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Why do I have low-grade fever with swelling of glands in the neck?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have a low-grade fever for three months. I have three or four lumps on the left breast. There is a swollen gland in my neck and under my jaw. It swells and gets smaller. I have pain in my left shoulder and it crunches when I move it. I also have pain in my left elbow without injuries. Now, I have rib pain with a large nodule on the left side. It seems to be a floating rib. I have consulted the doctor several times. I have done blood culture, stool culture and did tests from HIV to mononucleosis. All the results are negative.

I have a decrease in the level of lymphocytes and the protein in my urine is abnormal. I have done a chest X-ray and it was normal. I have done a CT scan for abdominal pain and it showed inflammation in the lower colon and rectum. The stool culture is normal. Now, I have pain while breathing. I have pain in the left lower back with pain in the left ankle with swelling. My breast ultrasound is also normal. I have lost six kilograms. I have nausea and fatigue. My blood pressure is low with a level of 90/58 mm Hg. I am going to do a colonoscopy. Please suggest.
Answered by Dr. Sadaf Mustafa

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com.

If you have night sweats, weight loss, and fever, then you need to worry about leukemia, lymphoma, mycobacterial infection, HIV (human immunodeficiency virus), and autoimmune disease. You need to do a peripheral smear, ANA (antinuclear antibody) with differentiation, lymph node biopsy, or biopsy of the chest wall mass. You need to do a CT (computed tomography) chest with contrast. It is good to hear that you have a negative result for HIV. I am assuming that you have done HIV testing using PCR (polymerase chain reaction) and not through HIV antibodies. The lymph node biopsy will provide you a clue for diagnosis and it is tested for infections. The colonoscopy will also provide you some answers. Please share your blood work and imaging results.

Medically reviewed by Dr. K. Shobana
Published At February 11, 2021
Reviewed At March 22, 2023

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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