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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Lymph Nodes Under Collar Bone?

Husband was sick last year, we were left with no diagnosis. 35k wbc, low red count, one dr said pnuemonia and it was left at that...........a year and two weeks later he is exhausted, i saw a knot on his neck and thought it was a sting of sorts and after feeling it i found a hard lymph node on his right collar bone. Also has another one popped up but that one down some. Has been to dr, xray, ultrasounds shows enlarged spleen they said he has iron deficient anemia, had ct scan two days ago. go for results and get nothing and said his blood smear results were not back although another girl in office said results were there in his chart but could not tell me anything. He is on ferrous sulfats 325mg 3x a day and now finishing up an antibiotic he was prescribed at his first visit. He has fullness, soreness in his sternum and some towards right side. Mostly this time they have only said his red cells are low and smaller. ???
Wed, 8 Jul 2015
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General Surgeon,  's  Response
Hi,Dear,Good Morning.Thanks for the query to HCM.
I studied your query in details and understood your concerns.
@My impression of your swollen lymph nodes-is as follows-
-Its a Chronic lymphadenitis-with ?TB adenitis with anaemia. / or it could be Lymphoma.
I would advise -
a-ESR/IGRA blood test to detect old TB infection/
b-Consult ER Surgeon and get FNAC Biopsy.
This would resolve your lump issue in your husbands case with chronic disease for 2 yrs now.
I would suggest to consult ER surgeon and test blood for-fbs / pps -levels.
This would help you to plan treatment with your doctor.
@Hope this would resolve your worrisome query.
Welcome for any further query in this regard,and would love to help you to resolve this problem till it is solved to your satisfaction.
@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at HCM clinic.
Wishing you fast recovery..!!
Have a Good Day.
With Regards ,
Dr.SAVASKAR M.N.
Super-specialist in NCCD-Non-Curable Chronic Disorders and
Rejuvenation therapies in tissue and organ failures.
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What Causes Swollen Lymph Nodes Under Collar Bone?

Hi,Dear,Good Morning.Thanks for the query to HCM. I studied your query in details and understood your concerns. @My impression of your swollen lymph nodes-is as follows- -Its a Chronic lymphadenitis-with ?TB adenitis with anaemia. / or it could be Lymphoma. I would advise - a-ESR/IGRA blood test to detect old TB infection/ b-Consult ER Surgeon and get FNAC Biopsy. This would resolve your lump issue in your husbands case with chronic disease for 2 yrs now. I would suggest to consult ER surgeon and test blood for-fbs / pps -levels. This would help you to plan treatment with your doctor. @Hope this would resolve your worrisome query. Welcome for any further query in this regard,and would love to help you to resolve this problem till it is solved to your satisfaction. @ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at HCM clinic. Wishing you fast recovery..!! Have a Good Day. With Regards , Dr.SAVASKAR M.N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures.