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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Sore Lymph Nodes On The Back Of The Neck. Elevated Heart Rate. Normal Blood Count. Pain In The Ear. What Is This?

good evening. few days back lymph nodes on right side and beack of neck became evry sore and painful. hard to turn my head either direction. for two weeks at night i have heard my heartbeat whosshing thru my right ear. lymph nodes have become very painful. urinary clean. blood cell counts are normal. no fever. very uncomfortable now pain seems to be centering on right ear, deep inside. any suggestions?
Tue, 4 Dec 2012
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General & Family Physician,  's  Response
Dear Concerned.,

Thanks for writing to us.

The lymph nodes or glands enlarged due to the result of retained previous respiratory infections(bacterial/viral) inside the nodes ( the recent past infection Kindly inform in history if so ).The Jugulodigastric nodes get enlarged due to Tonsillar infections and Jugulo omohyoid gets enlarged due to tongue infections.The increased heart rate is due to acute infection/inflammation process inside nodes called lymphadenitis results in Fever.Check the temperature pls.

Kindly take a course of broad spectrum antibiotics/anti inflammatory/proteolytic enzymes and vitamins for 03 to 05 days and observe for the reduction/positive response.The acute phase will subside .In most of the cases if it is due to pyogenic infections by Eg ??Streptococci, there will be remission.

Only after this stage .,

If the condition does not subside kindly go for a biopsy(FNAC) and the report shall be gold standard for further treatment protocol.

Wishing you a speedy recovery.,

Best Regards.,

Dr Lt Cdr ASN Bhushan.,

Ex-Navy.
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Painful Sore Lymph Nodes On The Back Of The Neck. Elevated Heart Rate. Normal Blood Count. Pain In The Ear. What Is This?

Dear Concerned., Thanks for writing to us. The lymph nodes or glands enlarged due to the result of retained previous respiratory infections(bacterial/viral) inside the nodes ( the recent past infection Kindly inform in history if so ).The Jugulodigastric nodes get enlarged due to Tonsillar infections and Jugulo omohyoid gets enlarged due to tongue infections.The increased heart rate is due to acute infection/inflammation process inside nodes called lymphadenitis results in Fever.Check the temperature pls. Kindly take a course of broad spectrum antibiotics/anti inflammatory/proteolytic enzymes and vitamins for 03 to 05 days and observe for the reduction/positive response.The acute phase will subside .In most of the cases if it is due to pyogenic infections by Eg ??Streptococci, there will be remission. Only after this stage ., If the condition does not subside kindly go for a biopsy(FNAC) and the report shall be gold standard for further treatment protocol. Wishing you a speedy recovery., Best Regards., Dr Lt Cdr ASN Bhushan., Ex-Navy.