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Tuberculosis Inguinal swollen Lymph Node

Hello Doctor,

For last 4 months I had been suffering from fatigue, fever in the evenings and had no clue what was happening and wondered it could be weakness. I also had severe low back pain. Visited orthopedic and got X-rays and USG done but found clean.

Later when I used to have certain types of food experienced pain in the abdomen groin area, foods like coffee, spicy, oily etc and happened to visit a gastro. I had below problems.
1. Lower Abdominal/Groin Pain
2. Severe Low back Pain
3. Fatigue, Fever

Gastro Doc recommended me for blood test and found that ESR and CRP levels were high. Later recommended a CT scan and found a "swollen lymph node" of 6cm x 3cm.

Doctor has put me on a TB medication and I have finished roughly 1 week and there is no improvement in symptoms so much. Can you please share your thoughts and opinion for the same.
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replied December 9th, 2017
Hi, and thanks for your query on eHealth forum!

With low grade fever, high ESR, high CRP and swollen lymph nodes the first diagnosis to be ruled out is tuberculosis. Two step Montoux test and an antibody test should be performed to confirm tuberculosis. Other causes are connective tissue disorder, cancer and rheumatoid arthritis. It can also be lupus.

So, if your symptoms do not improve in another week, then the other conditions should be ruled out. Also, there could be secondary gut issues, and severe acidity. Taking TB medications can increase this acidity. If coffee, spicy oily food makes you sick, then more likely acidity is the cause. Consult your healthcare provider and take antacids. Also eat frequent small meals.

Please consult your healthcare provider for further guidance. This reply to your query is just for education and counseling purposes and cannot be an alternative to actual visit and treatment by a doctor who can examine you. Hope this helped you in making an informed decision about your health. Take care!

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