Hi I m a 35 year old female, do not smoke and only drink on occasion. I m a healthy weight. Recently I attended my doctor as I was having swollen glands on/off in my neck, severe mouth ulcers, fatigue+, generally feeling unwell. They did full bloods. I have tested positive for smooth muscle antibody, and my bilirubin has been high for past 5 years (I was unaware of this until recently) WBC was also high. I was referred to consultant who ordered chest X-ray and told me it was nothing to worry about and will check me once a year. In past few days the fatigue is back my glands were swollen for 2 days and today I have a constant dull ache below my right rib. Even if I lie still it s there. Could it be connected or could I have just pulled a muscle?