Lymphadenopathy may be benign, self-limited process or may be a sign of serious underlying disease. Infections, malignancy and immunologic disorders account for most of the cases of lymphadenopathy. Pathological enlargement is most commonly due to skin infections or sexually transmitted diseases (syphilis, HSV, Chlamydia). Malignancies are rare.
Advice
1.
Amoxicillin 500 mg three times daily per oral for 10 days
2. Ibuprofen 400 mg per oral after meal when you feel headache
3. Investigations – CBC, ESR, Hb%
4. If lymph node swelling does not regress after 10 days of amoxicillin, get done:
a. Fine Needle Aspiration Cytology (FNAC) of inguinal lymph node
b. Chest X – ray PA view
For your hypothyroid problem
Hypothyroidism is due to deficiency of secretion of thyroid hormone from thyroid gland.
Levothyroxine is the treatment of choice for hypothyroidism. You need to take levothyroxine for life-long regularly and daily. Any interruption in treatment will cause symptoms of hypothyroidism.
Advice
1. Take medicine regularly as suggested bt your doctor
2. Investigation – serum TSH
For your RA problem
You have not mentioned any problem and treatment status. It is difficult to suggest anything. But it is also a life-long problem but effective treatment is available.
Consult a rheumatologist for this.
Thanks