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Q: Possible complications from tuberculosis
asked by: DoctorQuestion on February 13th, 2009
The pain in my upper back is unbearable and hurts to breathe often.

I've also got severe pain in my neck lymph nodes - mainly on the right and base of neck and collar bone on right, except after alcohol when it hurts under my ears, my armpits etc.

This has been going on 6 months and The pain is getting unbearable, I can't cope as painkillers don't help much. My doctor refuses to do anything else, I even went to A&E but they could do nothing as they could feel no swollen nodes.Also, not sure its relevant but my throat clicks when I swallow.

Could there be swollen lymph nodes that aren't palpable? My doctor has refused me any more tests, I'm in the UK and I don't know what to do. I'm so tired all the time too.

How can lymph nodes hurt if they not swollen? What can be wrong with me and what should I do?


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Dr. Goce Aleksovski , MD
replied on February 16th, 2009
Tuberculosis Answer A5773


Current medical status: I have constant very painful upper back pain, and it accompanies no previous back problems or injury, I have had for 6 months and it came on without warning. I also have pain on the right side of my neck and collar bone and alcohol makes it worse. I can't feel any swollen lymph nodes though. Also dizziness, night sweats, fatigue and a chronic cough. Pain can hit a 10 daily. Have had blood tests: slightly off as follows: Eosinophil - 0.46 White cells -11.6 Platelets - 431 Lymphocyte count - 3.8 ESR - 13 Serum inorganic phosphate -0.4 Monospot was negative. Chest xray - negative Abdominal ultrasound - negative Also had antibiotics which didn't help,


The data you provided is not enough for a definitive diagnosis. However, an assumption can be made. The symptoms you reported might be related to tuberculosis. The negative chest x-ray means that you do not have active pulmonary tuberculosis which is the most frequent form of tuberculosis. Other forms of tuberculosis are possible, too. In certain cases tuberculosis affects the spine and might cause the described symptoms. You might want to have a Mantoux skin test that will determine if the symptoms are related to tuberculosis.


If the results turn negative, you might want to have a CT scan of the spine to check for other serious conditions that put pressure on the spine and the nerves, thus causing the pain.




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