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Extreme fatigue, swollen lymph nodes

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I have the following symptoms with no diagnosis, although I have had a cbc and have an elevated ana. I have consulted a rheumatologist who put me on a anti-depressant to sleep better at night. I have tried everything. What should i do next. Basically I am tired of being tired! And the pain under my ribs is bothering me most right now.

Neck and shoulders ache daily
Feeling something stuck in throat when swallowing-constant
Left arm daily feels like being squeezed
Feet swollen when I wake every morning
Joints and muscles ache at night
Lymph nodes in groin and arms ache when tired several times daily
mid back aches in night and morning-daily
pain under ribs more so within the past 6 weeks
Cramps in calves-at least 1/2 weekly
Severe Hip pain every night, mostly left but can be both

I literally cannot stay awake and nap at lunch time, after school and after supper. My lymph nodes ache in my groin and arm but are better after a nap then start again and I nap again. Enlarged node in back of head.

What other things should I have checked?

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replied December 5th, 2006
General Q&A Answer A1868
According to the symptoms you describe (fatigue, swollen lymph nodes, muscle and joint pain) you can request several laboratory blood analyses (sedimentation, complete blood count (CBC), hemoglobin, C-reactive protein, rheum-factor liver status, urea, creatinin, uric acid…), an abdominal ultrasound and an X-ray image of the spine and hip to start the diagnostic process. You can also request an HIV-test. Fine needle punition of a particular lymph node could be requested later by a specialist.
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