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Ear pain, itching, metallic taste and NODES WITH FATTY HILUM.

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I'm a 27 year old female.

I have been having ear pain and fever for the past 2 months. Since the past month and a half, I have had severe itching all over my body. For about a month, I had a very severe cough with a metallic taste. Over the past week, the cough has started to recede and is now infrequent (2-3 times a day). There has been intermittent fatigue (moderate to severe), and shortness of breath. I have been to two general physicians, two ENTs and a pulmonologist, and no one has an explanation for the fever in particular. For the past few days, I have had nausea, loss of appetite, and underarm pain.

On Sept. 17th, an ultrasound of the neck found: Ultrasound Neck - Bilateral level 1B and level II nodes are seen (right side > left side). Largest node on the right side measuring 1.1cm. Nodes are discrete and show preserved hilar fat. Probably non-specific. Normal thyroid morphology. Doctors dismissed this as irrelevant. Today, a pulmonologist said I have a very small lymph node just under my right collar bone, and recommended an FNAC / open biopsy (if the node was too small for sampling). Another doctor I went to after that found nothing.

I have documented all the tests, medications, and fever record in the attached sheet.

Kindly advice on how to proceed. I am really worried.

Category: ENT Specialist

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Category: ENT Specialist
 19 Doctors Online

Hello,
Thank You for your query at DoctorSpring.com
I have extensively reviewed all your reports, and all of them are normal, ( eosinophils mildly elevated at one place, suggestive mostly of allergies ), and your x ray suggests bronchitis.
You have already 2 course of antibiotics and they have not been helpful.
Did you get a sputum AFB done? It is important because such persistent fever along with lymph node swellings, it is better to get sputum AFB evaluated.
The severe allergy that you are experiencing could also be leading to the shortness of breath, since allergies can lead on to bronchoconstriction. For your allergies i can siggest the medicine, however an examination by a dermatologist will be helpful. I will advise you to take Tab. Allegra 180 mg once daily for 5 days. If it does not resolve, you need a dermatology opinion.
Regarding your symptoms, i will advise you get a sputum AFB done. You have already tried two sets of antibiotics and giving you further antibiotics won't make much sense. Once you have the reports you can get back to me.
Regards.


Dr. Sunil Jalan
Category: ENT Specialist
Experience: 
DAA (Diploma in asthma and allergy) : Christian Medical College, Vellore, 2012
D.N.B (ENT), 2011
Residency - M.S. (Master post graduate degree in otorhinolaryngology),  Christian Medical College, Vellore, 2009
D.L.O. (Diploma in otorhinolaryngology) - Christian Medical College, Vellore, 2007
Medical School - M.B.B.S, S.P. Medical college, Bikaner, 2004
Dr. Sunil Jalan and 4 other Medical Specialists are ready to help you

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