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What is the reason for headache, sore throat and swollen lymph nodes?

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

Patient's Query

Hello doctor,

I have been having some headaches not bad but off a year now and on. I have a sore throat now and then my lymph nodes in the back of my neck for about three weeks. Now, I have pain in my lower back and my feet get weak every morning as I get out of bed. I have a wheezing on my chest. Could you tell me what is causing this? I did an HIV test last year and I did one more this year, they were both negative.

Answered by Dr. Ana Karen Pulido Ayala

Education:

MBBS

Professional Bio:

Dr. Ana Karen Pulido Ayala is a dedicated Family Physician with expertise in managing a wide range of acute and chronic health conditions. Her areas of specialization include diabetes, thyroid disorders, hypertension, infectious diseases, joint pain, and digestive concerns, along with preventive health, diet, and exercise counseling. Known for her patient-focused approach, Dr. Pulido Ayala emphasizes accurate diagnosis, effective treatment, and long-term wellness.

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

Hi,

Welcome to icliniq.com.

Let us talk about your symptoms one by one and then see if we can get to a single diagnosis. Headache: if it can be controlled with overthecounter painkillers for less than two times a week, it could be lack of sleep or some stress. Sore throat and lymph nodes: If they are less than 1 cm in diameter, hurt when you move them and are not growing, you could have had a viral infection. Another important thing here is to know if you have been having fever, night sweats or lost some weight. If you have one of these we might need some laboratory tests.

Lower back pain: the most common cause of this is having a bad posture while working or studying. Another cause might be you lifted a heavy object or made an abnormal or quick move involving your back. For this you can take an analgesic with a muscle relaxant (for example Methocarbamol with Ibuprofen) three times a day for five days in a row. Weak feet: How long does this last in the morning? Seconds, minutes, hours? This may be caused by a lesion in you back. Let's see if it gets better with the treatment for back pain I just told you about.

Investigations to be done

Fever, weight loss or night sweats?

Differential diagnosis

Infectious, allergic.

Treatment plan

Metocabamol 500 mg, Ibuprofen 400 mg, three times a day for five days.

Preventive measures

Observate lymph nodes since they should get smaller in less than a month.

Regarding follow up

If symptoms continue or get worse we need to take a look at those nodes and the weakness on legs in order to decide if you need laboratory tests.
Medically reviewed by iCliniq medical review team
Published At October 27, 2018
Reviewed At October 30, 2018

Education:

MBBS

Professional Bio:

Dr. Ana Karen Pulido Ayala is a dedicated Family Physician with expertise in managing a wide range of acute and chronic health conditions. Her areas of specialization include diabetes, thyroid disorders, hypertension, infectious diseases, joint pain, and digestive concerns, along with preventive health, diet, and exercise counseling. Known for her patient-focused approach, Dr. Pulido Ayala emphasizes accurate diagnosis, effective treatment, and long-term wellness.

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

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

Education:

MBBS

Professional Bio:

Dr. Ana Karen Pulido Ayala is a dedicated Family Physician with expertise in managing a wide range of acute and chronic health conditions. Her areas of specialization include diabetes, thyroid disorders, hypertension, infectious diseases, joint pain, and digestive concerns, along with preventive health, diet, and exercise counseling. Known for her patient-focused approach, Dr. Pulido Ayala emphasizes accurate diagnosis, effective treatment, and long-term wellness.

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

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