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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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    What causes swollen lymph glands in the neck?

I have slightly swollen lymph glands (neck), a bit of a stuffy head, and am very fatigued, don t really want to do anything but sleep, maybe read a bit. This is the third day I have felt like this. Two notes -- I have experienced a dozen or so oak mite bites this week. Also, I have the Epstein-Barr virus that flares up once a year, maybe less. However, this doesn t feel like those usual episodes. Thanks for any advice you may have.
Mon, 3 Oct 2016
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General & Family Physician 's  Response
Hi welcome to health care magic...

Here according to history you can have viral flu or there might be ebstein Barr infection...

Investigate with...
-Auscultation
-CBC
-Chest x ray only if needed

Symptomatic management needed initially with more water and fruit juices more...

Avoid excess spicy foods and fried foods...

Vitamin c lozenges can be given...

You have mostly reactive lymph node enlargement...

For congestion relief phenylnephrine like antihistaminic drug given....

Take care

If needed FNAC from enlarged lymph node taken to do further work up...

Advise :Consult physician for examination and further work up
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