Thank you for your assistance.
The pain in the throat is gone today. Should I still be concerned?
doctor
Answered by Dr. Suresh Heijebu (1 hour later)
Brief Answer:
Shorter course of Steroids may help.

Detailed Answer:
Hello, Madam.

I can certainly understand your concern.

It's good to hear that your throat pain is resolved.

But in case if you still have enlarged lymph nodes, it's advisable to go for a short course of Steroids.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3659 Questions

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What causes intermittent pain in throat and neck and swollen lymph nodes?

Brief Answer: Possible IM? Detailed Answer: Hello, Sir. I can certainly understand your concern. I have worked through your query in detail. The lymphadenopathy in your case is waxing and waning in its course. Most likely this is infectious in origin probably viral in origin. I advise you to get screened for infectious mononucleosis IM Lymph node FNAC along with serum test called MONOSPOT Test will be helpful to aid in drug therapy. A short course of steroidsay help. Post your further queries if any. Thank you.